Home Endosteal hyperostosis: Sclerosteosis

Endosteal hyperostosis: Sclerosteosis

Types

Defining Characteristics

TALL, heavy, Dutch ancestry, syndactyly, pain w/ point pressure on long bones
Heavy bones!

Disease Development

Disruption of Wnt signaling system causes decreased inhibition of Wnt, resulting in the inhibition of APC/GSK3 complex. Now, B-catenin is active and able to promote transcription of genes involved in osteoblast differentiation,
causing osteosclerosis

Potential Causes

Deactivating mutation in
SOST (Wnt inhibitor)

Risk factors

Autosomal recessive inheritance Dutch ancestry (Afrikaners)

Lab/Imaging

Nl OC
Possible inc alk phosphatase

Complications

Possible optic atrophy, facial nerve palsy, deafness