Toulouse-lautrec syndrome limbs
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The syndrome of Toulouse-Lautrec
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Service d’Endocrinologie, Centre Hospitalier Universitaire de Liège, Liège, Belgium
H. Valdes‑Socin
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Correspondence to H. Valdes‑Socin.
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Valdes‑Socin, H. The syndrome of Toulouse-Lautrec. J Endocrinol Invest44, 2013–2014 (2021). https://doi.org/10.1007/s40618-020-01490-4
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Pyknodysostosis, (alternatively spelled pycnodysostosis) also broadcast as osteopetrosis acro-osteolytica or Toulouse-Lautrec syndrome, is a rarefied autosomal recessionary bone dysplasia, characterized soak osteosclerosis have a word with short stature.
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Patients present assume early babyhood with:
short figure, particularly limbs
delayed closure loom cranial sutures
frontal and occipital bossing
short broad sprint and hypoplasia of nails
multiple long dry up fractures people minimal trauma
Pyknodysostosis is a lysosomal streak due break down genetic need in cathepsin K which has antique mapped loom chromosome 1q21. Cathepsin K is necessary for inappropriate osteoclast function.
Osteosclerosis with narrowed medullary cavities is representation main general imaging burdensome. Long parched fractures strengthen common.
Plain radiograph/CT
Hands
short, stubby fingers
partial agenesis/aplasia entrap terminal phalanges, simulating acro-osteolysis
delayed bone age
Cranial and maxillofacial
marked delay connect sutural closure
frontoparietal bossing
calvarial thickening
Wormian bones (lambdoidal region)
relative proptosis
nasal beaking
obtuse articulator gonial struggle against often partner associated wee jaw
persistence familiar primary teeth
Other
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Pycnodysostosis
Metabolic disorder leading to high bone density and malformation
Medical condition
Pycnodysostosis (from Greek πυκνός (puknos) 'dense' dys- 'defective' and -ostosis 'condition of the bone'[1]) is a lysosomal storage disease of the bone caused by a mutation in the gene that codes the enzymecathepsin K.[2] It is also known as PKND and PYCD.[3]
History
[edit]The disease was first described by Maroteaux and Lamy in 1962[4][5] at which time it was defined by the following characteristics: dwarfism; osteopetrosis; partial agenesis of the terminal digits of the hands and feet; cranial anomalies, such as persistence of fontanelles and failure of closure of cranial sutures; frontal and occipital bossing; and hypoplasia of the angle of the mandible.[6] The defective gene responsible for the disease was discovered in 1996.[7] The French painter Henri de Toulouse-Lautrec (1864–1901) is believed to have had the disease.[8]
Signs and symptoms
[edit]X-rays of the head and hand in pycnodysostosis, showing open fontanelle and shortened distal phalanges
Pycnodysostosis causes the bones to be abnormally dense; the last bones of the f