Osteogenesis imperfecta (OI) is a bone disorder that is passed from parents to children. It cannot be acquired; people with OI are born with it. It is also called brittle bone disease. Common issues with OI are breaking bones easily or not having the bones form correctly, leading to bone deformities.
Signs and symptoms vary from case to case and depend on what type of OI you have, which is determined based on how you inherit the disease. The types of OI include:
Common symptoms of OI include:
It’s important to remember that OI looks different in every child. OI can also look like other bone disorders. Make sure to see your physician for a diagnosis.
OI is caused by a mutation, or change, in one of two genes. Both help form collagen, the connective tissue that helps hold the body together. This mutation is either passed on from your parents – one or both of them – or it may occur spontaneously. Either way, OI is always present at birth.
If you inherit a mutated gene for collagen production from both parents, the chances of having one of the more severe forms of OI increases. That’s why the only big risk factor for OI is a family history of OI. Couples who would like to start a family but have a history of OI may consider genetic testing first to assess the risk of OI.
If your baby’s physician suspects that they have OI, they will ask you about your medical history, your pregnancy, your baby’s symptoms, and your family’s medical history. They will also examine your baby for any signs and symptoms of OI. In more mild cases, it can be difficult to diagnose OI in infancy.
Your physician will probably refer you to a specialist, like an orthopaedic doctor or a geneticist. They may run certain tests to confirm a diagnosis of OI. These include X-rays, lab tests, a bone biopsy, and genetic testing.
Complications of OI include kidney stones, hearing loss, joint issues, vision loss, heart problems, and respiratory infections.
The main goal of treatment is to prevent bone fractures and deformities. Treatment options may include bone-strengthening medicines (bisphosphonates), metal rods placement, care for bone breaks, devices that assist with mobility, and physical and occupational therapy.