{"id":394,"date":"2010-04-03T21:28:04","date_gmt":"2010-04-03T21:28:04","guid":{"rendered":"http:\/\/viscontitoscoalda.com\/?p=394"},"modified":"2010-04-03T21:28:04","modified_gmt":"2010-04-03T21:28:04","slug":"a-c-a-r-onlus","status":"publish","type":"post","link":"https:\/\/viscontitoscoalda.com\/index.php\/2010\/04\/03\/a-c-a-r-onlus\/","title":{"rendered":"A.C.A.R. onlus"},"content":{"rendered":"<p><strong><span style=\"color: #0000ff;\"><a href=\"http:\/\/www.acar2006.org\/\">A.C.A.R onlus  &#8211;  Esostosi multipla ereditaria EME<\/a><\/span><\/strong><\/p>\n<p><span style=\"color: #0000ff;\">ricevo da una cara amica e la presento come da sito:<\/span><\/p>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Esostosi multipla ereditaria &#8211; EME<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Vi sono malattie che  ricorrono con una frequenza talmente bassa da meritare la definizione di  rare. Da questa loro rarit\u00e0 deriva l\u2019essere sconosciute alla  maggioranza delle persone e talvolta anche ai medici. Nel loro insieme  queste malattie rappresentano circa il 10% delle patologie umane  conosciute (il loro numero \u00e8 stimato dall&#8217;Organizzazione Mondiale della  Sanit\u00e0 intorno a 5000) interessando complessivamente una parte  importante della popolazione. La rarit\u00e0 di queste malattie porta con s\u00e9  un forte contenuto emotivo, condiviso dai pazienti e dai loro familiari  che vivono un&#8217;esperienza dolorosa, sia per la malattia sia per la  scarsit\u00e0 di conoscenze scientifiche disponibili.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>L&#8217;<\/strong><strong>Esostosi multipla ereditaria (EME) \u00e8 una malattia  congenita che colpisce l&#8217;apparato osteo articolare e si manifesta con la  crescita, su diversi segmenti scheletrici, di protuberanze ossee  (chiamate esostosi) che possono variare di dimensioni, localizzazione e  quantit\u00e0. Le esostosi si localizzano principalmente a carico delle ossa  lunghe degli arti inferiori e superiori, con maggiore frequenza in  prossimit\u00e0 delle articolazioni (ginocchia, spalle, caviglie, anche e  polsi); secondariamente possono comparire anche sulle ossa del tronco, a  carico del bacino e delle scapole. Non sono mai coinvolte le ossa del  capo o del viso.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Le esostosi insorgono generalmente durante i primi anni di vita e  crescono insieme allo sviluppo del bambino. Normalmente la loro crescita  s&#8217;interrompe definitivamente con il raggiungimento dell&#8217;et\u00e0 adulta,  quando lo sviluppo dell&#8217;individuo \u00e8 completato La diagnosi della  malattia \u00e8 relativamente facile e si basa su un&#8217;attenta valutazione  clinico-radiografica.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>L&#8217;EME colpisce circa una persona ogni 50.000, uomini e donne con pari  possibilit\u00e0. L&#8217;esostosi multipla \u00e8 solitamente una malattia ereditaria,  trasmessa al figlio da uno dei genitori (sette malati su dieci  ereditano la malattia da uno dei genitori) e se un genitore n&#8217;\u00e8 affetto,  ci sono il 50% di possibilit\u00e0 che anche il figlio sviluppi la malattia.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Pu\u00f2 accadere, anche se pi\u00f9 raramente, che la malattia insorga per  causa di una mutazione genetica spontanea, in altre parole senza essere  ereditata dai genitori.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>L&#8217;esostosi, infatti, \u00e8 una malattia genetica causata da un&#8217;anomalia  nel codice genetico della persona che n&#8217;\u00e8 affetta. Di recente \u00e8 stato  dimostrato che i geni in cui sono localizzate le alterazioni che  determinano l&#8217;insorgenza dell&#8217;EME, chiamati EXT1 ed EXT2, sono  localizzati rispettivamente sui cromosomi (i &#8220;pacchetti&#8221; portatori dei  geni) 8 e 11. Le mutazioni sono pi\u00f9 frequentemente riscontrabili in EXT1  che \u00e8 localizzato sul cromosoma 8.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>L&#8217;EME pu\u00f2 dare diversi tipi di problemi: i sintomi e il quadro  clinico dipendono dal numero, dalle sedi e dalle dimensioni delle  esostosi. Finch\u00e9 le esostosi sono piccole, normalmente, non ne viene  percepita la presenza e non si hanno particolari disagi. Nel caso in cui  le esostosi si sviluppino eccessivamente, l&#8217;osso coinvolto invece pu\u00f2  crescere in modo anomalo e quindi incurvarsi, diventare asimmetrico o  rimanere di dimensione inferiore alla norma. Questa crescita asimmetrica  pu\u00f2 determinare limitazioni o difficolt\u00e0 nel compiere alcuni movimenti.  Pu\u00f2 accadere poi che le esostosi vengono a comprimere altre strutture  collegate alle ossa: vasi sanguigni, tendini o nervi. Da qui possono  originarsi tendiniti, borsiti etc. Infine, un&#8217;ulteriore problema \u00e8  rappresentato dai traumi diretti, evento anche questo abbastanza  frequente durante l&#8217;infanzia.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>La complicazione pi\u00f9 grave di EME \u00e8, fortunatamente, anche la meno  comune. Raramente (con frequenza tra il 2 ed il 5%) le esostosi benigne  possono diventare un tumore maligno chiamato condrosarcoma periferico.  Questo avviene di solito durante l\u2019et\u00e0 adulta quando la crescita  scheletrica \u00e8 cessata (i pazienti che sviluppano un condrosarcoma hanno  in media tra i 30 ed i 50 anni d\u2019et\u00e0). Se al termine della crescita  scheletrica le esostosi aumentano o diventano pi\u00f9 dolorose, \u00e8 opportuno  rivolgersi tempestivamente al proprio medico. Va in ogni caso ripetuto  che la trasformazione di un\u2019esostosi in un condrosarcoma periferico  rappresenta una possibilit\u00e0 estremamente rara.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Tutti i trattamenti dell&#8217;EME sono principalmente mirati ad evitare i  danni che la malattia pu\u00f2 provocare al corretto sviluppo dell&#8217;apparato  osteo articolare.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Le esostosi possono essere rimosse con interventi chirurgici. In  alcuni casi, quando le esostosi crescono in prossimit\u00e0 di nervi o  tendini e questi ultimi sono compressi, per evitare che gli stessi siano  danneggiati, devono essere rimosse al pi\u00f9 presto (quindi anche durante  il periodo di crescita dei bambini). Alcune persone con EME non  necessitano di nessun trattamento in quanto le esostosi determinano  lievi deformit\u00e0. I pazienti riescono a compensare la deformit\u00e0 o le  eventuali limitazioni del raggio di movimento in maniera tale da potere  vivere ed agire normalmente. Questo tipo di situazione \u00e8 pi\u00f9 frequente  quando le eventuali deformit\u00e0 insorgono lentamente. In altri casi si pu\u00f2  rendere opportuno un intervento chirurgico correttivo della deformit\u00e0  stessa.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Nella misura in cui una esostosi determina una crescita ossea  difettosa, come l\u2019inarcarsi delle estremit\u00e0, a volte il rimuoverla  tempestivamente permetter\u00e0 all\u2019osso di raddrizzarsi e rimodellarsi  durante la crescita.Se l\u2019esostosi \u00e8 dolorosa, oppure comprime una  struttura importante oppure \u00e8 esteticamente brutta o pu\u00f2 facilmente  subire traumi diretti, \u00e8 altres\u00ec consigliata la rimozione chirurgica  che, solitamente rappresenta una procedura semplice.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Attualmente sono a disposizione diversi tipi di opzioni che il medico  ortopedico di fiducia potr\u00e0 illustrare pi\u00f9 dettagliatamente.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>I trattamenti farmacologici sono legati alla cura degli eventuali  disturbi provocati al sistema circolatorio, a quello muscolare o a  quello nervoso e naturalmente per la cura del dolore che la malattia pu\u00f2  provocare.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Qualora un\u2019esostosi subisca un\u2019evoluzione maligna e si trasformi in  condrosarcoma, deve essere assolutamente rimossa nel pi\u00f9 breve tempo  possibile. In questo caso \u00e8 consigliato rivolgersi ad un centro  specializzato nel trattamento di tumori ossei per effettuare il tipo  d&#8217;intervento pi\u00f9 adeguato.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>L&#8217;EME \u00e8 una malattia che deve essere correttamente  diagnosticata,tenuta costantemente sotto controllo nel corso dell&#8217;et\u00e0  evolutiva e sempre monitorata durante l&#8217;et\u00e0 adulta. Per questo \u00e8  importante individuare il medico o pi\u00f9 precisamente l&#8217;equipe medica cui  fare riferimento. Infatti, i diversi aspetti che compongono la malattia  (la natura ereditaria, i problemi ossei, le eventuali complicazioni a  carico del sistema nervoso o della muscolatura, le implicazioni sul  piano emotivo), comportano il coinvolgimento di diversi specialisti. La  collaborazione tra l\u2019equipe medica e i pazienti non solo aiuta questi  ultimi ad impostare una vita migliore, ma anche a tenere maggiormente  monitorata la malattia. L\u2019equipe medica \u00e8 a disposizione durante i  controlli e le visite ambulatoriali per spiegare in maniera sincera,  corretta e scientifica la cartella clinica.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Trattandosi di una malattia ereditaria, il medico ha il dovere di  rendere noti i rischi che si devono affrontare in materia di  trasmissione genetica per le generazioni future. In questo frangente,  nei bambini in tenera et\u00e0 che non si pongono problemi generazionali, \u00e8  consigliabile attendere, prima di informarli, un&#8217;et\u00e0 pi\u00f9 vicina alla  maturit\u00e0. E&#8217; utile ricordare che uscire da una visita medica con la  possibilit\u00e0 di conoscere in maniera chiara le conseguenze presenti e  future della malattia, avendo chiarito tutti i dubbi, permetter\u00e0 al  paziente di affrontare la vita con maggiore serenit\u00e0.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong>Conoscere e fidarsi sono due elementi che incidono in maniera  determinante sulla qualit\u00e0 della vita.<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong> Il testo \u00e8 tratto dalla Guida \u201cEsostosi Multipla Ereditaria. Per  conoscere, per non sentirsi soli, per non perdersi\u201d, realizzata a cura  del Modulo di Familiarit\u00e0 Genetica degli Istituti Ortopedici Rizzoli di  Bologna, Responsabile Dott. Luca Sangiorgi<\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong> Malattia da Esostosi multipla a cura del Dott. Onofrio  Donzelli <\/strong><\/span><\/h5>\n<h5 style=\"text-align: justify;\"><span style=\"color: #0000ff;\"><strong> Direttore VIII Divisione Chirurgia Ortopedica Pediatrica <\/strong><\/span><\/h5>\n<p><span style=\"color: #0000ff;\"><strong><!--more--><br \/>\n<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><em>A.C.A.R Foundation &#8211;  Hereditary multiple exostoses EME<\/em><\/p>\n<p><em>get from a dear friend  and like that site: <\/em> <em><br \/>\nHereditary multiple  exostoses &#8211; EME<br \/>\nThere are diseases that  occur with a frequency so low as to merit the definition of rare. From this comes their  rarity being unknown to most people and sometimes doctors. Together these diseases  account for approximately 10% of known human diseases (their number is  estimated by the World Health around 5000) involving a total part of the  population. The rarity of these  diseases carries a strong emotional content, shared by patients and  their families live a painful experience for both the disease and the  scarcity of available scientific knowledge.<br \/>\nThe hereditary multiple  exostoses (EME) is a congenital disorder that affects bone and joint  system is manifested by growth on different skeletal segments of bony  prominences (called exostoses) that can vary in size, location and  quantity. Exostoses are located  mainly dependent on the long bones of the upper and lower limbs, most  often near the joints (knees, shoulders, ankles, hips and wrists), and  secondly they may appear on the bones of the trunk, out of the basin and  blades. I have never involved the  bones of the head or face.<br \/>\nThe exostoses usually  occur during the first years of life and grow together with the  development of the child. Normally their growth  finally stops when they reach adulthood when the individual has  completed the development of disease diagnosis is relatively easy and is  based on a careful clinical and radiographic evaluation.<br \/>\nHeme affects about one  person in 50,000 men and women equal opportunity. The multiple exostoses is  usually a hereditary disease, transmitted to the child by their parents  (seven out of ten patients inherit the disease from one parent) and  whether a parent some passionate love, there are 50% chance that the  child developing the disease.<br \/>\nIt can happen, though  more rarely, the disease arises due to a spontaneous genetic mutation,  in other words without being inherited from parents.<br \/>\nThe exostosis is indeed a  genetic disease caused by an abnormality in the genetic code of the  person suffering that is allotted. It has recently been  shown that genes which are localized changes that determine the onset of  the EMA, called EXT1 and EXT2, are located respectively on chromosomes  (the &#8220;packages&#8221; carriers of genes) 8 and 11. Mutations are more  frequently found in EXT1 is located on chromosome 8.<br \/>\nThe EME may give  different types of problems: the symptoms and the clinical picture  depends on the number, the locations and size of the exostoses. Until exostoses are  small, normally not perceived presence and not have special hardships. Where exostoses to  develop too, the bone involved, however, can grow abnormally and then  curl and become asymmetric or remain smaller than normal. This asymmetric growth  may result in limitations or difficulties in performing certain  movements. It may happen then that  exostoses are compressing other structures attached to bones: blood  vessels, tendons or nerves. Here may originate from  tendonitis, bursitis, etc.. Finally, a further  problem is represented by direct trauma, this event also quite frequent  in childhood.<br \/>\nThe most severe  complication of EME is fortunately also the least common. Rarely (with frequency  between 2 and 5%) benign exostoses can become a malignant cancer called  chondrosarcoma peripheral. This usually occurs  during adulthood when skeletal growth has ceased (patients who develop  chondrosarcoma have on average between 30 and 50 years of age). If at the end of skeletal  growth exostoses increase or become more painful, you should contact  your doctor promptly. In any case be repeated  that the transformation of un&#8217;esostosi a peripheral chondrosarcoma is an  extremely rare opportunity.<br \/>\nEMA All treatments are  mainly aimed at avoiding the damage that the disease can lead to the  proper development of bones and joints apparatus.<br \/>\nExostoses can be removed  with surgery. In some cases, when  exostoses grow near nerves or tendons and they are compressed to ensure  that they are damaged, must be removed as soon as possible (ie during  the period of growth in children). Some people with EME do  not need any treatment as exostoses cause slight deformity. Patients are able to  compensate for the deformity or any limitations of range of motion so as  to be able to live and act normally. This type of situation is  common when any deformities occur slowly. In other cases it may be  desirable in the surgical correction of the deformity itself.<br \/>\nTo the extent that an  exostosis causes defective bone growth, as the arch of the extremities,  sometimes immediately will remove the bone to straighten and reshape  crescita.Se during the exostosis is painful, or compresses an important  structure or is can easily be  aesthetically ugly or direct trauma, surgical removal is also  recommended that a procedure is usually simple.<br \/>\nCurrently available are  several types of options that the orthopedic doctor, who can explain in  more detail.<br \/>\nThe drug treatments are  related to the care of any problems caused to the circulatory system to  the muscular or nervous and of course for the treatment of pain that the  disease can cause.<br \/>\nIf un&#8217;esostosi affected  evolution and become malignant chondrosarcoma, absolutely must be  removed as soon as possible. In this case it is  advisable to contact a center specializing in treating bone tumors to  make the most appropriate type of intervention.<br \/>\nThe EME is a disease to  be diagnosed correctly, kept under constant control over evolutionary  age and always monitored during adulthood. It is therefore important  to identify the doctor or more specifically the medical team to  reference. Indeed, the different  aspects that make the disease (hereditary, bone problems, possible  complications of the nervous system or muscle, the implications on the  emotional level), involving the participation of different specialists. The collaboration between  the medical team and patients not only helps them to set a better life,  but also to take more monitored the disease. The medical team is  available during inspections and visits to outpatient explain  truthfully, and correct the scientific record.<br \/>\nSince this is a  hereditary disease, the physician has a duty to disclose the risks they  face on genetic transmission to future generations. At this juncture, in  infants who do not pose generation, you should wait before reporting an  age closer to maturity. It &#8216;worth remembering  that a medical leave with the possibility to know clearly the  consequences and future of the disease, having cleared all the doubts,  allow the patient to face life with greater serenity.<br \/>\nKnow and trust are two  elements that are crucial to the quality of life.<br \/>\nThe text is taken from  the Guide &#8220;Hereditary multiple exostoses. To know, to not feel  alone, not to lose &#8220;, created by the Form Familiarity Genetics Rizzoli  Orthopaedic Institute in Bologna, Manager Dr. Luca Sangiorgi<br \/>\nMultiple exostoses  disease by Dr. Onofrio Donzelli<br \/>\nPediatric Orthopaedic  Surgery Division VIII Director<\/em><\/p>\n<p style=\"text-align: justify;\"><em>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8211;<\/em><\/p>\n<p style=\"text-align: justify;\"><em>A.C.A.R Fondation &#8211;  Maladie des exostoses multiples EME<\/em><\/p>\n<p><em>obtenir d&#8217;un ami tr\u00e8s  cher et comme ce site: <\/em> <em><br \/>\nMaladie des exostoses  multiples &#8211; GEM<br \/>\nIl ya des maladies qui se  produisent avec une fr\u00e9quence assez bas pour la d\u00e9finition du m\u00e9rite  rare. D&#8217;o\u00f9 leur raret\u00e9 \u00e9tant  inconnu de la plupart des gens, et parfois les m\u00e9decins. Ensemble, ces maladies  repr\u00e9sentent environ 10% des maladies connues de l&#8217;homme (leur nombre  est estim\u00e9 par l&#8217;Organisation mondiale autour de 5000) qui affectent une  proportion importante de la population totale. La raret\u00e9 de ces maladies  pr\u00e9sente un contenu \u00e9motionnel fort, partag\u00e9 par les patients et leurs  familles vivent une exp\u00e9rience douloureuse pour la maladie et la raret\u00e9  des connaissances scientifiques disponibles.<br \/>\nLes exostoses  h\u00e9r\u00e9ditaires multiples (GEM) est une anomalie cong\u00e9nitale qui affecte  les os et le syst\u00e8me mixte se manifeste par une croissance sur les  diff\u00e9rents segments du squelette des protub\u00e9rances osseuses (exostoses  appel\u00e9) qui peuvent varier en taille, l&#8217;emplacement et la quantit\u00e9. Les exostoses sont situ\u00e9s  principalement \u00e0 la charge sur les os longs des membres sup\u00e9rieurs et  inf\u00e9rieurs, le plus souvent pr\u00e8s des articulations (genoux, \u00e9paules, les  chevilles, les hanches et les poignets) et, deuxi\u00e8mement, elles peuvent  appara\u00eetre sur les os du tronc, sur le bassin et pales. Je n&#8217;ai jamais particip\u00e9  les os de la t\u00eate ou au visage.<br \/>\nLes exostoses sont  habituellement observ\u00e9es durant les premi\u00e8res ann\u00e9es de la vie et de  grandir avec le d\u00e9veloppement de l&#8217;enfant. Normalement, leur  croissance s&#8217;arr\u00eate enfin quand ils atteignent l&#8217;\u00e2ge adulte o\u00f9 le  d\u00e9veloppement individuel est un diagnostic complet de la maladie est  relativement facile et est bas\u00e9e sur une \u00e9valuation prudente cliniques  et radiographiques.<br \/>\nLe GEM affecte environ  une personne sur 50.000 hommes et femmes avec \u00e9galit\u00e9 des chances. Les exostoses multiples  est g\u00e9n\u00e9ralement une maladie h\u00e9r\u00e9ditaire, transmissible \u00e0 l&#8217;enfant par  ses parents (sept patients sur dix h\u00e9riter de la maladie d&#8217;un parent) et  si un parent un peu d&#8217;amour passionn\u00e9e, il ya 50% de chances que  l&#8217;enfant la maladie se d\u00e9veloppe.<br \/>\nIl peut arriver, quoique  plus rarement, la maladie survient en raison d&#8217;une mutation g\u00e9n\u00e9tique  spontan\u00e9e, en d&#8217;autres termes, sans \u00eatre h\u00e9rit\u00e9es des parents.<br \/>\nL&#8217;exostose est en effet  une maladie g\u00e9n\u00e9tique caus\u00e9e par une anomalie dans le code g\u00e9n\u00e9tique de  la personne souffrante qui est allou\u00e9. Il a r\u00e9cemment \u00e9t\u00e9 montr\u00e9  que les g\u00e8nes qui sont des changements localis\u00e9s qui d\u00e9terminent le  d\u00e9but de l&#8217;EMA, appel\u00e9 EXT1 et EXT2, sont situ\u00e9s respectivement sur les  chromosomes (les paquets &#8220;porteurs de g\u00e8nes) 8 et 11. Les mutations sont plus  fr\u00e9quemment trouv\u00e9e dans les EXT1 est situ\u00e9 sur le chromosome 8.<br \/>\nL&#8217;EME peut donner  diff\u00e9rents types de probl\u00e8mes: les sympt\u00f4mes et le tableau clinique  d\u00e9pend du nombre, l&#8217;emplacement et la taille des exostoses. Jusqu&#8217;\u00e0 exostoses sont de  petite taille, g\u00e9n\u00e9ralement pas per\u00e7u la pr\u00e9sence et ne pas avoir des  difficult\u00e9s particuli\u00e8res. Lorsque exostoses de  d\u00e9velopper aussi l&#8217;os en cause, cependant, peut se d\u00e9velopper  anormalement puis s&#8217;enroulent et deviennent asym\u00e9triques ou rester  inf\u00e9rieure \u00e0 la normale. Cette croissance  asym\u00e9trique peut entra\u00eener des limitations ou des difficult\u00e9s dans  l&#8217;ex\u00e9cution de certains mouvements. Il peut arriver alors que  exostoses sont comprimer d&#8217;autres structures attach\u00e9s aux os: les  vaisseaux sanguins, les tendons ou les nerfs. Voici peut provenir de  tendinites, bursites, etc. Enfin, un autre probl\u00e8me  est repr\u00e9sent\u00e9 par un traumatisme direct, cet \u00e9v\u00e9nement a aussi assez  fr\u00e9quentes dans l&#8217;enfance.<br \/>\nLa complication la plus  grave de GEM est heureusement aussi la moins fr\u00e9quente. Rarement (avec une  fr\u00e9quence comprise entre 2 et 5%) exostoses b\u00e9nignes peuvent devenir un  cancer malin appel\u00e9 chondrosarcome p\u00e9riph\u00e9rique. Cela se produit  g\u00e9n\u00e9ralement \u00e0 l&#8217;\u00e2ge adulte, lorsque la croissance du squelette a cess\u00e9  (les patients qui d\u00e9veloppent chondrosarcome ont en moyenne entre 30 et  50 ans). Si \u00e0 la fin de la  croissance du squelette exostoses augmenter ou deviennent plus  douloureux, vous devriez communiquer avec votre m\u00e9decin sans tarder. Dans tous les cas \u00eatre  r\u00e9p\u00e9t\u00e9 que la transformation de un&#8217;esostosi un chondrosarcome  p\u00e9riph\u00e9rique est une opportunit\u00e9 extr\u00eamement rare.<br \/>\nEMA Tous les traitements  visent principalement \u00e0 \u00e9viter les d\u00e9g\u00e2ts que la maladie peut conduire \u00e0  l&#8217;\u00e9laboration ad\u00e9quate des os et des articulations appareils.<br \/>\nExostoses peuvent \u00eatre  retir\u00e9s par la chirurgie. Dans certains cas,  lorsque exostoses croissance des nerfs ou des tendons pr\u00e8s et ils sont  compress\u00e9s afin de s&#8217;assurer qu&#8217;ils sont endommag\u00e9s, doivent \u00eatre  enlev\u00e9s d\u00e8s que possible (c&#8217;est \u00e0 dire pendant la p\u00e9riode de croissance  chez les enfants). Certaines personnes  atteintes du GEM n&#8217;ont pas besoin de traitement exostoses cause l\u00e9g\u00e8re  d\u00e9formation. Les patients sont en  mesure de compenser la d\u00e9formation ou de toute limitation de l&#8217;amplitude  de mouvement de mani\u00e8re \u00e0 pouvoir vivre et agir normalement. Ce type de situation est  courante lorsque les d\u00e9formations se produisent lentement. Dans d&#8217;autres cas il peut  \u00eatre souhaitable dans la correction chirurgicale de la d\u00e9formation  elle-m\u00eame.<br \/>\nDans la mesure o\u00f9 une  exostose causes de la croissance osseuse d\u00e9fectueuse, comme l&#8217;arc des  extr\u00e9mit\u00e9s, parfois imm\u00e9diatement se retirer de l&#8217;os \u00e0 se redresser et  de remodeler crescita.Se cours de l&#8217;exostose est douloureux, ou des  compresses d&#8217;une structure importante ou est peut facilement \u00eatre  esth\u00e9tiquement laid ou un traumatisme direct, l&#8217;ablation chirurgicale  est \u00e9galement recommand\u00e9 que la proc\u00e9dure est g\u00e9n\u00e9ralement simple.<br \/>\nActuellement disponibles  sont de plusieurs types d&#8217;options que le chirurgien orthop\u00e9diste, qui  peuvent expliquer plus en d\u00e9tail.<br \/>\nLes traitements  m\u00e9dicamenteux sont li\u00e9es aux soins de tous les probl\u00e8mes caus\u00e9s \u00e0  l&#8217;appareil circulatoire \u00e0 l&#8217;musculaires ou nerveux et bien s\u00fbr pour le  traitement de la douleur que la maladie peut causer.<br \/>\nSi un&#8217;esostosi \u00e9volution  touch\u00e9s et de devenir malignes chondrosarcome, doit absolument \u00eatre  retir\u00e9s d\u00e8s que possible. Dans ce cas, il est  conseill\u00e9 de contacter un centre sp\u00e9cialis\u00e9 dans le traitement des  tumeurs osseuses de faire le type le plus appropri\u00e9 d&#8217;intervention.<br \/>\nLe GEM est une maladie \u00e0  diagnostiquer correctement, plac\u00e9s sous le contr\u00f4le constant de l&#8217;\u00e2ge  \u00e9volutif et toujours surveill\u00e9 \u00e0 l&#8217;\u00e2ge adulte. Il est donc important  d&#8217;identifier le m\u00e9decin ou plus pr\u00e9cis\u00e9ment l&#8217;\u00e9quipe m\u00e9dicale de  r\u00e9f\u00e9rence. En fait, les diff\u00e9rents  aspects qui font de la maladie (h\u00e9r\u00e9dit\u00e9, probl\u00e8mes osseux, les  complications possibles du syst\u00e8me nerveux ou musculaires, les  implications \u00e9motionnelles), impliquent la participation de diff\u00e9rents  sp\u00e9cialistes. La collaboration entre  l&#8217;\u00e9quipe m\u00e9dicale et les patients les aide non seulement \u00e0 mettre une  vie meilleure, mais aussi de prendre plus de contr\u00f4le de la maladie. L&#8217;\u00e9quipe m\u00e9dicale est  disponible lors des inspections et des visites ambulatoires pour  expliquer la v\u00e9rit\u00e9, et corriger le dossier scientifique.<br \/>\nComme il s&#8217;agit d&#8217;une  maladie h\u00e9r\u00e9ditaire, le m\u00e9decin a le devoir de divulguer les risques  auxquels ils sont confront\u00e9s en mati\u00e8re de transmission g\u00e9n\u00e9tique aux  g\u00e9n\u00e9rations futures. \u00c0 ce stade, chez les  nourrissons qui ne pr\u00e9sentent pas de g\u00e9n\u00e9ration, vous devriez attendre  avant de rapporter un \u00e2ge plus proche de la maturit\u00e9. Il convient de rappeler  que laisser un m\u00e9dicaux avec la possibilit\u00e9 de conna\u00eetre clairement les  cons\u00e9quences et l&#8217;avenir de la maladie, apr\u00e8s avoir franchi tous les  doutes, permettre au patient d&#8217;affronter la vie avec plus de s\u00e9r\u00e9nit\u00e9.<br \/>\nSavoir et la confiance  sont deux \u00e9l\u00e9ments qui sont essentiels \u00e0 la qualit\u00e9 de vie.<br \/>\nLe texte est tir\u00e9 du  Guide &#8220;Maladie des exostoses multiples. Pour en savoir, de ne pas  se sentir seul, de ne pas perdre &#8220;, cr\u00e9\u00e9 par le formulaire de  connaissance g\u00e9n\u00e9tique Institut orthop\u00e9dique Rizzoli de Bologne,  directeur Dr Luca Sangiorgi<br \/>\nExostoses multiples  maladie par le Dr Onofrio Donzelli<br \/>\nDirecteur de la Division  de chirurgie p\u00e9diatrique orthop\u00e9dique VIII<\/em><\/p>\n<h3><strong> <\/strong><\/h3>\n","protected":false},"excerpt":{"rendered":"<p>A.C.A.R onlus &#8211; Esostosi multipla ereditaria EME ricevo da una cara amica e la presento come da sito: Esostosi multipla ereditaria &#8211; EME Vi sono malattie che ricorrono con una frequenza talmente bassa da meritare la definizione di rare. Da questa loro rarit\u00e0 deriva l\u2019essere sconosciute alla maggioranza delle persone e talvolta anche ai medici. &hellip; <a href=\"https:\/\/viscontitoscoalda.com\/index.php\/2010\/04\/03\/a-c-a-r-onlus\/\" class=\"more-link\">Continua a leggere <span class=\"screen-reader-text\">A.C.A.R. onlus<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,13],"tags":[124,129,149,191],"class_list":["post-394","post","type-post","status-publish","format-standard","hentry","category-associazioni-e-forum-di-aiuto-e-dintorni","category-esostosi-multipla-ereditaria-eme-e-dintorni","tag-eme","tag-esostosi","tag-geni","tag-malattie-rare"],"_links":{"self":[{"href":"https:\/\/viscontitoscoalda.com\/index.php\/wp-json\/wp\/v2\/posts\/394","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/viscontitoscoalda.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/viscontitoscoalda.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/viscontitoscoalda.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/viscontitoscoalda.com\/index.php\/wp-json\/wp\/v2\/comments?post=394"}],"version-history":[{"count":0,"href":"https:\/\/viscontitoscoalda.com\/index.php\/wp-json\/wp\/v2\/posts\/394\/revisions"}],"wp:attachment":[{"href":"https:\/\/viscontitoscoalda.com\/index.php\/wp-json\/wp\/v2\/media?parent=394"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/viscontitoscoalda.com\/index.php\/wp-json\/wp\/v2\/categories?post=394"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/viscontitoscoalda.com\/index.php\/wp-json\/wp\/v2\/tags?post=394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}