Abstract
We report four sporadic and three familial patients with Camurati–Engelmann disease. One patient had follow-up examinations over 8 years. Pain in the extremities and muscle weakness were common clinical symptoms. Most patients also had cranial nerve impairment, hepatosplenomegaly, a waddling gait, and elevated serum alkaline phosphatase levels. Long bones were affected in all. We discuss the differential diagnosis for this interesting bone entity.
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Dannenmaier B, Weber B. Observations on the Camurati–Engelmann syndrome. Rofo. 1989; 151(2): 175–178.
Greenfield GB. Radiology of bone diseases, (fourth edition). Philadelphia: Lippincott; 1986.
Vanhoenacker FM, De Beuckeleer LH, Van Hul W, et al. Sclerosing bone dysplasias: genetic and radioclinical features. Eur Radiol. 2000; 10: 1423–1433.
Janssens K, Gershoni-Baruch R, Van Hul E, et al. Localisation of the gene causing diaphyseal dysplasia Camurati–Engelmann to chromosome 19q13. J Med Genet. 2000; 37: 245–249.
Janssens K, Vanhoenacker F, Bonduelle M, et al. Camurati–Engelmann disease: review of the clinical, radiological, and molecular data of 24 families and implications for diagnosis and treatment. J Med Genet. 2006; 43: 1–11.
Ramanan AV, Hall MJ, Baildam EM, Mughal Z. Camurati–Engelmann disease- a case report and literature review. Rheumatology. 2005; 44: 1069–1072.
Simsek S, Janssens K, Kwee MI, Van Hul W, Veenstra J, Netelenbos JC. Camurati–Engelmann disease (progressive diaphyseal dysplasia) in a Moroccan family. Osteoporos Int. 2005; 16: 1167–1170.
Hundley JD, Wilson FC. Progressive diaphyseal dysplasia: review of the literature and report of seven cases in one family. J Bone Joint Surgery (Am). 1973; 55: 461–474.
Mastragelopulos N, Bahr R, Pfister U. Camurati–Engelmann disease (progressive diaphyseal dysplasia). Differential diagnostic problems. Unfallchirurgie. 1989; 15(2): 104–107. Apr.
McCarthy EF, Sack GH. Hyperphosphatasia with massive osteoectasia: a 45 year follow-up. Skeletal Radiol. 2007; 36: S2–S6.
Nishimura G, Nidhimura H, Tanaka Y, et al. Camurati–Engelmann disease type II: Progressive diaphyseal dysplasia with striations of the bones. Am J Med Genet. 2002; 107: 5–11.
Ruckij AV, Michailov AN. Rentgenodiagnosticheskiy atlas. Minsk: Visheiskaya shkola. 1987; 1: 12.
Saraiva JM. Progressive diaphyseal dysplasia: a three-generation family with markedly variable expressivity. Am J Med Genet. 1997; 71(3): 348–352, Aug 22.
Kaftori JK, Kleinhaus U, Naveh Y. Progressive diaphyseal dysplasia (Camurati–Engelmann): radiographic follow-up and CT findings. Radiology. 1987; 164: 777–782.
Shier CK, Krasicky GA, Ellis BI, Kottamasu SR. Ribbing's disease: radiographic-scintigraphic correlation and comparative analysis with Engelmann's disease. J Nucl Med. 1987; 28: 244–248.
Clybouw C, Desmyttere S, Bonduelle M, Piepsz A. Camurati–Engelmann disease: contribution of bone scintigraphy to genetic counseling. Genet Couns. 1994; 5: 195–198.
Vanhoenacker FM, Janssens K, Van Hul W, Gershoni-Baruch R, Brik R, De Schepper AM. Camurati–Engelmann disease. Review of radioclinical features. Acta Radiol. 2003; 44: 430–434.
Greenspan A. Sclerosing bone dysplasias–a target site approach. Skeletal Radiol. 1991; 20(8): 561–583.
Brat HG, Hamoir X, Matthijs P, Lambin P, Van Campenhoudt M. Camurati–Engelmann disease: a late and sporadic case with metaphyseal involvement. Eur Radiol. 1999; 9: 159–162.
Grey AC, Wallace R, Crone M. Engelmann's disease: a 45-year follow-up. J Bone Joint Surg. 1996; 78: 488–491.
Vanhoenacker FM, Balemans W, Tan GJ. Van Buchem disease: lifetime evolution of radioclinical features. Skeletal Radiol. 2003; 32: 708–718.
Irie T, Takahashi M, Kaneko M. Case report 546. Skeletal Radiol. 1989; 18: 310–313.
Beals RK, McLoughlin SW, Teed RL, McDonald C. Dominant endosteal hyperostosis: skeletal characteristics and review of the literature. J Bone Joint Surg (Am). 2001; 83: 1643–1649.
Sugiura Y, Yasuhara T. Sclerosteosis. J Bone Joint Surg (Am). 1975; 57: 273–277.
Chanchairujira K, Chung CB, Man Lai Y, Haghighi P, Resnick D. Intramedullary osteosclerosis: imaging features in nine patients. Radiology. 2001;220:225–230.
Beals RK, Pearson JM, Mansoor A. Ribbing disease: a case report, a review of the literature, and a description of novel treatment. J Bone Joint Surg (Am). 2002; 84: 2050–2055.
Van Hul W, Bollerslev J, Gram J, et al. Localization of a gene for autosomal dominant osteopetrosis (Albers–Schoenberg Disease) to chromosome 1p21. Am J Hum Genet. 1997; 61: 363–369.
Dunn V, Condon VR, Rallison ML. Familial hyperphosphatasemia: diagnosis in early infancy and response to human thyrocalcitonin therapy. AJR. 1979; 132: 541–545.
Sakai T, Matsui Y, Katoh S, et al. Asynchronous progressive diaphyseal dysplasia. Mod Rheumatol. 2005; 15: 450–453.
Wang Y, Yin Y, Gilula LA, Wilson AJ. Endemic fluorosis of the skeleton: radiographic features in 127 patients. AJR. 1994; 162: 93–98.
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Bartuseviciene, A., Samuilis, A. & Skucas, J. Camurati–Engelmann disease: imaging, clinical features and differential diagnosis. Skeletal Radiol 38, 1037–1043 (2009). https://doi.org/10.1007/s00256-008-0642-1
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DOI: https://doi.org/10.1007/s00256-008-0642-1