Endocrinol Metab > Volume 22(6); 2007 > Article
Journal of Korean Endocrine Society 2007;22(6):446-452.
DOI: https://doi.org/10.3803/jkes.2007.22.6.446    Published online December 1, 2007.
A Case of Type I Osteogenesis Imperfecta Differentially Diagnosed as a Cause of a Spinal Compression Fracture.
Sang Youl Rhee, Soo Young Moon, Suk Chon, In Kyung Jeong, Seungjoon Oh, Kyu Jeung Ahn, Ho Yeon Chung, Jeong Taek Woo, Sung Woon Kim, Young Seol Kim, Jin Woo Kim
1Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine, Korea.
2Research Institute of Endocrinology, Kyung Hee University School of Medicine, Korea.
Abstract
Osteogenesis imperfecta (OI) is a genetic disease that is caused by a synthetic anomaly of type I collagen. It is characterized by such features as low bone density, multiple fractures, bone deformities and chronic bone pain. According to the hereditary pattern and degree of phenotypical expression, it also has various extraskeletal manifestations such as blue sclera, hearing deformities and dentinogenesis imperfecta. Recently, an expanded seven subgroup classification of OI has been suggested by means of its clinical severity and mutational characteristics. However, most of the OI cases reported in Korea have been classified as type II or III that can be diagnosed easily and present with severe clinical manifestations. Only rare type I OI cases have been currently reported in Korea. Herein, we report a case of type I OI that was differentially diagnosed as a cause of a spinal compression fracture.
Key Words: alendronate, bone mineral density, osteogenesis imperfecta, pamidronate
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