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Journal of Medical Genetics 1999;36:856-858; doi:10.1136/jmg.36.11.856
Copyright © 1999 by the BMJ Publishing Group Ltd.
J Med Genet 1999;36:856-858 ( November )

Short report

Two sibs with an unusual pattern of skeletal malformations resembling osteogenesis imperfecta: a new type of skeletal dysplasia? U Mooga, P Maroteauxb, C T R M Schrander-Stumpela, A van Ooijc, J J P Schranderd, J P Frynsa e

a Department of Clinical Genetics, PO Box 1475, Maastricht University, 6201 BL Maastricht, The Netherlands, b Hôpital des Enfants Malades, Paris, France, c Department of Orthopaedics, Maastricht University, Maastricht, The Netherlands, d Department of Paediatrics, Maastricht University, Maastricht, The Netherlands, e Centre for Human Genetics, University Hospital Gasthuisberg, Leuven, Belgium

Correspondence to: Dr Moog.

Revised version received 28 May 1999; Revised version accepted for publication 23 June 1999

We report a 6 year old boy with multiple fractures owing to bilateral, peculiar, wave-like defects of the tibial corticalis with alternative hyperostosis and thinning. Furthermore, he had Wormian bones of the skull, dentinogenesis imperfecta, and a distinct facial phenotype with hypertelorism and periorbital fullness. Collagen studies showed normal results. His sister, aged 2 years, showed the same facial phenotype and dental abnormalities as well as Wormian bones, but no radiographical abnormalities of the tubular bones so far. The mother also had dentine abnormalities but no skeletal abnormalities on x ray. This entity is probably the same as that described in a sporadic case by Suarez and Stickler in 1974. In spite of the considerable overlap with osteogenesis imperfecta (bone fragility, Wormian bones, and dentinogenesis imperfecta), we believe this disorder to be a different entity, in particular because of the unique cortical defects, missing osteopenia, and normal results of collagen studies.


Keywords: dentinogenesis imperfecta; multiple fractures; osteogenesis imperfecta; skeletal dysplasia


© 1999 by J Med Genet

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