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Osteogenesis imperfecta Type VI with severe bony deformities caused by novel compound heterozygous mutations in SERPINF1.
[dentinogenesis imperfecta]
Osteogenesis
imperfecta
(
OI
)
comprises
a
heterogeneous
group
of
disorders
characterized
by
bone
fragility
,
frequent
fractures
,
and
low
bone
mass
.
Dominantly
inherited
COL
1
A
1
or
COL
1
A
2
mutations
appear
to
be
causative
in
the
majority
of
OI
types
,
but
rare
recessively
inherited
genes
have
also
been
reported
.
Recently
,
SERPINF
1
has
been
reported
as
another
causative
gene
in
OI
type
VI
.
To
date
,
only
eight
SERPINF
1
mutations
have
been
reported
and
all
are
homozygous
.
Our
patient
showed
no
abnormalities
at
birth
,
frequent
fractures
,
osteopenia
,
and
poor
response
on
pamidronate
therapy
.
At
the
time
of
her
most
recent
evaluation
,
she
was
8
yr
old
,
and
could
not
walk
independently
due
to
frequent
lower-extremity
fractures
,
resulting
in
severe
deformity
.
No
clinical
signs
were
seen
of
hearing
impairment
,
blue
sclera
,
or
dentinogenesis
imperfecta
.
In
this
study
,
we
describe
the
clinical
and
radiological
findings
of
one
Korean
patient
with
novel
compound
heterozygous
mutations
(
c
.
77
dupC
and
c
.
421
dupC
)
of
SERPINF
1
.
Diseases
Validation
Diseases presenting
"bone mass"
symptom
aromatase deficiency
dentin dysplasia
dentinogenesis imperfecta
familial hypocalciuric hypercalcemia
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