Abstract
A young boy presented with severe muscle weakness of his legs at the age of 2 years. Muscle morphology and computer tomography imaging findings were compatible with a metabolic myopathy. Additional investigation showed an osteopenic skeleton and signs of healing fractures. A skin biopsy showed an abnormal electrophoresis pattern of collagen, consistent with a variant of osteogenesis imperfecta. The patient improved with intravenous treatment with pamidronate.
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Abbreviations
- BMD:
-
Bone mineral density
- OI:
-
Osteogenesis imperfecta
References
Aström E, Söderhäll S (2002) Beneficial effect of long term intravenous bisphosphonate treatment of osteogenesis imperfecta. Arch Dis Child 86:356–364
Dominguez LJ, Barbagallo M, Moro L (2005) Collagen overglycosylation: A biochemical feature that may contribute to bone quality. Biochem Biophys Res Commun 330:1–4
Glorieux FH, Bishop NJ, Plotkin H, Chabot G, Lanoue G, Travers R (1998) Cyclic administration of pamidronate in children with severe osteogenesis imperfecta. N Engl J Med 339:947–952
Montpetit K, Plotkin H, Rauch F, Bilodeau N, Cloutier S, Rabzel M, Glorieux FH (2003) Rapid increase in grip force after start of pamidronate therapy in children and adolescents with severe osteogenesis imperfecta. Pediatrics 111:601–603
Rauch F, Glorieux FH (2004) Osteogenesis imperfecta. Lancet 363:1377–1385
van der Sluis IM, Hop W, van Leeuwen J, Pols H, de Muinck Keizer-Schrama S (2002a) A cross-sectional study on biochemical parameters of bone turnover and vitamin D metabolites in healthy Dutch children and young adults. Horm Res 57:170–179
van der Sluis IM, de Ridder MAJ, Boot AM, Krenning EP, de Muinck Keizer-Schrama SMPF (2002b) Reference data for bone density and body composition measured with dual energy X-ray absorptiometry in Caucasian children and young adults. Arch Dis Child 87:341–347
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Boot, A.M., de Coo, R.F.M., Pals, G. et al. Muscle weakness as presenting symptom of osteogenesis imperfecta. Eur J Pediatr 165, 392–394 (2006). https://doi.org/10.1007/s00431-006-0083-6
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DOI: https://doi.org/10.1007/s00431-006-0083-6