Fibrodysplasia ossificans progressiva (FOP): watch the great toes!

Abstract:

:Fibrodysplasia ossificans progressiva (FOP) is a rare genetic disorder and the most disabling condition of heterotopic (extraskeletal) ossification in humans. Extraskeletal bone formation associated with inflammation preceding the osseous conversion usually begins in the first decade, predominantly in the head, neck, and shoulders. All patients have malformed great toes. Most patients have a spontaneous mutation of the ACVR1 gene. We report a 17-year-old girl with malformed great toes who had her first episode of heterotopic ossification and impaired mobility of the left hip at the age of 13 years. No inflammatory fibroproliferative masses preceded the onset of heterotopic ossification. Radiographic studies demonstrated myositis ossificans, but failure to associate the great toe malformation with heterotopic ossification led to a failure to diagnose FOP. She underwent repeated and unnecessary operative procedures to remove a recurrent lesion. FOP was finally suspected when the great toe malformation was correlated with the trauma-induced heterotopic ossification. Genetic analysis confirmed the presence of the classic FOP mutation (ACVR1 c.617G>A; R206H). This case highlights the importance of examining the great toes in anyone with heterotopic ossification. The association of malformations of the great toe with heterotopic ossification in all cases of classic FOP will lead to prompt clinical diagnosis and the prevention of iatrogenic harm.

journal_name

Eur J Pediatr

authors

Kartal-Kaess M,Shore EM,Xu M,Schwering L,Uhl M,Korinthenberg R,Niemeyer C,Kaplan FS,Lauten M

doi

10.1007/s00431-010-1232-5

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

1417-21

issue

11

eissn

0340-6199

issn

1432-1076

journal_volume

169

pub_type

杂志文章
  • Pentoxifylline reduces plasma tumour necrosis factor-alpha concentration in premature infants with sepsis.

    abstract:UNLABELLED:Increased plasma tumour necrosis factor alpha (TNF) concentration correlates with mortality in sepsis. We suggested that pentoxifylline (PTXF), which is known to inhibit TNF production, may improve survival and attenuate clinical symptoms of sepsis in neonates. Plasma TNF levels were evaluated in 29 newborn ...

    journal_title:European journal of pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF01955273

    authors: Lauterbach R,Zembala M

    更新日期:1996-05-01 00:00:00

  • Osteoporosis-pseudoglioma syndrome: clinical, genetic, and treatment-response study of 10 new cases in Greece.

    abstract::Osteoporosis-pseudoglioma syndrome (OPPG) is a rare autosomal-recessive disorder, characterized by severe osteoporosis and early-onset blindness. Loss of function mutations in the gene encoding low-density lipoprotein receptor-related protein 5 (LRP5) have been established as the genetic defect of the disease. We repo...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-018-3299-3

    authors: Papadopoulos I,Bountouvi E,Attilakos A,Gole E,Dinopoulos A,Peppa M,Nikolaidou P,Papadopoulou A

    更新日期:2019-03-01 00:00:00

  • Prediction of final height in boys with non-tumorous hypopituitarism.

    abstract::The total height gain was studied in 19 adult male subjects with non-tumorous hypopituitarism after they had been treated with human growth hormone (hGH) for more than 3 years and achieved final adult height. In patients with a history of breech delivery or severe perinatal asphyxia, a high multiple correlation was fo...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00442688

    authors: Van den Broeck J,Vanderschueren-Lodeweyckx M,Eggermont E

    更新日期:1988-04-01 00:00:00

  • Use of insulin pump therapy is associated with reduced hospital-days in the long-term: a real-world study of 48,756 pediatric patients with type 1 diabetes.

    abstract::In pediatric diabetes, insulin pump therapy is associated with less acute complications but inpatient pump education may lead to more hospital days. We investigated the number of hospital days associated with pump vs. injection therapy between 2009 and 2018 in 48,756 patients with type 1 diabetes < 20 years of age fro...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-020-03883-2

    authors: Auzanneau M,Karges B,Neu A,Kapellen T,Wudy SA,Grasemann C,Krauch G,Gerstl EM,Däublin G,Holl RW

    更新日期:2021-02-01 00:00:00

  • Heme oxygenase-1 expression in premature and mature neonates during the first week of life.

    abstract::Newborns are exposed to mechanical and oxidative stress during labor and to relative hyperoxia thereafter during the course of adaptation to the extrauterine conditions. Part of the adaptation mechanism is the rapid degradation of fetal hemoglobin and the oxidation of its heme moiety by heme oxygenases (HOs). Heme oxy...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-006-0375-x

    authors: Maróti Z,Katona M,Orvos H,Németh I,Farkas I,Túri S

    更新日期:2007-10-01 00:00:00

  • Comparison of epidemiology and clinical characteristics of infections by human parechovirus vs. those by enterovirus during the first month of life.

    abstract:UNLABELLED:Human parechoviruses (HPeV) have been recently recognized as important viral agents in paediatric infections. The aims of this study were to investigate the HPeV infection prevalence in infants <1 month in Spain and, secondly, to analyse the clinical and epidemiological characteristics of the infected patien...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00431-015-2566-9

    authors: Cabrerizo M,Trallero G,Pena MJ,Cilla A,Megias G,Muñoz-Almagro C,Del Amo E,Roda D,Mensalvas AI,Moreno-Docón A,García-Costa J,Rabella N,Omeñaca M,Romero MP,Sanbonmatsu-Gámez S,Pérez-Ruiz M,Santos-Muñoz MJ,Calvo C,study

    更新日期:2015-11-01 00:00:00

  • Tracheal bronchus associated with VACTERL.

    abstract:UNLABELLED:Tracheal bronchus (TB) associated with VACTERL has not been reported previously. A 5-month-old girl with VACTERL association was ventilator-dependent following surgical closure of a patent ductus arteriosus (PDA). Chest radiographs showed persistent hyperinflation of the right upper lobe. Bronchoscopy showed...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-002-1109-3

    authors: Kairamkonda V,Thorburn K,Sarginson R

    更新日期:2003-03-01 00:00:00

  • Adolescents with congenital heart disease: their opinions about the preparation for transfer to adult care.

    abstract::The aim of the study was to explore what adolescents with congenital heart disease (CHD) view as important in the preparation for the transfer to adult care. We performed interviews in four focus groups with adolescents (14-18 years old) at four university hospitals in Sweden. Data was analysed using qualitative conte...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-017-2917-9

    authors: Burström Å,Bratt EL,Frenckner B,Nisell M,Hanséus K,Rydberg A,Öjmyr-Joelsson M

    更新日期:2017-07-01 00:00:00

  • The influence of growth hormone monotherapy and growth hormone in combination with oxandrolone or testosterone on thyroxid hormone parameters and thyroxine binding globulin in patients with Ullrich-Turner syndrome.

    abstract:UNLABELLED:Administration of human growth hormone (GH) has yielded conflicting results concerning its role on thyroid function in patients with Ullrich-Turner syndrome. Therefore, we investigated the course of thyroid hormone parameters and thyroxin binding globulin in relation to GH therapy, IGF-I and additional oxand...

    journal_title:European journal of pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s004310050563

    authors: Schmitt K,Häusler G,Blümel P,Plöchl E,Waldhör T,Frisch H

    更新日期:1997-02-01 00:00:00

  • Overweight and obesity in European children and adolescents.

    abstract::The conclusions of this mini-workshop are not substantially different from those previously published based on the USA experience [9]. This does not necessarily mean that there are no important differences between Europe and the USA, rather it reflects the paucity of data, especially in Europe. Moreover, European data...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/pl00014362

    authors: Jebb SA,Lambert J

    更新日期:2000-09-01 00:00:00

  • Diet in pregnancy-more than food.

    abstract::High food quality, together with adequate macro- and micronutrient intake in pregnancy, is crucial for the health status of the mother and child. Recent findings suggest that it could also be beneficial or harmful in the context of the well-being of the whole future population. According to the developmental origins o...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00431-017-3026-5

    authors: Danielewicz H,Myszczyszyn G,Dębińska A,Myszkal A,Boznański A,Hirnle L

    更新日期:2017-12-01 00:00:00

  • Neonatal pertussis presenting as acute bronchiolitis: direct detection of the Bordetella pertussis genome using loop-mediated isothermal amplification.

    abstract::We report a 28-day-old female infant with pertussis presenting as severe acute bronchiolitis with cyanosis. On admission, the patient's symptoms were similar to those of acute bronchiolitis. However, occasional apneic episodes with cyanosis and peripheral lymphocytosis suggested neonatal pertussis and prompted us to e...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-008-0744-8

    authors: Nakamura A,Sakano T,Nakayama T,Shimoda H,Okada Y,Hanayama R,Nomoto K,Suto T,Kinoshita Y,Furue T,Ono H,Ohta T

    更新日期:2009-03-01 00:00:00

  • Breastfeeding, previous Epstein-Barr virus infection, Enterovirus 71 infection, and rural residence are associated with the severity of hand, foot, and mouth disease.

    abstract::Severe hand, foot, and mouth disease (HFMD) is likely to develop critical complications such as brainstem encephalitis, acute pulmonary edema, and circulatory failure, which cause child mortality during outbreaks. This study aims to investigate factors that predict the severity of HFMD. One hundred sixteen in-patient ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-013-1939-1

    authors: Li Y,Dang S,Deng H,Wang W,Jia X,Gao N,Li M,Wang J

    更新日期:2013-05-01 00:00:00

  • Transient and permanent neonatal diabetes.

    abstract::Neonatal diabetes, which may be transient or permanent, is rare. Most patients are full-term but small- for-date infants. Typical symptoms of diabetes mellitus occur within the first 4 weeks of life, requiring insulin therapy and very strict blood glucose monitoring. Subsequent growth and psychomotor development are u...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF01958635

    authors: Fösel S

    更新日期:1995-12-01 00:00:00

  • Persistent low plasma vitamin E levels in premature infants surviving respiratory distress syndrome.

    abstract::Plasma vitamin E levels were determined serially in preterm infants surviving respiratory distress syndrome (RDS) and in premature infants without RDS (control). Vitamin E intakes of the RDS and control infant group were not significantly different. The results of the study show that preterm infants surviving RDS have...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00446056

    authors: Huijbers WA,Schrijver J,Speek AJ,Deelstra BA,Okken A

    更新日期:1986-08-01 00:00:00

  • Combined therapy with LHRH and HCG in cryptorchid infants.

    abstract::In 238 boys with cryptorchidism, between the ages of 4 and 48 months, luteinizing hormone releasing hormone (LHRH) was administered as nasal spray 1.2 mg/day for 4 weeks. The nonresponders received human chorionic gonadotropin (HCG) 500 I.U. i.m. three times a week for 3 weeks. With the combined treatment 37.8% of tes...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF02125433

    authors: Lala R,Matarazzo P,Chiabotto P,de Sanctis C,Canavese F,Hadziselimovic F

    更新日期:1993-01-01 00:00:00

  • Light therapy as treatment of dyschronosis in brain impaired children.

    abstract::Fourteen children aged 9 months-4 years with moderate to severe mental retardation and varying neurologic lesions were referred for severe and continuous nocturnal sleep disturbances and very abnormal day/night schedules. All children had previously been given hypnotic medications and behavioral treatments which had l...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF01953995

    authors: Guilleminault C,McCann CC,Quera-Salva M,Cetel M

    更新日期:1993-09-01 00:00:00

  • Underweight problems in Asian children and adolescents.

    abstract::Most reviews on weight status have focused on obesity, and little information on underweight children is available. This review aimed to examine the prevalence and trends of underweight status among Asian children and adolescent populations in the last two decades. A systematic review of publications between the years...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/s00431-012-1685-9

    authors: Mak KK,Tan SH

    更新日期:2012-05-01 00:00:00

  • BT-Paba test in the diagnosis of pancreatic exocrine insufficiency in cystic fibrosis: urinary and serum determinations compared.

    abstract::Urinary recovery and serum determination of Paba were carried out in 48 control children (C) and 53 paediatric patients with cystic fibrosis (CF) divided into three classes by age. Ninety and 120 min after the ingestion of 15 mg/kg of BT-Paba and of a standard meal, serum Paba was determined. In the same subjects the ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00445804

    authors: Bellentani S,Grisendi A,Rinaldi M,Bertolani P,Costa G,Agostini M,Mastella G,Balli F,Manenti F

    更新日期:1984-12-01 00:00:00

  • Metabolic liver diseases presenting with neonatal cholestasis: at the crossroad between old and new paradigms.

    abstract::Metabolic liver diseases (MLD) are an important group of disorders presenting with neonatal cholestasis (NC). The spectrum of liver involvement is wide and the presumptive diagnosis is traditionally based on clinical and laboratory findings. Recently, next-generation sequencing (NGS) panels have emerged as an appealin...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-019-03328-5

    authors: Moreira-Silva H,Maio I,Bandeira A,Gomes-Martins E,Santos-Silva E

    更新日期:2019-04-01 00:00:00

  • Rheumatoid arthritis and growth retardation in children: treatment with human growth hormone.

    abstract::Twenty patients with rheumatoid arthritis or Still's disease associated with growth failure were treated with human growth hormone, 7.5 to 17 U/m2 body surface per week. Five patients did not respond with better growth. In the remainder the mean growth rate increased from 1.9 cm/year (range: 0 to 3.3) to 6.2 cm/year (...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00441894

    authors: Butenandt O

    更新日期:1979-01-18 00:00:00

  • Practical aspects of resuscitating asphyxiated newborn infants.

    abstract::Of all newborn infants, 5% require some degree of basic life support at birth. Newborn resuscitation therefore is one of the most frequent procedures carried out in medicine. It is therefore important that the routines in use are evidence based. Newborn resuscitation can be divided into ten steps: (1) initial stabilis...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/pl00014284

    authors: Saugstad OD

    更新日期:1998-01-01 00:00:00

  • Somatic symptom and related disorders in a tertiary paediatric hospital: prevalence, reach and complexity.

    abstract::Specialist paediatric services manage a variety of presentations of functional somatic symptoms. We aimed to describe the presentation and management of children and adolescents with somatic symptom and related disorders (SSRDs) requiring admission to a tertiary children's hospital with the objective of informing the ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-020-03867-2

    authors: Wiggins A,Court A,Sawyer SM

    更新日期:2020-11-13 00:00:00

  • Doppler evaluation of renal blood flow velocity as a predictive index of acute renal failure in perinatal asphyxia.

    abstract:UNLABELLED:Aim of our study was to evaluate Doppler renal blood flow velocity in asphyxiated neonates and to correlate renal function to Doppler findings. Doppler renal blood flow velocity was evaluated in 23 severely asphyxiated neonates born at a gestational age > 32 weeks and compared to our standard Doppler data ob...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s004310050905

    authors: Luciano R,Gallini F,Romagnoli C,Papacci P,Tortorolo G

    更新日期:1998-08-01 00:00:00

  • A developmental approach to the management of children with sleep disturbances in the first three years of life.

    abstract::A developmental approach to the management of sleep disturbances was successful in 85% (44/52) of the children (aged 2-36 months) within 2-6 weeks. No drugs were used. The approach was based on the following two principles: taking into account the characteristics of sleep behavior in infants and young children by sett...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/BF00442443

    authors: Largo RH,Hunziker UA

    更新日期:1984-08-01 00:00:00

  • Prolonged follow up of seven patients affected by hepatosplenic granulomata due to cat-scratch disease.

    abstract::This study is a retrospective analysis of seven patients with hypoechogenic lesions in the liver and/or spleen due to Bartonella henselae, who were followed from 1998 through to 2005 by the Department of Pediatrics, Turin University. In addition to showing constitutional symptoms, four children had skin lesions sugges...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s00431-007-0500-5

    authors: Scolfaro C,Leunga GG,Bezzio S,Chiapello N,Riva C,Balbo L,Bertaina C,Tovo PA

    更新日期:2008-04-01 00:00:00

  • Regulation of galactose-1-phosphate uridyltransferase gene expression.

    abstract::Analysis of both the human and rat galactose-1-phosphate uridyltransferase (GALT) genes reveal 5' regulatory consensus sequences suggestive of a housekeeping gene. This is in accord with the finding of GALT activity in all tissues. However, the complications seen in galactosemia, in particular ovarian dysfunction and ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,评审

    doi:10.1007/BF02143799

    authors: Heidenreich RA

    更新日期:1995-01-01 00:00:00

  • Physical performance in long-term survivors of acute leukaemia in childhood.

    abstract:UNLABELLED:The aim of this study was to assess the physical performance in long-term survivors of acute leukaemia in childhood and to evaluate the effects of anthracycline therapy. Electrocardiography, echocardiography and spiroergometry were carried out on 56 patients aged 9-28 years, of whom 44 patients had been trea...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章

    doi:10.1007/s004310050854

    authors: Black P,Gutjahr P,Stopfkuchen H

    更新日期:1998-06-01 00:00:00

  • Surfactant therapy in neonates with respiratory failure due to haemorrhagic pulmonary oedema.

    abstract:UNLABELLED:We studied the clinical and biochemical factors associated with surfactant dysfunction and factors affecting the responsiveness to exogenous surfactant among 27 neonates with haemorrhagic pulmonary oedema (HPE). HPE was defined as the presence of a large amount of blood-stained lung effluent and respiratory ...

    journal_title:European journal of pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00431-003-1276-x

    authors: Amizuka T,Shimizu H,Niida Y,Ogawa Y

    更新日期:2003-10-01 00:00:00

  • Development of the nervous and cardiovascular systems in low-birth-weight infants fed a taurine-supplemented formula.

    abstract::An adapted cow's milk formula with or without supplemental taurine (480 mumol/l) was fed for 16 weeks to 20 low-birth-weight infants. In the 2nd and 16th weeks of life, respectively, the following parameters were determined: growth, sonography of heart and brain, ECG, EEG, neurological development and the taurine conc...

    journal_title:European journal of pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF00442699

    authors: Michalk DV,Ringeisen R,Tittor F,Lauffer H,Deeg KH,Böhles HJ

    更新日期:1988-04-01 00:00:00