What happens in this disease?
Osteogenesis imperfecta is a group of inherited diseases in which the bones are fragile. Bones can break with a small knock, and sometimes for no reason. In the most common types, there is a problem with a protein called collagen, which gives bones their strength. Severity ranges from a few fractures over a lifetime to fractures before birth.
Which symptoms can occur?
Symptoms are very different depending on the type.
- Bones that break easily (common; mostly in childhood)
- The whites of the eyes look blue or gray (common in mild types)
- Hearing loss in adulthood (in about half of people with mild types)
- Short stature, curvature of the spine and misshapen bones (in severe types)
- Gray or brown teeth that wear down easily (sometimes)
- Difficulty breathing (in the most severe types)
How is it diagnosed?
The diagnosis is considered based on fractures, examination findings and X-rays. A genetic test often shows the change in the collagen genes. Severe types can sometimes be noticed on ultrasound during pregnancy.
Treatment and care
Care is provided by a team of different specialists. Physiotherapy and occupational therapy strengthen the muscles and support movement. Fractures are treated by keeping them still for a short time with a light cast; sometimes metal rods are placed in the bones. Some people also need medicine, dental care and hearing care. The doctor who follows the disease decides which treatment is suitable.
For the family: inheritance and genetic counselling
The most common types are passed on through dominant inheritance; some types are passed on through recessive inheritance. Severe types almost always appear for the first time in a family, through a new change. So the risk is different in each family; genetic counselling is recommended.