infantile systemic hyalinosis
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Pathology
- hyaline deposits in multiple organs
Genetics
- autosomal recessive
- associated with defects in ANTXR2 gene
Clinical manifestations
- similar to juvenile hyaline fibromatosis, but has an earlier onset & a more severe course
- symptoms appear at birth or within the 1st months of life
- painful, swollen joint contractures
- osteopenia
- livid red hyperpigmentation over bony prominences
- patients develop multiple subcutaneous skin tumors & gingival hypertrophy
- recurrent infections
- intractable diarrhea
- high infant mortality
Complications
- severely reduced mobility due to joint contractures in surviving children