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Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Etiology/Pathophysiology:
Abnormality of mucopolysaccharide and or glycoprotein metabolism.
Abnormal mucopolysaccharide accumulates in numerous cell types
including peripheral leukocytes, bone marrow cells, and fibroblasts.
Pathology:
Not applicable
Imaging Findings:
The hands are osteopenic with short wide metacarpals and phalanges.
The distal radius and ulna are slanted towards each other in a "V"
shape. The chest has short thick clavicles and oar shaped ribs. Ovoid
vertebral bodies are seen in the thoracic spine with an associated
thoracolumbar scoliosis. Flared iliac wings and shallow acetabulae
are present along with coxa valga and flaring of the femoral
metaphyses. An enlarged, elongated calvarium with widened coronal
sutures is present and there is a J shaped deformity of sella.
DDX:
References:
See References Chapter.
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