Metaphyseal Chondrodysplasia

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Topic updated on 11/10/12 10:48am
Introduction
  • Metaphyseal dysplasia involving the proliferative and hypertrophic zone of the physis (epiphysis is normal)

Table of Metaphyseal Chondrodysplasias
Syndrome
Genetics
Characteristic
Comments
Jansen's
  • autosomal dominant
  • defect in parathyroid hormone related peptide (PTHRP)
  • mental retardation
  • short limbed dwarfism
  • wide eyes
  • monkey like stance

.

  • ostebulbous metaphyseal expansion of long bones seen on xray
Schmid's
  • autosomal dominant
  • defect in Type X collagen
  • short limbed dwarfism
  • excessive lumbar lordosis
  • trendelenburg gait
  • diagnosed when patient older due to coxa vara and genu varum
  • often confused with Ricketts
McKusicks
  • autosomal reccessive
  • cartilage hair dysplasia (hair had small diameter)
  • atlantoaxial instability
  • ankle deformity due to fibular overgrowth
  • immunologic deficiency and increased risk for malignancy
  • seen in Amish population in Finland

References


 

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