Fibrodysplasia Ossificans Progressiva: A Case Report

Authors

  • Filipa Dionisio Centro de Medicina de Reabilitação de Alcoitão, Portugal
  • Ana Mafalda Cunha Centro de Medicina de Reabilitação de Alcoitão, Portugal
  • Carlos Pereira Centro de Medicina de Reabilitação de Alcoitão, Portugal
  • Ana Vasconcelos Centro de Medicina de Reabilitação de Alcoitão, Portugal
  • Isabel Batalha Centro de Medicina de Reabilitação de Alcoitão, Portugal

DOI:

https://doi.org/10.25759/spmfr.509

Keywords:

Adolescent, Myositis Ossificans/rehabilitation, Myositis Ossificans/therapy

Abstract

Fibrodysplasia ossificans progressiva (FOP) is a rare autosomal dominant disease, related to the ACVR1/ALK2 gene mutation that activates the aberrant formation of bone tissue. It is characterized by a gradual limitation of the range of joint movement due to the heterotopic osteogenesis in the connective tissue. As the disease progresses, difficulty in global mobility increases, restricting the expandability of the thoracic cavity, impacting lung and heart function. A young man, born in Guinea Bissau, evacuated to Portugal at the age of 2. He was observed in a medical appointment at Alcoitão Rehabilitation Medical Center at the age of 14. On objective examination, he presented great limitation of joint range of motion, performed autonomous walking with a flexed hip posture, little waist dissociation, forward center of gravity and increased risk of falling. Hospitalization was proposed to optimize his functionality. FOP is a challenge for Physical and Rehabilitation Medicine. Occupational therapy and hydrotherapy contribute to improving functionality, but the study and prescription of support products are essential to maximize patient autonomy.

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References

Kaplan FS, Zasloff MA, Kitterman JA, Shore EM, Hong CC, Rocke DM. Early mortality and cardiorespiratory failure in patients with fibrodysplasia ossificans progressiva. J Bone Joint Surg Am. 2010; 92: 686.

Kaplan FS, et al. The medical management of fibrodysplasia ossificans progressiva: current treatment considerations. Proc Intl Clin Council FOP 2: 1-127, 2022; disponível em: https://www.ifopa.org

M. Dhivakar, Anjali Prakash, Anju Garg, Ayush Agarwal. Fibrodysplasia Ossificans Progressiva (Stoneman Syndrome) – A Rare Skeletal Dysplasia. Indian Journal of Musculoskeletal Radiology 2020;2(1):69-72.

Shah ZA, Rausch S, Arif U, El Yafawi B. Fibrodysplasia ossificans progressiva (stone man syndrome): a case report. J Med Case Rep. 2019 Dec 1;13(1):364. doi: 10.1186/s13256-019-2297-z. PMID: 31785620; PMCID: PMC6885308.

Published

2024-11-23

How to Cite

1.
Dionisio F, Cunha AM, Pereira C, Vasconcelos A, Batalha I. Fibrodysplasia Ossificans Progressiva: A Case Report. SPMFR [Internet]. 2024 Nov. 23 [cited 2024 Nov. 24];36(2):92-6. Available from: https://spmfrjournal.org/index.php/spmfr/article/view/509

Issue

Section

Case Report

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