Differential diagnosis of the causes of respiratory failure in children with achondroplasia. Clinical analysis
https://doi.org/10.25557/2073-7998.2023.01.29-35
Abstract
Three clinical cases of children with achondroplasia before the age of 1 year were analysed to determine the causes of respiratory failure (DN). It was found that despite a single molecularly genetically confirmed pathology, achondroplasia, the triggers of severe DN, leading to death in two cases and to ventilatory dependence in one, were different in three children of the first year of life. The presence of a single background mechanism of respiratory distress (caudal CMN group compression syndrome) suggests the development of a special algorithm for the management of children with AHP from the first days of life, given the high risk of respiratory distress, provoked by various triggers, of severe severity, leading to irreversible consequences.
About the Authors
E. A. BalakirevaRussian Federation
308015
85, Pobedy str.
Belgorod
A. A. Ulez’ko
Russian Federation
308015
85, Pobedy str.
Belgorod
I. V. Nikolaenko
Russian Federation
308015
85, Pobedy str.
Belgorod
S. R. Pletenskaya
Russian Federation
308015
85, Pobedy str.
Belgorod
References
1. Ornitz D. M, Legeai-Mallet L. Achondroplasia: Development, Pathogenesis, and Therapy. Developmental dynamics 2017; (246): 291–309. DOI: 10.1002/DVDY.24479.
2. Айвазова К. Э. Врожденная ахондроплазия : Материалы X Международной студенческой научной конференции «Студенческий научный форум» / К. Э. Айвазова https://scienceforum.ru/2018/article/2018002170. Ссылка активна на 19. 05. 2021.
3. Legare J. M. Achondroplasia. 1998 Oct 12 [Updated 2022 Jan 6]. In: Adam M. P., Everman D. B., Mirzaa G. M., et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1152/
4. Rodrigues C., Isaza C., Pachajoa H. Achondroplasia among ancient populations of mesoamerica and South America: Iconographic and Archaeological Evidence. Colomb. Med. (Cali) 2012; 43 (3): 212–5
5. Kubota T., Adachi M., Kitaoka T., Hasegawa K., Ohata Y., Fujiwara M., Michigami T., Mochizuki H., Ozono K. Clinical Practice Guidelines for Achondroplasia. Clin Pediatr Endocrinol. 2020; 29: 25–42. DOI: 10.1297/cpe.29.25.
6. Baujat G., Legeai-Mallet L., Finidori G., Cormier-Daire V., Le Merrer M. Achondroplasia. Best Pract Res Clin Rheumatol. 2008; 22: 3–18. DOI: 10.1016/j.berh.2007.12.008.
7. Рещиков Д. А. Цервико-медуллярная компрессия у детей с ахондроплазией: диагностика и лечение // Голова и шея. Российский журнал. – 2021. – 9 (1): 45–53.
8. Prinster C. Diagnosis of hypochondroplasia: the role of radiological interpretation. Italian Study Group for Hypochondroplasia. Pediatr. Radiol. 2001; 31 (3): 203-208.
9. Aryanpur J., Hurko O., Francomano C., Wang H., Carson B. Craniocervical decompression for cervicomedullary compression in pediatric patients with achondroplasia. J Neurosurg. 1990; 73 (3): 375-82. doi: 10.3171/jns.1990.73.3.0375.
10. Gordon N. The neurological complication of achondroplasia. Brain Dev. 2000; 22 (1): 3-7.
11. Thompson N. M., Hecht J. T., Bohan T. P., Kramer L. A., Davidson K., Brandt M. E., Fletcher J. M. Neuroanatomic and neuropsychological outcome in school-age children with achondroplasia. Am J Med Genet. 1999; 88 (2): 145-53. doi: 10.1002/(sici)1096-8628(19990416)88:2<145::aid-ajmg10>3.0.co;2-b.
12. Брошюра по Ахондроплазии. Для родителей и не только. https://lp-ru.ru/2019/10/30/broshyura-po-ahondroplazii-dlya-roditelej-i-ne-tolko/ Ссылка активна на 26. 03. 2021.
13. Рещиков Д. А. Диагностика и лечение жизнеугрожающих состояний у детей с ахондроплазией / Д. А. Рещиков, В. В. Пальм, И. В. Рассказчикова // Российский вестник перинатологии и педиатрии. – 2020. – 65 (4): 356.
14. Keiper G. L., Koch B., Crone K. R. Achondroplasia and cervicomedullary compression: Prospective evaluation and surgical treatment. Pediatr. Neurosurg. 1999; 31: 78–83. Doi: 10.1159/000028838.
15. Перенести в английский вариант
16. Ornitz D. M, Legeai-Mallet L. Achondroplasia: Development, Pathogenesis, and Therapy. Developmental dynamics 2017; (246): 291–309. DOI: 10.1002/DVDY.24479.
17. Aivazova K. E. Vrozhdennaya akhondroplaziya. Materialy X Mezhdunarodnoy studencheskoy nauchnoy konferentsii «Studencheskiy nauchnyy forum» [Innate achondroplasia]. Materials of the X International Student scientific conference “Student Scientific Forum”. Available from: https://scienceforum.ru/2018/article/2018002170. (In Russ).
18. Legare J. M. Achondroplasia. 1998 Oct 12 [Updated 2022 Jan 6]. In: Adam M. P., Everman D. B., Mirzaa G. M., et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1152/
19. Rodrigues C., Isaza C., Pachajoa H. Achondroplasia among ancient populations of mesoamerica and South America: Iconographic and Archaeological Evidence. Colomb. Med. (Cali) 2012; 43 (3): 212–5
20. Kubota T., Adachi M., Kitaoka T., Hasegawa K., Ohata Y., Fujiwara M., Michigami T., Mochizuki H., Ozono K. Clinical Practice Guidelines for Achondroplasia. Clin Pediatr Endocrinol. 2020; 29: 25–42. DOI: 10.1297/cpe.29.25.
21. Baujat G., Legeai-Mallet L., Finidori G., Cormier-Daire V., Le Merrer M. Achondroplasia. Best Pract Res Clin Rheumatol. 2008; 22: 3–18. DOI: 10.1016/j.berh.2007.12.008.
22. Reshchikov D. A., Palm V. V., Vasiliev I. G., Rasskazchikova I. V. Tserviko-medullyarnaya kompressiya u detey s akhondroplaziyey: diagnostika i lecheniye [Cervico-medullary compression in children with achondroplasia: diagnosis and treatment]. Golova i sheya. Rossiyskiy zhurnal [Head and neck. Russian Journal]. 2021; 9 (1): 45–53 (In Russ).
23. Prinster C. Diagnosis of hypochondroplasia: the role of radiological interpretation. Italian Study Group for Hypochondroplasia. Pediatr. Radiol. 2001; 31 (3): 203-208.
24. Aryanpur J., Hurko O., Francomano C., Wang H., Carson B. Craniocervical decompression for cervicomedullary compression in pediatric patients with achondroplasia. J Neurosurg. 1990; 73 (3): 375-82. doi: 10.3171/jns.1990.73.3.0375.
25. Gordon N. The neurological complication of achondroplasia. Brain Dev. 2000; 22 (1): 3-7.
26. Thompson N. M., Hecht J. T., Bohan T. P., Kramer L. A., Davidson K., Brandt M. E., Fletcher J. M. Neuroanatomic and neuropsychological outcome in school-age children with achondroplasia. Am J Med Genet. 1999; 88 (2): 145-53. doi: 10.1002/(sici)1096-8628(19990416)88:2<145::aid-ajmg10>3.0.co;2-b.
27. Broshyura po Akhondroplazii. Dlya roditeley i ne tol’ko [Brochure on Achondroplasia. For parents and beyond]. Available from: https://lp-ru.ru/2019/10/30/broshyura-po-ahondroplazii-dlya-roditelej-i-ne-tolko/. (In Russ)
28. Reshhikov D. A., Pal’m V. V., Rasskazchikova I. V. Diagnostika i lechenie zhizneugrozhajushhih sostojanij u detej s ahondroplaziej [Diagnosis and treatment of life-threatening conditions in children with achondroplasia] Rossijskij vestnik perinatologii i pediatrii [Russian Bulletin of Perinatology and Pediatrics]. 2020; 65 (4): 356. (In Russ)].
29. Keiper G. L., Koch B., Crone K. R. Achondroplasia and cervicomedullary compression: Prospective evaluation and surgical treatment. Pediatr. Neurosurg. 1999; 31: 78–83. Doi: 10.1159/000028838.
Review
For citations:
Balakireva E.A., Ulez’ko A.A., Nikolaenko I.V., Pletenskaya S.R. Differential diagnosis of the causes of respiratory failure in children with achondroplasia. Clinical analysis. Medical Genetics. 2023;22(1):29-35. (In Russ.) https://doi.org/10.25557/2073-7998.2023.01.29-35