Table 1.
Patient IX-2 | Patient VII-3 | Patient VII-6 | Patient III-6 | |
---|---|---|---|---|
OI type | VI | VI | VI | VI |
Birth weight/birth length | – | – | – | – |
Confirmed prenatal fractures | no | no | no | no |
Age at first fracture, months | 12 | 11 | 12 | 5 |
Color of sclerae | white | slightly blue | white | white |
Dentinogenesis imperfecta | no | no | no | no |
Retarded gross motor functions | yes | no | no | yes |
Normal intelligence | yes | yes | yes | yes |
Hearing impairment | yes | no | no | no |
Hypermobility of joints | no | no | no | no |
Age at start of treatment with pamidronate, years | 32 | – | – | 3 |
Ability to walk (with crutches) | No | yes | yes | no |
Weight, kg/BMI of last visit | 43/43 | 34.6/24 | 47.4/35.2 | 20/20.8 |
Length, cm/SD of last visit | 100/>–2 | 120/>–2 | 116/>–2 | 98/>–2 |
Wormian bones | yes | no | no | no |
Vertebral fractures | yes | no | no | no |
Old fractures of extremities | yes | yes | yes | yes |
Tapering of ribs | yes | no | no | no |
Popcorn calcification | yes | no | no | no |
Rhizomelic shortening of limbs | severe | moderate (left femur) | no | moderate (upper limbs) |
Bowing of upper extremities | severe | moderate | mild | severe |
Bowing and tapering of femur, tibiae, and fibulae | severe | mild tapering of tibiae and fibulae | moderate | severe |
All patients showed the same 19-bp deletion in exon 8 of SERPINF1 (c.1152_1170del, p.384_390del) and were of Portuguese/Dutch/native-born origin.