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Published in: Osteoporosis International 2/2007

01-02-2007 | Case Report

Integrated anti-remodeling and anabolic therapy for the osteoporosis of Hajdu–Cheney syndrome

Author: F. E. McKiernan

Published in: Osteoporosis International | Issue 2/2007

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Abstract

Hajdu–Cheney syndrome (MIM 102500) is a rare skeletal dysplasia marked by severe generalized osteoporosis and focal bone loss (acro-osteolysis). Osteoporosis treatment outcome has been reported only once previously. Reported herein is the biochemical and densitometric response to integrated anti-remodeling and anabolic therapy in a woman with Hajdu–Cheney syndrome. Results suggest dissociation of bone formation from bone resorption resulting in dramatic increases in bone mineral density without clinical evidence of activated osteoporosis.
Literature
1.
go back to reference Hajdu N, Kauntze R (1948) Cranio-skeletal dysplasia. Br J Radiol 21:42–48PubMed Hajdu N, Kauntze R (1948) Cranio-skeletal dysplasia. Br J Radiol 21:42–48PubMed
2.
go back to reference Cheney WD (1965) Acro-osteolysis, Am J Roentgenol 94:595 Cheney WD (1965) Acro-osteolysis, Am J Roentgenol 94:595
3.
go back to reference Brennan AM, Pauli RM (2001) Hajdu–Cheney syndrome: evolution of phenotype and clinical problems. Am J Med Genet 100:292–310PubMedCrossRef Brennan AM, Pauli RM (2001) Hajdu–Cheney syndrome: evolution of phenotype and clinical problems. Am J Med Genet 100:292–310PubMedCrossRef
4.
go back to reference Drake WM, Hiorns MP, Kendler DL (2003) Hajdu–Cheney syndrome: response to therapy with bisphosphonates in two patients. J Bone Miner Res 18:131–133PubMedCrossRef Drake WM, Hiorns MP, Kendler DL (2003) Hajdu–Cheney syndrome: response to therapy with bisphosphonates in two patients. J Bone Miner Res 18:131–133PubMedCrossRef
5.
go back to reference Hocking J, Conoyer S, McKiernan F (2006) Bone mineral density studies in two patients with Hajdu–Cheney syndrome. J Clin Densitom 9:230CrossRef Hocking J, Conoyer S, McKiernan F (2006) Bone mineral density studies in two patients with Hajdu–Cheney syndrome. J Clin Densitom 9:230CrossRef
6.
go back to reference Hermann J, Zubige F (1973) Arthro-dento-osteo-dysplasia (Hajdu–Cheney syndrome). Z Kinderheilkd 114:93–110CrossRef Hermann J, Zubige F (1973) Arthro-dento-osteo-dysplasia (Hajdu–Cheney syndrome). Z Kinderheilkd 114:93–110CrossRef
7.
go back to reference Weleber RG, Beals RK (1976) The Hajdu–Cheney syndrome. J Peds 88:243–249CrossRef Weleber RG, Beals RK (1976) The Hajdu–Cheney syndrome. J Peds 88:243–249CrossRef
8.
go back to reference Crifasi PA, Patterson MC, Bonde D, Michels VV (1997) Severe Hajdu–Cheney syndrome with upper airway obstruction. Am J Med Genet 70:261–266PubMedCrossRef Crifasi PA, Patterson MC, Bonde D, Michels VV (1997) Severe Hajdu–Cheney syndrome with upper airway obstruction. Am J Med Genet 70:261–266PubMedCrossRef
10.
go back to reference Brown DM, Gorkin RJ, Desnick RJ, Langer Jr LO, Jowsey J, Sauk Jr JJ (1976) The acro-osteolysis syndrome; morphologic and biochemical studies. J Pediatr 88:573–580CrossRef Brown DM, Gorkin RJ, Desnick RJ, Langer Jr LO, Jowsey J, Sauk Jr JJ (1976) The acro-osteolysis syndrome; morphologic and biochemical studies. J Pediatr 88:573–580CrossRef
11.
go back to reference Iwaya T, Taniguchi K, Watanabe J, Iinuma K, Hamazaki Y (1979) Hajdu–Cheney syndrome. Arch Orthop Traumat Surg 95:293–302CrossRef Iwaya T, Taniguchi K, Watanabe J, Iinuma K, Hamazaki Y (1979) Hajdu–Cheney syndrome. Arch Orthop Traumat Surg 95:293–302CrossRef
12.
go back to reference Udell J, Schumacher Jr HR, Kaplan F, Fallon MD (1986) Idiopathic familial acroosteolysis: histomorphometric study of bone and literature review of the Hajdu–Cheney syndrome. Arth Rheum 29:1032–1038CrossRef Udell J, Schumacher Jr HR, Kaplan F, Fallon MD (1986) Idiopathic familial acroosteolysis: histomorphometric study of bone and literature review of the Hajdu–Cheney syndrome. Arth Rheum 29:1032–1038CrossRef
13.
go back to reference Elias AN, Pinals RS, Anderson HC (1978) Hereditary osteodysplasia with acro-osteolysis. Am J Med 65:627–636PubMedCrossRef Elias AN, Pinals RS, Anderson HC (1978) Hereditary osteodysplasia with acro-osteolysis. Am J Med 65:627–636PubMedCrossRef
14.
go back to reference Blumenauer BT, Cranney AB, Goldstein R (2002) Acro-osteolysis and osteoporosis as manifestations of the Hajdu–Cheney syndrome. Clin Exp Rheumatol 20:474–475 Blumenauer BT, Cranney AB, Goldstein R (2002) Acro-osteolysis and osteoporosis as manifestations of the Hajdu–Cheney syndrome. Clin Exp Rheumatol 20:474–475
15.
go back to reference Leidig-Bruckner G, Pfeilschifter J, Penning N (1999) Severe osteoporosis in familial Hajdu–Cheney syndrome; progression of acro-osteolysis and osteoporosis during long-term follow-up. J Bone Miner Res 14:2036–2041PubMedCrossRef Leidig-Bruckner G, Pfeilschifter J, Penning N (1999) Severe osteoporosis in familial Hajdu–Cheney syndrome; progression of acro-osteolysis and osteoporosis during long-term follow-up. J Bone Miner Res 14:2036–2041PubMedCrossRef
16.
go back to reference Nunziata V, Di Giovanni G, Baltanti P, Bonucci E (1990) High turnover osteoporosis in acro-osteolysis (Hajdu–Cheney syndrome). J Endocrinol Invest 3:251–255 Nunziata V, Di Giovanni G, Baltanti P, Bonucci E (1990) High turnover osteoporosis in acro-osteolysis (Hajdu–Cheney syndrome). J Endocrinol Invest 3:251–255
17.
go back to reference Bauer DC, Garnero P, Hochberg MC, Santora A, Delmas P, Ewing SK, Black DM (2006) Pretreatment levels of bone turnover and the antifracture efficacy of alendronate: the fracture intervention trial. J Bone Miner Res 21:292–299PubMedCrossRef Bauer DC, Garnero P, Hochberg MC, Santora A, Delmas P, Ewing SK, Black DM (2006) Pretreatment levels of bone turnover and the antifracture efficacy of alendronate: the fracture intervention trial. J Bone Miner Res 21:292–299PubMedCrossRef
18.
go back to reference Delmas PD, Licata AA, Reginster JY, Crans GG, Chen P, Misurski DA, Wagman RB, Mitlak BH (2006) Fracture risk reduction during treatment with teriparatide is independent of pretreatment bone turnover. Bone 39:237–243PubMedCrossRef Delmas PD, Licata AA, Reginster JY, Crans GG, Chen P, Misurski DA, Wagman RB, Mitlak BH (2006) Fracture risk reduction during treatment with teriparatide is independent of pretreatment bone turnover. Bone 39:237–243PubMedCrossRef
19.
go back to reference Cosman F, Nieves J, Zion M, Woelfert L, Luckey M, Lindsay R (2005) Daily and cyclic parathyroid hormone in women receiving alendronate. N Engl J Med 353:566–575PubMedCrossRef Cosman F, Nieves J, Zion M, Woelfert L, Luckey M, Lindsay R (2005) Daily and cyclic parathyroid hormone in women receiving alendronate. N Engl J Med 353:566–575PubMedCrossRef
20.
go back to reference Neer RM, Arnaud CD, Zanchetta JR, Prince R, Gaich GA, Reginster JY, Hodsman AB, Eriksen EF, Ish-Shalom S, Genant HK, Wang O, Mitlak BH (2001) Effect of parathyroid hormone (1–34) on fractures and bone mineral density in postmenopausal women with osteoporosis. N Engl J Med 344:1434–1441CrossRef Neer RM, Arnaud CD, Zanchetta JR, Prince R, Gaich GA, Reginster JY, Hodsman AB, Eriksen EF, Ish-Shalom S, Genant HK, Wang O, Mitlak BH (2001) Effect of parathyroid hormone (1–34) on fractures and bone mineral density in postmenopausal women with osteoporosis. N Engl J Med 344:1434–1441CrossRef
Metadata
Title
Integrated anti-remodeling and anabolic therapy for the osteoporosis of Hajdu–Cheney syndrome
Author
F. E. McKiernan
Publication date
01-02-2007
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 2/2007
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-006-0221-z

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