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Distinctive new form of spondyloepimetaphyseal dysplasia with severe metaphyseal changes similar to Jansen metaphyseal chondrodysplasia
Authors:A Al Kaissi  MB Ghachem  N Nessib  FB Chehida  A Hammou  K Kozlowski
Affiliation:1. Departments of Paediatric Orthopaedics;2. Radiology, Children's Hospital, Tunis, Tunisia;3. Department of Radiology, The Children's Hospital at Westmead, Sydney, New South Wales, Australia
Abstract:
We report a boy with a unique, ‘new’ form of spondyloepimetaphyseal dysplasia. The conspicuous features of the spinal changes were the delay in ossification of the cervical spine and posterior elements of the thoraco-lumbar spine. The vertebral bodies were of abnormal shape but of normal size and well ossified. The hallmark of epiphyseal changes was markedly delayed ossification (bone age). The severely disturbed metaphyseal ossification was similar to Jansen metaphyseal dysplasia. This pattern of changes has not yet been described in spondyloepimetaphyseal dysplasia.
Keywords:bone age  epiphyses  Jansen metaphyseal dysplasia  spine  spondyloepimetaphyseal dysplasia
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