Fibrodysplasia Ossificans Progressiva: A Case Report

被引:0
作者
Qi, Linzeng [1 ]
Guo, Yongyuan [1 ]
机构
[1] Shandong Univ, Qilu Hosp, Orthoped, Jinan, Peoples R China
关键词
congenital great toe malformation; treatment strategies; genetic mutation; ectopic ossification; fibrodysplasia ossificans progressiva (fop); HETEROTOPIC OSSIFICATION; INHIBITION;
D O I
10.7759/cureus.55528
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Fibrodysplasia ossificans progressiva (FOP) is a rare autosomal dominant genetic disorder characterized by congenital great toe malformations and progressive ectopic ossification. We report a typical case of FOP in a 22 -year -old female patient presenting with limited movement of the left knee joint, which began following trauma in 2019. Clinical examination revealed a large mass behind the left knee, bilateral great toe deformities, and no palpable superficial lymph nodes, without systemic pain or other discomfort. Imaging and genetic testing further supported the diagnosis of FOP, demonstrating high -density ossification within soft tissues and a mutation in the ACVR1 gene. Treatment involved a combination of methylprednisolone and alendronate sodium vitamin D3 tablets, which yielded some therapeutic efficacy. The discussion emphasizes clinical diagnosis, pathogenesis, and treatment strategies for FOP, including injury prevention, rehabilitation exercises, and pharmacological interventions. Despite the lack of definitive treatment options, timely diagnosis and comprehensive management can effectively alleviate symptoms and improve the quality of life for affected individuals.
引用
收藏
页数:6
相关论文
共 16 条
[1]  
Acharya Sudeep, 2018, J Nepal Health Res Counc, V16, P245
[2]   Inhibition of Hif1α prevents both trauma-induced and genetic heterotopic ossification [J].
Agarwal, Shailesh ;
Loder, Shawn ;
Brownley, Cameron ;
Cholok, David ;
Mangiavini, Laura ;
Li, John ;
Breuler, Christopher ;
Sunga, Hsiao H. ;
Li, Shuli ;
Ranganathan, Kavitha ;
Peterson, Joshua ;
Tompkins, Ronald ;
Herndon, David ;
Xiao, Wenzhong ;
Jumlongras, Dolrudee ;
Olsen, Bjorn R. ;
Davis, Thomas A. ;
Mishina, Yuji ;
Schipani, Ernestina ;
Levi, Benjamin .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2016, 113 (03) :E338-E347
[3]   Fibrodysplasia ossificans progressiva: lessons learned from a rare disease [J].
Akyuz, Gulseren ;
Gencer-Atalay, Kardelen ;
Ata, Pinar .
CURRENT OPINION IN PEDIATRICS, 2019, 31 (06) :716-722
[4]   Enhancing the Effectiveness of Oligonucleotide Therapeutics Using Cell-Penetrating Peptide Conjugation, Chemical Modification, and Carrier-Based Delivery Strategies [J].
Anwar, Saeed ;
Mir, Farin ;
Yokota, Toshifumi .
PHARMACEUTICS, 2023, 15 (04)
[5]   Special considerations for clinical trials in fibrodysplasia ossificans progressiva (FOP) [J].
Hsiao, Edward C. ;
Di Rocco, Maja ;
Cali, Amanda ;
Zasloff, Michael ;
Al Mukaddam, Mona ;
Pignolo, Robert J. ;
Grunwald, Zvi ;
Netelenbos, Coen ;
Keen, Richard ;
Baujat, Genevieve ;
Brown, Matthew A. ;
Cho, Tae-Joon ;
De Cunto, Carmen ;
Delai, Patricia ;
Haga, Nobuhiko ;
Morhart, Rolf ;
Scott, Christiaan ;
Zhang, Keqin ;
Diecidue, Robert J. ;
Friedman, Clive S. ;
Kaplan, Fredrick S. ;
Eekhoff, Elisabeth M. W. .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2019, 85 (06) :1199-1207
[6]   Mesenchymal Stem Cell Therapy for Bone Regeneration [J].
Jin, Yuan-Zhe ;
Lee, Jae Hyup .
CLINICS IN ORTHOPEDIC SURGERY, 2018, 10 (03) :271-278
[7]   From mysteries to medicines: drug development for fibrodysplasia ossificans progressiva [J].
Kaplan, Frederick S. ;
Pignolo, Robert J. ;
Shore, Eileen M. .
EXPERT OPINION ON ORPHAN DRUGS, 2013, 1 (08) :637-649
[8]   Early Mortality and Cardiorespiratory Failure in Patients with Fibrodysplasia Ossificans Progressiva [J].
Kaplan, Frederick S. ;
Zasloff, Michael A. ;
Kitterman, Joseph A. ;
Shore, Eileen M. ;
Hong, Charles C. ;
Rocke, David M. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2010, 92A (03) :686-691
[9]   Feasibility of bisphosphonate therapy in an Indian pediatric patient of fibrodysplasia ossificans progressiva [J].
Kochar, Inderpal Singh ;
Sethi, Aashish ;
Ramachandran, Smita .
INTERNATIONAL JOURNAL OF APPLIED AND BASIC MEDICAL RESEARCH, 2019, 9 (02) :118-120
[10]   Development of an ALK2-Biased BMP Type I Receptor Kinase Inhibitor [J].
Mohedas, Agustin H. ;
Xing, Xuechao ;
Armstrong, Kelli A. ;
Bullock, Alex N. ;
Cuny, Gregory D. ;
Yu, Paul B. .
ACS CHEMICAL BIOLOGY, 2013, 8 (06) :1291-1302