Cause:Autosomal recessive
Pathophys:Defective osteoclastic function causes thick bones and nerve compression plus marrow obliteration
Si + Sx:Blindness, deafness, facial palsies, anemia, bleeding
Xray:DEXA scan accurate, useful in kids (Ped Endocr Rv 2005;2 [suppl 3]:337)
Rx:
Marrow transplant; perhaps calcitriol (Nejm 1984;310:409)