Volume : 11, Issue : 01, January – 2024

Title:

STONEMAN SYNDROME – A DISORDER CAUSING SECOND SKELETON IN THE BODY

Authors :

Madduluri Shiva Kailash, Narender Boggula*

Abstract :

Fibrodysplasia ossificans progressiva (FOP) is a very rare disorder with a worldwide prevalence of approximately 1 in 2 million population. The age of onset is mostly in the first two decades of life, and there is no ethnic, racial, gender, or geographic predilection of FOP. Stone man syndrome is also known Fibrodysplasia ossificans progressiva (FOP) is an extremely rare genetic disorder which is characterised by heterotopic ossification of the connective tissue and congenital malformation of the big toes. Currently this disease exists in 67 countries with 834 confirmed cases across the world. The FOP is caused by the mutation in the gene ACVR1 (ALK2). The symptoms of FOP are bone forming on muscles, ligaments, and connective tissue, decreased mobility, difficulty eating or speaking, hearing impairment etc., are the symptoms for the FOP. The diagnosis of the FOP can be done by plain X-rays can reveal abnormal osteogenesis after heterotopic ossification manifests. CT scan can also show lesions with typical heterotrophic ossification. MRI can reveal pre-osseous lesions, which appear as soft tissue swelling and skeletal malformations. There is no single effective treatment option available for fibrodysplasia ossificans progressive. Mast cell inhibitors, NSAIDS, amino bisphosphonates, and COX-2 inhibitors are used for treating later flare-ups. We need to spread knowledge to physicians and patients’ family members about the disease, as well as its features for early diagnosis and how to prevent flare-up of the disease to promote better quality of life in these patients. This includes most recent updates in the definition, epidemiology, signs and symptoms, etiopathogenesis, and treatment of FOP. We need to educate clinicians and patients’ families concerning the disease, as well as its symptoms for early detection and how to prevent flare-ups, in order to improve quality of life.
Key words: Stone man syndrome, fibrodysplasia ossificans progressiva, COX-2 inhibitors.

Cite This Article:

Please cite this article in press Narender Boggula et al., Stoneman Syndrome – A Disorder Causing Second Skeleton In The Body, Indo Am. J. P. Sci, 2024; 11 (01).

Number of Downloads : 10

References:

1. Kaplan FS. Fibrodysplasia ossificans progressiva: an historical perspective. Clinical Reviews in Bone and Mineral Metabolism 2005; 3:179–181.
2. Mortazavi H, Eshghpour M, Niknami M, Saeedi M. Stone Man: A Case Report. Iran J Radiol. 2013;10(1):37-40.
3. Rosenstirn JA. A contribution to the study of myositis ossificans progressiva. Annals of Surgery. 1918; 68: 485–520, 591–637.
4. Liljesthröm M, Pignolo RJ, Kaplan FS. Epidemiology of the Global Fibrodysplasia Ossificans Progressiva (FOP) Community. J Rare Dis Res Treat. 2020; 5(2):31-36.
5. Rocke DM, Zasloff M, Peeper J et al. Age and joint-specific risk of initial heterotopic ossification in patients who have fibrodysplasia ossificans progressiva. Clinical Orthopaedics and Related Research. 1994; 301:243–248.
6. Kitoh H. Clinical Aspects and Current Therapeutic Approaches for FOP. Biomedicines. 2020; 8:325.
7. Monika L, Karthik Mohandas, Sandra S. Stoneman Syndrome: A Comprehensive Review. Int. J. Pharm. Sci. Rev. Res. 2022; 73(2):22-26.
8. Zakir Ali Shah, Sascha Rausch, Uzma Arif, Bilal El Yafawi. Fibrodysplasia ossificans progressiva (stone man syndrome): a case report. Journal of Medical Case Reports. 2019; 13:364-369.
9. Frederick S. Kaplan, Martine Le Merrer, David L. Glaser, Robert J. Pignolo, Robert Goldsby, Joseph A. Kitterman, Jay Groppe, Eileen M. Shore. Fibrodysplasia ossificans progressive. Best Pract Res Clin Rheumatol. 2008; 22(1):191–205.
10. Robert J Pignolo, Eileen M Shore, Frederick S Kaplan. Fibrodysplasia Ossificans Progressiva: Clinical and Genetic Aspects. Orphanet Journal of Rare Diseases. 2011; 6:80-6.
11. Katagiri T, Tsukamoto S, Nakachi Y, Kuratani M. Recent Topics in Fibrodysplasia Ossificans Progressiva. Endocrinol Metab. 2018; 33(3):331-338.
12. Wentworth KL, Masharani U, Hsiao EC. Therapeutic advances for blocking heterotopic ossification in fibrodysplasia ossificans progressiva. British Journal of Clinical Pharmacology. 2019; 85(6):1180-1187.
13. Kishan AB, Raghavendra K, Vikram MP, Harman SG. Stone Man Syndrome : A Case Report and Review of Literature. J Pub Health Med Res. 2014; 2(2):47-51.
14. Subasree R, Panda S, Pal PK, Ravishankar S. An unusual case of rapidly progressive contractures: case report and brief review. Ann Indian Acad Neurol. 2008 ;11(2):119-22.
15. Bridges AJ, Hsu KC, Singh A, Churchill R, Miles J. Fibrodysplasia (Myositis) ossificans progressiva. Seminars in Arthritis and Rheumatism. 1994; 24(3):155–164.
16. Orhan K, Uyanik LO, Erkmen E, Kilinc Y. Unusually severe limitation of the jaw attributable to fibrodysplasia ossificans progressiva: a case report with cone-beam computed tomography findings. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012; 113(3):404-409.
17. Patil SJ, Meshram K, Kasturkar P, Sakharwade P, Khandar J, Sakharkar S. A Case Report on Stoneman Syndrome. Journal of Pharmaceutical Research International. 2021; 33(60B):3737–3740.