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Sclerosing bone dysplasias: review and differentiation from other causes of osteosclerosis.
[erdheim-chester disease]
Sclerosing
bone
dysplasias
are
skeletal
abnormalities
of
varying
severity
with
a
wide
range
of
radiologic
,
clinical
,
and
genetic
features
.
Hereditary
sclerosing
bone
dysplasias
result
from
some
disturbance
in
the
pathways
involved
in
osteoblast
or
osteoclast
regulation
,
leading
to
abnormal
accumulation
of
bone
.
Several
genes
have
been
discovered
that
,
when
disrupted
,
result
in
specific
types
of
hereditary
sclerosing
bone
dysplasia
(
osteopetrosis
,
pyknodysostosis
,
osteopoikilosis
,
osteopathia
striata
,
progressive
diaphyseal
dysplasia
,
hereditary
multiple
diaphyseal
sclerosis
,
hyperostosis
corticalis
generalisata
)
,
many
of
which
exhibit
similar
pathologic
mechanisms
involving
endochondral
or
intramembranous
ossification
and
some
of
which
share
similar
underlying
genetic
defects
.
Nonhereditary
dysplasias
include
intramedullary
osteosclerosis
,
melorheostosis
,
and
overlap
syndromes
,
whereas
acquired
syndromes
with
increased
bone
density
,
which
may
simulate
sclerosing
bone
dysplasias
,
include
osteoblastic
metastases
,
Paget
disease
of
bone
,
Erdheim-
Chester
disease
,
myelofibrosis
,
and
sickle
cell
disease
.
Knowledge
of
the
radiologic
appearances
,
distribution
,
and
associated
clinical
findings
of
hereditary
and
nonhereditary
sclerosing
bone
dysplasias
and
acquired
syndromes
with
increased
bone
density
is
crucial
for
accurate
diagnosis
.
Diseases
Validation
Diseases presenting
"myelofibrosis"
symptom
erdheim-chester disease
monosomy 21
waldenström macroglobulinemia
This symptom has already been validated