Nineteen Arab children including six boys and 13 girls in ten sibships
were diagnosed as having osteopetrosis over a 5-year period in variou
s hospitals in Kuwait. Eighteen patients had an isolated autosomal rec
essive form and one had autosomal recessive osteopetrosis associated w
ith renal tubular acidosis. The mean age of diagnosis was 24 months. P
arental consanguinity was high amongst them (68%). Anaemia, hepatosple
nomegaly, failure to thrive, recurrent infections and neurological man
ifestations were common. Associated congenital abnormalities were foun
d in 26%. Deafness, hydrocephalus and dental caries were relatively le
ss common. A high mortality (37%) owing to infection was noted. The me
dical management and recommendations for patient care are discussed br
iefly.