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Progressive pseudorheumatoid chondrodysplasia: a report of nine cases in three families

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Abstract

Nine cases of progressive pseudorheumatoid chondrodysplasia in subjects aged 7–60 years are reported. Six of them were members of one large family with several consanguineous marriages. Evaluation of six enerations of this family suggested an autosomal recessive mode of inheritance. The presentation of the disease was between the ages of 3 and 8 years with waddling gait and fusiform swelling of the interphalangeal joints of the hands, clinically resembling juvenile rheumatoid arthritis. Most of the other joints become progressively involved, with crippling disability. One of the patients had typical features of Blount disease at presentation.

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References

  1. Spranger J, Albert C, Schilling F. A progressive connective tissue disease with features of juvenile rheumatoid arthritis and osteochondrodysplasia. Eur J Pediatr 1980; 133: 186.

    Google Scholar 

  2. Al-Awadi SA, Farag TI, Naguib K, El-Kalifa G, et al. Spondyloepiphyseal dysplasia tarda with progressive arthropathy. J Med Genet 1984; 21: 193–196.

    Google Scholar 

  3. Archik SG, Kamat RD. Progressive pseudorheumatoid chondrodysplasia, simulating juvenile rheumatoid arthritis. Indian J Pediatr 1990; 57: 785–788.

    Google Scholar 

  4. Kaibara N, Takagishi K, Katsuki I, Eguchi et al. Spondyloepiphyseal dyplasia tarda with progressive arthropathy. Skeletal Radiol 1983; 10: 13–16.

    Google Scholar 

  5. Kozlowski K, Kennedy J, Lewis IC Radiographic features of progressive pseudorheumatoid arthritis. Australas Radiol 1986; 30: 244–250.

    Google Scholar 

  6. Robinson D, Tieder M, Halperin N, Copeliovitch L Spondyloepiphyseal dysplasia associated with progressive arthropathy: an unusual disorder mimicking juvenile rheumatoid arthritis. Arch Orthop Trauma Surg 1989; 108: 397–400.

    Google Scholar 

  7. Stanescu V, Stanescu R, Maroteaux P Articular degeneration as a sequela of osteochondrodysplasia. Clin Rheum Dis 1985; 11:239–270.

    Google Scholar 

  8. Spranger J, Albert C, Schilling F, Bartsocas C, Stöss H Progressive pseudorheumatoid arthritis of childhood (PPAC). Eur J Pediatr 1983; 140:34–40.

    Google Scholar 

  9. Spranger J, Albert C, Schilling F, Bartsocas C. Pseudorheumatoid arthropathy of childhood (PPAC): a hereditary disorder simulating juvenile rheumatoid arthtits. Am J Med Genet 1983; 14: 399–401.

    Google Scholar 

  10. Wynne-Davies R, Hall C, Ansell BM Spondyloepiphyseal dysplasia tarda with progressive arthropathy: a “new” disorder of autosomal recessive inheritance. J Bone Joint Surg [Br] 1982; 64: 442–445.

    Google Scholar 

  11. Bathfield CA, Beighton PH Blount disease. A review of etiological factors in 110 patients. Clin Orthop 1978; 135: 29–33.

    Google Scholar 

  12. Wynne-Davies R, Gormely J The prevalence of skeletal dysplasias. J Bone Joint Surg [Br] 1985; 67: 133–137.

    Google Scholar 

  13. Bittles AH, Mason WM, Greene J, Rao NA Reproductive behavior and health in consanguineous marriages. Science 1991; 252: 789–793.

    Google Scholar 

  14. Bradley JD Case report: pseudoseptic pseudogout in progressive pseudorheumatoid arthritis of childhood. Ann Rheum Dis 1987; 46: 709–712.

    Google Scholar 

  15. Martel W, Holt JF, Cassidy JT Roentgenologic manifestations of juvenile rheumatoid arthritis. AJR 1962; 88: 400–423.

    Google Scholar 

  16. Deighton CM, Walker DJ The familiar nature of rheumatoid arthritis. Ann Rheum Dis 1991; 50: 62–65.

    Google Scholar 

  17. Kunnamo I, Kallio P, Pelkonen P, Havi T Clinical signs and laboratory test in the differential diagnosis of arthritis in children. Am J Dis Child 1987; 141: 34–40.

    Google Scholar 

  18. Diamond LS A family study of spondyloepiphyseal dysplasia. J Bone Joint Surg [Am] 1970; 52: 1587–1594.

    Google Scholar 

  19. Harper PS, Jenkis P, Laurence KM Spondyloepiphyseal dysplasia tarda: a report of four cases in two families. Br J Radiol 1973; 46: 676–684.

    Google Scholar 

  20. Iceton JA, Horne G Spondyloepiphyseal dysplasia tarda: the X-linked variety in three brothers. J Bone Joint Surg [Br] 1986; 68: 616–619.

    Google Scholar 

  21. Poker N, Finby N, Archibald RM Spondyloepiphyseal dysplasia tarda: four cases in childhood and adolescence and some considerations regarding platyspondyly. Radiology 1965; 85: 474–480.

    Google Scholar 

  22. Felman AH Multiple epiphyseal dysplasia: three cases with unusual vertebral abnormalities. Radiology 1969; 93: 119–125.

    Google Scholar 

  23. Pfeiffer RA, Suess J, Haagen M An autosomal recessive variant of spondylopiphyseal dysplasia in three sibs. Pediatr Radiol 1992; 22: 83–86.

    Google Scholar 

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Rezai-Delui, H., Mamoori, G., Sadri-Mahvelati, E. et al. Progressive pseudorheumatoid chondrodysplasia: a report of nine cases in three families. Skeletal Radiol. 23, 411–419 (1994). https://doi.org/10.1007/BF00204601

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