FIBRO DYSPLASIA OSSIFICANS PROGRESSIVA

Authors

  • Waqas Ahmed Military Hospital Rawalpindi National University of Medical Sciences Pakistan
  • Aqeel Safdar Military Hospital Rawalpindi National University of Medical Sciences Pakistan
  • Iftikhar Ahmed Military Hospital Rawalpindi National University of Medical Sciences Pakistan
  • Naveed Ahmed Military Hospital Rawalpindi National University of Medical Sciences Pakistan

Abstract

We present a case of a 7 years old boy with a very rare debilitating autosomal dominant disorder characterized by heterotopic ossification. Fibro dysplasia ossificans progressiva affects 1 in 2 million individuals with only 2 previous cases reported from this region. The disease manifests as multiple foci of bone formation in muscles, fasciae, tendons and ligaments often triggered by trauma. The child was born with bilateral short hallux valgus and aplasia of distal phalanges of both thumbs. In the last 3 years he had developed hard bony swellings in the scalp, followed by limitation of neck mobility. He developed palpable nodules on the right lateral thoracic cage over the last 1 year following trauma. Heterotopic bone formation was also seen in both tibias. FOP causes irreversible lesions of ossification thus early institution of prophylactic measures, counselling regarding avoidance of trauma and surgery can significantly reduce acute exacerbations of this rare disease.Keywords: Fibro dysplasia ossificans progressive; Heterotopic ossification; Hallux valgus

Author Biographies

Waqas Ahmed, Military Hospital Rawalpindi National University of Medical Sciences Pakistan

Resident SurgeonDepartment of SurgeryMilitary Hospital Rawalpindi

Aqeel Safdar, Military Hospital Rawalpindi National University of Medical Sciences Pakistan

MBBS, FRCSEd, MSc, MCPS-HPE, MFSTRCSEdDean, Armed Forces Postgraduate Medical InstituteProfessor (Full), Head of Paediatric Surgery,Military Hospital, Rawalpindi

Iftikhar Ahmed, Military Hospital Rawalpindi National University of Medical Sciences Pakistan

MBBS, FCPS Surg, FCPS Peads SurgMilitary Hospital Rawalpindi

Naveed Ahmed, Military Hospital Rawalpindi National University of Medical Sciences Pakistan

MBBS, FCPS Surg, Resident Peads SurgMilitary Hospital Rawalpindi

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Published

2018-12-09

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