Fibrodysplasia Ossificans Progressiva is a rare illness of the connective tissue, characterized by bilateral congenital malformations of the big toe and progressive ossifications of soft tissue that produces permanent immobilizations of the joints. We present a case of a 21 years old feminine patient that came with pain and inflammation history on right lower limb, as an illness complication that the patient refers began since childhood. She recounts that when she was two years old, a painful and indurate mass appeared in left cervical region. A biopsy of the mass was performed, from this moment she presented major constraint to mobilize left upper limb and left cervical region. At age of twelve myositis ossiicans diagnosis was confirmed. At physical examination we detected in big toes, microdactilia. The left arm had restricted abduction and left hemitorax was rigid and with scoliosis.
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References
Smith R. Fibrodysplasia (myositis) ossificans progressiva. Clinical lessons from a rare disease. Clin Orthop 1998; (346):7-14.
Goncalves A, Masruha M, De Campos C, Delai P, Vilanova L. Fibrodysplasia Ossificans Progressiva. Case report. Arq Neuropsiquiatr 2005; 63:1090-1093.
Kitterman J, Kantanie S, Rocke D, Kaplan F. Iatrogenic Harm Caused by Diagnostic Errors in Fibrodysplasia Ossificans Progressiva. Pediatrics, Nov 2005; 116: 654-661.
Sferco A, Naser C, Robledo H, Fili T, Tramunt B. Fibrodisplasia ossificante progresiva: pautas para su reconocimiento. Arch.argent.pediatr 2001. 99-249.
Márquez E, Paz E, Pérez G, Sánchez G. Miositis ossificante progresiva. Presentación de un caso. MEDISAN 2001; 5:73-77.
Buyse G, Silberstein J, Goemans N, Casaer P. Fibrodysplasia Ossificans Progressiva: still turning into wood after 300 years? Eur J Pediatr 1995; 154:694-9.
Kaplan F, Glaser D, Shore E. Decimotercer informe anual del proyecto colaborativo sobre fibrodysplasia ossificans progressiva. 2004.
Kaplan F, Glaser D, Pignolo R. Decimocuarto Informe Anual del Proyecto de Investigación Colaborativo en Fibrodysplasia Ossificans Progressiva, 2005.
Kaplan F, Glaser D, Pignolo R. Decimosexto Informe Anual del Proyecto de Investigación Colaborativo en Fibrodysplasia Ossificans Progressiva, 2007.
Kaplan F, Shore E, Glaser D. The Medical Management of Fibrodysplasia Ossificans Progressiva: Current Treatment Considerations. 2005.
Kaplan F, Shore E. Heteroplasia ósea progresiva. J Bone Mineral Res. 2000; 15:2084-2094.
Kaplan F, Craver R, MacEwen G. Heteroplasia ósea progresiva: un desorden de desarrollo distintivo de la ossificación heterotópica. Bone Joint Surg. 1994; 76:425-436.
De la Pena L, Billings P, Fiori J, Ahn J, Kaplan F, Shore E. Fibrodysplasia ossificans progressiva, a disorder of ectopic osteogenesis, misregulates cell surface expression and trafficking of BMPRIA. J. Bone Miner. Res. 2005; 20:1168-1176.
Kaplan F, Shore E, Glaser D. The Medical Management of Fibrodysplasia Ossificans Progressiva: Current Treatment Considerations. 2005.
Rodriguez A, Cock P. Fibrodisplasia ossificante progresiva. Revista Colombiana de Ortopedia y Traumatologia. 2003.
Shore E, Xu M, Feldman G, Brown M, Kaplan F. The FOP International Research Consortium. Nature Genetics, advance online publications. 2006.
Brantus JF, Meunier PJ. Effects of intravenous etidronate and oral corticosteroids in fibrodysplasia ossificans progressiva. Clin Orthop 1998; 346:117-120.
Dubowitz V. Muscle disorders in childhood. 2ª ed. London: WB Saunders Co L, 1995:492-496.
Wagman RB, Kaplan F, Kantanie SL. Qué es FOP, una guía para la familia. 2004.
De la Pena LS, Billings PC, Fiori JL, Ahn J, Kaplan FS, Shore EM. Fibrodysplasia ossificans progressiva (FOP), a disorder of ectopic osteogenesis, misregulates cell surface expression and trafficking of BMPRIA. J. Bone Miner. Res. 2005; 20:1168-1176.