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Fibrodysplasia ossificans progressiva information


Fibrodysplasia ossificans progressiva
Other namesStone man disease, Münchmeyer disease
The effects of fibrodysplasia ossificans progressiva, a disease which causes damaged soft tissue to regrow as bone.
(Skeleton of Harry Raymond Eastlack)
SpecialtyMedical genetics, rheumatology
SymptomsContinuous bone growth
Usual onsetBefore age 10
Differential diagnosisFibrous dysplasia
TreatmentNone
PrognosisMedian life expectancy ≈ 40 years old (if properly managed)
Frequency801 confirmed cases worldwide (2017); incidence rate estimated to be 0.5 cases per million people (1 in 2 million)

Fibrodysplasia ossificans progressiva (/ˌfbrdɪˈsplʒ(i)ə ɒˈsɪfɪkænz prəˈɡrɛsɪvə/;[1] abbr. FOP), also called Münchmeyer disease or formerly myositis ossificans progressiva, is an extremely rare connective tissue disease in which fibrous connective tissue such as muscle, tendons, and ligaments turn into bone tissue. It is the only known medical condition where one organ system changes into another.[2] It is a severe, disabling disorder with no cure.

FOP is caused by a mutation of the gene ACVR1. The mutation affects the body's repair mechanism, causing fibrous tissue including muscle, tendons, and ligaments to become ossified, either spontaneously or when damaged as the result of trauma. In many cases, otherwise minor injuries can cause joints to become permanently fused as new bone forms, replacing the damaged muscle tissue. This new bone formation (known as "heterotopic ossification") eventually forms a secondary skeleton and progressively restricts the patient's ability to move. Bone formed as a result of this process is identical to "normal" bone, simply in improper locations. Circumstantial evidence suggests that the disease can cause joint degradation separate from its characteristic bone growth.[3]

Surgical removal of the extra bone growth has been shown to cause the body to "repair" the affected area with additional bone. Although the rate of bone growth may differ depending on the patient, the condition ultimately leaves sufferers immobilized as new bone replaces musculature and fuses with the existing skeleton. This has earned FOP the nickname "stone man disease".[4]

  1. ^ "Medical Definition of fibrodysplasia ossificans progressiva". www.merriam-webster.com. Retrieved 8 May 2022.
  2. ^ Kaplan, Frederick S.; Shen, Qi; Lounev, Vitali; Seemann, Petra; Groppe, Jay; Katagiri, Takenobu; Pignolo, Robert J.; Shore, Eileen M. (2008). "Skeletal metamorphosis in fibrodysplasia ossificans progressiva (FOP)". Journal of Bone and Mineral Metabolism. 26 (6): 521–530. doi:10.1007/s00774-008-0879-8. PMC 3620015. PMID 18979151.
  3. ^ Pinkowski, Jen (1 March 2019). "Here's what happens when your body tissues turn to bone". National Geographic. Archived from the original on 3 March 2019.
  4. ^ Verma, Amit Kumar; Aga, Pallavi; Singh, Shailesh Kumar; Singh, Ragini (2012). "The stone man disease: fibrodysplasia ossificans progressiva: imaging revisited". BMJ Case Reports. 2012: bcr2012006422. doi:10.1136/bcr-2012-006422. PMC 4543882. PMID 22843760.

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