Girish Mahajan (Editor)

Ollier disease

Updated on
Edit
Like
Comment
Share on FacebookTweet on TwitterShare on LinkedInShare on Reddit
Specialty
  
medical genetics

ICD-9-CM
  
756.4

DiseasesDB
  
9212

ICD-10
  
Q78.4

OMIM
  
166000

eMedicine
  
radio/247

Ollier disease

Ollier disease is a rare nonhereditary sporadic disorder where intraosseous benign cartilaginous tumors (enchondroma) develop close to growth plate cartilage. Prevalence is estimated at around 1 in 100,000.

Contents

Eponyms

The disorder is named after French surgeon Louis LĂ©opold Ollier.

Clinical features

Nominally, the disease consists of multiple enchondromas which usually develop in childhood. The growth of these endochondromas usually stops after skeletal maturation. The affected extremity is shortened (asymmetric dwarfism) and sometimes bowed due to epiphyseal fusion anomalies. Persons with Ollier disease are prone to breaking bones and normally have swollen, aching limbs.

Diagnosis

On radiographs, streaks of low density are seen projecting through the diaphyses into the epiphyses of the long bones, due to ectopic cartilage deposits. With age, the cartilage may calcify in the typical "snowflake" pattern.

Treatment

The deformities are managed surgically to preserve the function of the limb.

Epidemiology

One person in every 100,000 is affected. Ollier disease is not normally diagnosed until toddler years because it is not very visible.

Associated conditions

Ollier disease carries a high risk of skeletal, visceral and brain malignancy which occurs in approximately 25% of patients. Regular systemic screening is recommended. Juvenile granulosa cell tumour has been associated with the disease. The incidence of secondary chondrosarcoma in Ollier disease is not known, but may be as high as 25%, pelvis and shoulder girdle being the commonest locations. A related disorder called Maffucci syndrome named after Angelo Maffucci is characterized by enchondromas associated with multiple hemangiomas which usually occur in the hands and feet. Maffucci syndrome carries a higher risk for cancer.

References

Ollier disease Wikipedia


Similar Topics