Gerodermia osteodysplastica

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Gerodermia osteodysplastica
Synonyms	GO, Walt Disney dwarfism
Pronounce
Specialty	Medical genetics
Symptoms	Osteoporosis, skin laxity, growth retardation
Complications	N/A
Onset	Infancy
Duration	Lifelong
Types	N/A
Causes	Mutations in the GORAB gene
Risks	Family history
Diagnosis	Genetic testing, clinical evaluation
Differential diagnosis	Ehlers-Danlos syndrome, Cutis laxa
Prevention	N/A
Treatment	Supportive care, physical therapy
Medication	None specific
Prognosis	Variable, generally stable
Frequency	Rare
Deaths	Not directly life-threatening

A rare genetic disorder affecting connective tissue and bone development

Gerodermia osteodysplastica is a rare genetic disorder characterized by connective tissue and bone abnormalities. It is inherited in an autosomal recessive pattern and primarily affects the skin, bones, and ligaments.

Clinical Features

Gerodermia osteodysplastica presents with a variety of clinical features that can vary in severity among affected individuals. The most common features include:

• Cutaneous Laxity: Individuals often exhibit loose, sagging skin, particularly noticeable on the face and abdomen. This is due to defects in the connective tissue.
• Osteopenia and Osteoporosis: Reduced bone density is a hallmark of the condition, leading to an increased risk of fractures.
• Facial Dysmorphism: Characteristic facial features may include a prominent forehead, down-slanting palpebral fissures, and a small chin.
• Growth Retardation: Affected individuals may experience delayed growth and short stature.

Genetics

Gerodermia osteodysplastica is caused by mutations in the GORAB gene, which plays a crucial role in the development and maintenance of connective tissue. The disorder follows an autosomal recessive inheritance pattern, meaning that an individual must inherit two copies of the mutated gene, one from each parent, to be affected.

Pathophysiology

The GORAB gene encodes a protein involved in the Golgi apparatus function, which is essential for the proper processing and transport of proteins within cells. Mutations in this gene disrupt normal cellular processes, leading to the connective tissue and bone abnormalities observed in the disorder.

Diagnosis

Diagnosis of Gerodermia osteodysplastica is based on clinical evaluation, family history, and genetic testing to identify mutations in the GORAB gene. Radiographic imaging may reveal osteopenia and other skeletal abnormalities.

Management

There is currently no cure for Gerodermia osteodysplastica. Management focuses on symptomatic treatment and supportive care, including:

• Orthopedic Interventions: To manage fractures and skeletal deformities.
• Physical Therapy: To improve mobility and strengthen muscles.
• Dermatological Care: To address skin laxity and related issues.

Prognosis

The prognosis for individuals with Gerodermia osteodysplastica varies depending on the severity of symptoms. With appropriate management, many individuals can lead relatively normal lives, although they may face challenges related to bone fragility and growth.

See also

• Connective tissue disorder
• Osteoporosis
• Genetic disorder