Has any podiatrist or podiatry resident ever encountered a pediatric case called Fibrodysplasia Ossificans Progressiva (F.O.P.), a rare genetic disease with no cure? It manifests early in toddlers as bilateral severe bunions, and has to be distinguished from Juvenile Hallux Abducto Valgus in the differential diagnosis. Thanks.
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Fop
- Thread starter DPMer
- Start date
3
347932
Has any podiatrist or podiatry resident ever encountered a pediatric case called Fibrodysplasia Ossificans Progressiva (F.O.P.), a rare genetic disease with no cure? It manifests early in toddlers as bilateral severe bunions, and has to be distinguished from Juvenile Hallux Abducto Valgus in the differential diagnosis. Thanks.
If a child has FOP, their parents would know it. The bones of the feet develop last, and if you try to do surgery to correct their bunions, it is likely the deformity will come back with vengeance.
Never seen one as this is exceedingly rare, but if there are any questions about whether a patient has it or not, send them to a pediatric rheumatologist for a thorough evaluation. It is a very rare connective tissue disorder, so it may be difficult to find someone who can help. Also, as you mentioned it is incurable.
If a child has FOP, their parents would know it. The bones of the feet develop last, and if you try to do surgery to correct their bunions, it is likely the deformity will come back with vengeance.
Never seen one as this is exceedingly rare, but if there are any questions about whether a patient has it or not, send them to a pediatric rheumatologist for a thorough evaluation. It is a very rare connective tissue disorder, so it may be difficult to find someone who can help. Also, as you mentioned it is incurable.
It would be nice if a foot and ankle textbook would devote one page about this rare genetic disease in a Pediatrics chapter, in particular, the newest upcoming 4th edition McGlamery book. FOP should be mentioned in podiatry school in a Podiatric Pediatrics class during 2nd or 3rd year.
3
347932
It would be nice if a foot and ankle textbook would devote one page about this rare genetic disease in a Pediatrics chapter...
Hmmmmm...
It wouldn't really have a place in a surgical text, since you don't correct these feet, but maybe in a Podopeds text...