All are true regarding Scheuermann’s osteochondritis except? – Medicine MCQ

All are true regarding Scheuermann’s osteochondritis except?
A. Dorsal kyphosis
B. Autosomal recessive inheritance
C. Predominantly affects adolescent boys
D. Irregular ossification of vertebral endplates

Correct answer : B. Autosomal recessive inheritance

Autosomal dominant inheritance

• Scheuermann’s osteochondritis has autosomal dominant inheritance.
• It commonly affects adolescent boys.
• It is characterised by irregular ossification of vertebral endplates and dorsal kyphosis.
• Most patients are asymptomatic.
• It can present with backache which is aggravated by exercise.
• Management is by protective postural exercises with avoidance of excessive activity.

Ref: Davidson’s Principles and Practice of Medicine, 22nd edition, p1130
Image credits: Domaina. Licensed under the Creative Commons Attribution-Share Alike 3.0 Unported license. https://en.wikipedia.org/wiki/File:Autosomal_dominant_-_en.svg