Kniest dysplasia

Changed by Angeline ML Ng, 26 Jan 2018

Updates to Article Attributes

Body was changed:

Kniest dysplasia is rare type of short limbed skeletal dysplasia.

Pathology

Genetics

It is thought to carry an autosomal dominant inheritance. Kniest dysplasia is one of a spectrum of skeletal disorders caused by mutations in the COL2A1 gene. This gene provides instructions for making a protein that forms type II collagen (therefore classified as a type II collegenopathy).

Radiographic features

General

Described features include

  • unossified epiphyses 
  • absent ossification of the pubic bones
  • delayed ossification of the femoral heads
  • flatted ovoid vertebral bodies +/- coronal clefts
  • dumbelldumb-bell shaped femurs
  • short limbs: micromelia
  • exaggerated metaphyseal flaring
  • enlargement of the epiphysis with cloud-like calcifications at the physis
  • metacarpal epiphyseal flattening 
  • enlargement of the metacarpal and proximal phalangeal ends

History and etymology

It is named after Wilhelm Kniest, German paediatrician who first described the condition in 1952 4,8.

  • -<p><strong>Kniest dysplasia</strong> is rare type of short limbed <a href="/articles/skeletal-dysplasia">skeletal dysplasia</a>.</p><h4>Pathology</h4><h5>Genetics</h5><p>It is thought to carry an autosomal dominant inheritance. Kniest dysplasia is one of a spectrum of skeletal disorders caused by mutations in the COL2A1 gene. This gene provides instructions for making a protein that forms type II collagen (therefore classified as a <a href="/articles/type-ii-collegenopathy">type II collegenopathy</a>).</p><h4>Radiographic features</h4><h5>General</h5><p>Described features include</p><ul>
  • +<p><strong>Kniest dysplasia</strong> is rare type of short limbed <a href="/articles/skeletal-dysplasia">skeletal dysplasia</a>.</p><h4>Pathology</h4><h5>Genetics</h5><p>It is thought to carry an autosomal dominant inheritance. Kniest dysplasia is one of a spectrum of skeletal disorders caused by mutations in the COL2A1 gene. This gene provides instructions for making a protein that forms type II collagen (therefore classified as a <a href="/articles/type-ii-collagenopathy">type II collegenopathy</a>).</p><h4>Radiographic features</h4><h5>General</h5><p>Described features include</p><ul>
  • -<li><a href="/articles/dumbell-shaped-femurs">dumbell shaped femurs</a></li>
  • +<li><a href="/articles/dumbell-shaped-femurs">dumb-bell shaped femurs</a></li>
  • -<li>exaggerated <a href="/articles/metaphyseal-flaring">metaphyseal flaring</a>
  • +<li>exaggerated <a href="/articles/metaphyseal-flaring-1">metaphyseal flaring</a>
  • -</ul><h4>History and etymology</h4><p>It is named after <strong> Wilhelm Kniest, </strong>German paediatrician who first described the condition in 1952<sup> 4,8</sup>.</p>
  • +<li>enlargement of the epiphysis with cloud-like calcifications at the physis</li>
  • +<li>metacarpal epiphyseal flattening </li>
  • +<li>enlargement of the metacarpal and proximal phalangeal ends</li>
  • +</ul><h4>History and etymology</h4><p>It is named after <strong> Wilhelm Kniest, </strong>German paediatrician who first described the condition in 1952<sup> 4,8</sup>.</p>

References changed:

  • 9.Skeletal dysplasias: A radiographic approach and review of common non-lethal skeletal dysplasias. (2014) World Journal of Radiology. 6 (10): 808. <a href="https://doi.org/10.4329/wjr.v6.i10.808">doi:10.4329/wjr.v6.i10.808</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/25349664">Pubmed</a> <span class="ref_v4"></span>
  • 10. Lachman RS, Rimoin DL, Hollister DW, Dorst JP, Siggers DC, McAlister W, Kaufman RL, Langer LO. The Kniest syndrome. (1975) The American journal of roentgenology, radium therapy, and nuclear medicine. 123 (4): 805-14. <a href="https://www.ncbi.nlm.nih.gov/pubmed/1147148">Pubmed</a> <span class="ref_v4"></span>
  • 11. Subramanian S, Gamanagatti S, Sinha A, Sampangi R. Kniest syndrome. (2007) Indian pediatrics. 44 (12): 931-3. <a href="https://www.ncbi.nlm.nih.gov/pubmed/18175850">Pubmed</a> <span class="ref_v4"></span>

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