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Revista Archivo Médico de Camagüey
On-line version ISSN 1025-0255
Abstract
SANTANA HERNANDEZ, Elayne Esther and TAMAYO CHANG, Víctor Jesús. Schimd methaphyseal chondrodysplasia: a case presentation. AMC [online]. 2015, vol.19, n.6, pp. 629-634. ISSN 1025-0255.
Background: methaphyseal chondrodysplasia is a type of non-frequent bone dysplasia. It is characterized by short stature, genu varum, small pelvis, progressive kyphoscoliosis, wrist deformities, myopia, short long bones and serious methaphyseal dysplasia with moderate changes in the back and minimal changes in hands and feet. Objective: to present the case of a patient with the diagnosis of bone dysplasia treated by a multidisciplinary medical team for a subsequent surgical correction. Clinical case: a three-year-old female patient with a deformity in the lower limbs that causes short stature by genu varum. There was no information of interest in the family medical history. The medical history of the patient showed a normal prenatal, perinatal and postnatal development until she turned 16 months old and started to walk presenting a slight deformity that increased. Conclusions: Schmid methaphyseal chondrodysplasia is an uncommon hereditary disease with a dominant autosomal heredity pattern. Since no other member in the family was affected, there was a De novo mutation in this case. It is necessary to search for its presence in a patient with a serious deformity in the lower limbs with normal biochemical and renal studies. It is important to make an early diagnosis as well as to carry out a treatment and a multidisciplinary follow-up to correct the deformity by means of surgical treatment.
Keywords : BONE DISEASES, DEVELOPMENTAL [diagnosis]; CHONDRODYSPLASIA SCHMID TYPE; ENCHONDROMATOSIS; BONE DYSPLASIA; METAPHYSEAL DYSPLASIA.