Butterfly vertebra associated with Alagille syndrome

Case contributed by Alvin P. Chan , 1 Aug 2018
Diagnosis certain
Changed by Henry Knipe, 2 Aug 2018

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Body was changed:

​AlagilleAlagille syndrome is an autosomal dominant disorder associated with five major abnormalities: chronic cholestasis, characteristic facies (triangular facies with broad, prominent forehead and small, pointed chin, hypertelorism, deep-set eyes), ocular defect (e.g. posterior embryotoxon), congenital heart disease (e.g. peripheral pulmonary stenosis), vertebral anomaly. The most common vertebral anomaly is the butterfly vertebra, characterized by clefts of the vertebral body involving the thoracic spine (mid-lower) on plain radiograph. This anomaly is observed in up to 70% of all cases of Alagille syndrome, significantly more frequent than other causes of chronic cholestasis.

This case was submitted with supervision and input from:

Soni C Chawla, MDAssociate ProfessorDepartment of Radiological SciencesDavid Geffen School of Medicine at UCLAOlive View - UCLA Medical Center

  • -<p><!--StartFragment-->​Alagille syndrome is an autosomal dominant disorder associated with five major abnormalities: chronic cholestasis, characteristic facies (triangular facies with broad, prominent forehead and small, pointed chin, hypertelorism, deep-set eyes), ocular defect (e.g. posterior embryotoxon), congenital heart disease (e.g. peripheral pulmonary stenosis), vertebral anomaly. The most common vertebral anomaly is the butterfly vertebra, characterized by clefts of the vertebral body involving the thoracic spine (mid-lower) on plain radiograph. This anomaly is observed in up to 70% of all cases of Alagille syndrome, significantly more frequent than other causes of chronic cholestasis.</p><p>This case was submitted with supervision and input from:</p><p>Soni C Chawla, MD<br>Associate Professor<br>Department of Radiological Sciences<br>David Geffen School of Medicine at UCLA<br>Olive View - UCLA Medical Center</p><p> </p><p> </p><p> </p><p><!--EndFragment--></p><p> </p><p> </p>
  • +<p><!--StartFragment-->Alagille syndrome is an autosomal dominant disorder associated with five major abnormalities: chronic cholestasis, characteristic facies (triangular facies with broad, prominent forehead and small, pointed chin, hypertelorism, deep-set eyes), ocular defect (e.g. posterior embryotoxon), congenital heart disease (e.g. peripheral pulmonary stenosis), vertebral anomaly. The most common vertebral anomaly is the butterfly vertebra, characterized by clefts of the vertebral body involving the thoracic spine (mid-lower) on plain radiograph. This anomaly is observed in up to 70% of all cases of Alagille syndrome, significantly more frequent than other causes of chronic cholestasis.</p><p>This case was submitted with supervision and input from:</p><p>Soni C Chawla, MD<br>Associate Professor<br>Department of Radiological Sciences<br>David Geffen School of Medicine at UCLA<br>Olive View - UCLA Medical Center</p><p><!--EndFragment--></p>

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