Abstract:

BACKGROUND: Bone-specific alkaline phosphatase and tartrate-resistant acid phosphatase levels are closely related to skeletal development.
OBJECTIVE: To observe bone-specific alkaline phosphatase and tartrate-resistant acid phosphatase levels in patients with cleidocranial dysplasia (CCD).
METHODS: Clinical data of one case of CCD were collected. The osseous malformation over the entire body was examined by panoramic radiography. A CCD phenotype was defined by the presence of hypoplastic clavicles and delayed closure of the anterior fontanels in addition to the presence of classic eraniofaeial features. Laboratory examination was used to detect the change of bone-specific alkaline phosphatase and tartrate-resistant acid phosphatase levels.
RESULTS AND CONCLUSION: The patients had obvious clinical characteristics of CCD, such as clavicle rudiment or absence, delayed closure of cranial fontanels and sutures, supernumerary and late erupting teeth, wide pubic symphysis, and other skeletal anomalies. The skeletal abnormalities as well as oral manifestations of the syndrome were variable within the affected patient. But abnormal chromosome was not found in this patient. Bone-specific alkaline phosphatase and tartrate-resistant acid phosphatase levels were increased. These findings suggest that CCD patients may accompany with the genetic variation of tartrate-resistant acid phosphatase.