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Clinical features of osteogenesis imperfecta in Taiwan.
[dentinogenesis imperfecta]
Osteogenesis
imperfecta
(
OI
)
(
MIM
166200
,
166210
,
259420
and
166220
)
is
a
congenital
disorder
characterized
by
increased
bone
fragility
and
low
bone
mass
.
Information
regarding
the
clinical
features
of
this
genetic
disorder
is
lacking
in
Taiwan
.
This
study
aimed
to
characterize
the
clinical
features
of
OI
patients
in
Taiwan
to
establish
a
practical
correlation
for
distinguishing
different
clinical
subtypes
of
the
disorder
.
A
review
of
medical
records
identified
48
patients
with
OI
(
33
female
and
15
male
;
age
range
,
2
months
to
53
years
)
from
January
1996
to
June
2008
.
Diagnosis
and
classification
,
using
the
classification
system
outlined
by
Sillence
et
al
,
were
based
on
clinical
and
radiological
characteristics
.
We
also
analyzed
the
clinical
presentation
,
physical
examination
and
bone
mineral
density
(
BMD
)
among
the
different
subtypes
of
OI
.
Retrospective
analysis
of
the
medical
records
revealed
that
48
OI
patients
could
be
classified
into
types
I
(
n
=
19
)
,
III
(
n
=
10
)
,
and
IV
(
n
=
19
)
.
There
were
statistically
significant
differences
between
these
three
types
in
terms
of
height
,
weight
,
BMD
,
dentinogenesis
imperfecta
,
bone
deformity
,
scoliosis
,
walking
ability
,
annual
fracture
rate
,
and
family
history
.
However
,
no
significant
differences
were
noted
for
blue
sclera
(
p
=
0
.
075
)
and
hearing
loss
(
p
=
0
.
832
)
.
Nine
of
the
11
clinical
features
examined---height
,
weight
,
BMD
,
dentinogenesis
imperfecta
,
bone
deformity
,
scoliosis
,
walking
ability
,
fracture
rate
,
and
family
history---were
significantly
different
among
the
three
types
of
OI
patients
.
This
finding
may
be
of
help
in
evaluating
patients
and
establishing
their
prognosis
.
Diseases
Validation
Diseases presenting
"bone mineral density"
symptom
achondroplasia
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
aromatase deficiency
congenital adrenal hyperplasia
cushing syndrome
dentinogenesis imperfecta
erythropoietic protoporphyria
fabry disease
familial hypocalciuric hypercalcemia
familial mediterranean fever
kallmann syndrome
lamellar ichthyosis
phenylketonuria
primary hyperoxaluria type 1
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