Camurati-Engelmann Syndrome (CES) is a rare disorder that affects the skeletal system. People with this condition experience progressive, painful enlargement of the bones, especially in the legs, arms, and skull. The syndrome is caused by a genetic mutation that affects the growth of the bones.
Signs & Symptoms
The most common sign of Camurati-Engelmann Syndrome is pain in the legs, arms, and skull. This pain can range from mild to severe and is usually worse after physical activity. Other symptoms of CES include:
• Progressive enlargement of the bones
• Muscle weakness
• Joint stiffness
• Fatigue
• Difficulty walking
• Shortness of breath
• Abnormal posture
• Delayed puberty
• Vision problems
• Hearing loss
• Intellectual disability
• Excessive sweating
• Abnormal curvature of the spine
Diagnosis
If you or your child is experiencing any of the above symptoms, your doctor may refer you to a genetic specialist for further testing. A physical examination and a detailed health history will be taken to determine the cause of the symptoms.
In some cases, a genetic test may be ordered to determine the presence of the genetic mutation that causes CES. Other tests may include a bone scan, X-ray, or MRI to look for signs of bone enlargement or other abnormalities.
Treatment
There is no cure for Camurati-Engelmann Syndrome, but treatment can help reduce pain and improve mobility. Treatment options may include:
• Physical therapy to strengthen muscles and improve mobility
• Bracing or casting to help support and align the bones
• Pain medications to reduce discomfort
• Surgery to correct bone deformities
• Orthotic devices to improve balance and walking
• Occupational therapy to improve daily functioning
• Assistive devices such as walkers and wheelchairs
• Speech therapy to improve communication skills
• Counseling to manage feelings of depression or anxiety
It is important to work with your doctor to develop a treatment plan that is best for you or your child. With proper treatment, people with Camurati-Engelmann Syndrome can lead a full and productive life.