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        Genomics Precision Diagnostic > Skeletal > Skeletal Dysplasias

        Skeletal Dysplasias

        Skeletal Dysplasias, also known as osteochondrodysplasias, are a clinically and phenotypically heterogeneous group of more than 450 inherited disorders characterized by abnormalities mainly of cartilage and bone growth although they can also affect muscle, tendons and ligaments, resulting in abnormal shape and size of the skeleton and disproportion of long bones, spine and head.
        Overview
        Indication
        Clinical Utility
        Genes & Diseases
        Methodology
        References

        Overview

        • Skeletal Dysplasias, also known as osteochondrodysplasias, are a clinically and phenotypically heterogeneous group of more than 450 inherited disorders characterized by abnormalities mainly of cartilage and bone growth although they can also affect muscle, tendons and ligaments, resulting in abnormal shape and size of the skeleton and disproportion of long bones, spine and head.
        • They differ in natural histories, prognoses, inheritance patterns and physiopathologic mechanisms. They range in severity from those that are embryonically lethal to those with minimum morbidity. Approximately 5% of children with congenital birth defects have skeletal dysplasias. Until recently, the diagnosis of skeletal dysplasia relied almost exclusively on careful phenotyping, however, the advent of genomic tests has the potential to make a more accurate and definite diagnosis based on the suspected clinical diagnosis. The 4 most common skeletal dysplasias are thanatophoric dysplasia, achondroplasia, osteogenesis imperfecta and achondrogenesis. The inheritance pattern of skeletal dysplasias is variable and includes autosomal dominant, recessive and X-linked. 
        • The Igenomix Skeletal Dysplasias Precision Panel can be used to make a directed and accurate differential diagnosis of skeletal abnormalities ultimately leading to a better management and prognosis of the disease. It provides a comprehensive analysis of the genes involved in this disease using next-generation sequencing (NGS) to fully understand the spectrum of relevant genes involved.  

        Indication

        The Igenomix Skeletal Dysplasias Precision Panel is indicated for those patients with a suspected clinical diagnosis of skeletal dysplasia presenting with the following manifestations: 

        • Family history of skeletal dysplasia 
        • Multiple spontaneous abortions or stillbirths in a family 
        • Maternal hydramnios (excess amniotic fluid during pregnancy) 
        • Fetal hydrops (fetal generalized edema) 
        • Disproportionate short stature 
        • Intellectual disability 
        • Disproportionately large head 
        • Other associated manifestations:
          • Ocular: Cataracts, myopia 
          • Oral cavity: Bifid uvula, cleft palate 
          • Central Nervous System (CNS): intracranial pathologic processes, neurologic impairment 
          • Skin: redundant skin folds, acanthosis nigricans 
          • Polydactyly 
          • Nails: Hypoplastic nails 
          • Joints: Multiple join dislocations 
          • Long bone fractures 
          • Heart: atrial septal defect, patent ductus arteriosus, transposition of great vessels 

        Clinical Utility

        The clinical utility of this panel is: 

        • The genetic and molecular confirmation for an accurate clinical diagnosis of a symptomatic patient.  
        • Early initiation of treatment with a multidisciplinary team, encompassing physical rehabilitation and surgical procedures, management of hearing and dental abnormalities, as well as drugs, such as vitamin D or gamma interferon.  
        • Prenatal detection of osteopetrosis for a directed obstetric and perinatal treatment of affected infants. 
        • Combining phenotypic and genotypic data to improve diagnostic rate of these patients in the target population as well as identification of mutations associated with unique disease complications.  
        • Risk assessment of asymptomatic family members according to the mode of inheritance. 

        Genes & Diseases

        All genes and diseases

        GENE 

        OMIM DISEASES 

        INHERITANCE* 

        % GENE COVERAGE (20X) 

        HGMD** 

        ABCC9 

        Acromegaloid Facial Appearance Syndrome, Familial Atrial Fibrillation, Familial, Brugada Syndrome, Dilated Cardiomyopathy, Hypertrichosis-Acromegaloid Facial Appearance Syndrome, Hypertrichotic Osteochondrodysplasia, 

        AD 

        100% 

        51 of 51 

        ACAN 

        Osteochondritis Dissecans, Short Stature And Early-onset Osteoarthritis, Spondyloepimetaphyseal Dysplasia Aggrecan Type, Spondyloepiphyseal Dysplasia Kimberley Type 

        AD,AR 

        86.19% 

        63 of 65 

        ACP5 

        Combined Immunodeficiency With Autoimmunity And Spondylometaphyseal Dysplasia, Spondyloenchondrodysplasia 

        AR 

        100% 

        27 of 28 

        ACTB 

        Baraitser-Winter Cerebrofrontofacial Syndrome, Baraitser-Winter Syndrome, Becker Nevus Syndrome, Developmental Malformations-Deafness-Dystonia Syndrome 

        AD 

        100% 

        40 of 40 

        ACTG1 

        Baraitser-Winter Cerebrofrontofacial Syndrome, Autosomal Dominant Deafness 

        AD 

        98.59% 

        55 of 55 

        AFF4 

        Chops Syndrome, Cognitive Impairment-Coarse Facies-Heart Defects, Obesity-Pulmonary Involvement, Short Stature-Skeletal Dysplasia Syndrome 

        AD 

        99.42% 

        6 of 6 

        AIFM1 

        Combined Oxidative Phosphorylation Deficiency, Cowchock Syndrome, X-linked Cowck Deafness, Leukoencephalopathy-Spondylometaphyseal Dysplasia Syndrome, Severe X-linked Mitochondrial Encephalomyopathy, Spondyloepimetaphyseal Dysplasia, X-linked Charcot-Marie-Tooth Disease Type 4 

        X,XR,G 

        100% 

        NA of NA 

        AKT1 

        Breast Cancer, Colorectal Cancer, Cowden Syndrome, Meningioma, Proteus Syndrome 

        AD 

        100% 

        6 of 6 

        ALDH3A2 

        Sjogren-Larsson Syndrome 

        AR 

        96% 

        119 of 119 

        ALG9 

        ALG9-CDG Congenital Disorder Of Glycosylation Type II, Polycystic Kidney Disease Potter Type I 

        AR 

        99.99% 

        6 of 6 

        ANAPC1 

        Rothmund-Thomson Syndrome Type 1 

        AR 

        86.31% 

        3 of 4 

        ANKH 

        Chondrocalcinosis, Craniometaphyseal Dysplasia, Autosomal Dominant Familial Calcium Pyrophosphate Deposition 

        AD 

        100% 

        19 of 19 

        ANOS1 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism 

        X,XR,G 

        96.86% 

        NA of NA 

        ARSB 

        Mucopolysaccharidosis Type VI 

        AR 

        99.83% 

        217 of 220 

        B3GALT6 

        Ehlers-Danlos Syndrome Progeroid Type 2, Spondyloepimetaphyseal Dysplasia With Joint Laxity 

        AR 

        65.09% 

        24 of 39 

        B4GALT7 

        B4GALT7-Related Spondylodysplastic Ehlers-Danlos Syndrome 

        AR 

        99.92% 

        11 of 11 

        BGN 

        Meester-Loeys Syndrome, X-linked Spondyloepimetaphyseal Dysplasia 

        X,XR,G 

        99.87% 

        NA of NA 

        BMPR1B 

        Acromesomelic Dysplasia Grebe Type, Brachydactyly Type A1, A2, C, D, Aplasia-Complex Brachydactyly Syndrome 

        AD,AR 

        100% 

        33 of 34 

        CANT1 

        Desbuquois Dysplasia, Desbuquois Syndrome, Multiple Epiphyseal Dysplasia 

        AR 

        99.98% 

        29 of 30 

        CCDC141 

        Hypogonadotropic Hypogonadism Without Anosmia, Kallmann Syndrome 

        AR 

        99.70% 

        1 of 1 

        CDH3 

        Eem Syndrome, Hypotrichosis With Juvenile Macular Degeneration, Congenital Hypotrichosis With Juvenile Macular Dystrophy 

        AR 

        95% 

        34 of 36 

        CDKN1C 

        Beckwith-Wiedemann Syndrome, IMAGE Syndrome, Intrauterine Growth Restriction-Short Stature-Early Adult-Onset Diabetes Syndrome, Metaphyseal Dysplasia, Adrenal Hypoplasia Congenita, And Genital Anomalies 

        AD 

        73.58% 

        55 of 76 

        CEP120 

        Jeune Syndrome, Joubert Syndrome, Short-Rib Thoracic Dysplasia With Or Without Polydactyly 

        AR 

        99.80% 

        9 of 9 

        CFAP410 

        Amyotrophic Lateral Sclerosis, Cone Rod Dystrophy, Retinal Dystrophy With Or Without Macular Staphyloma, Axial Spondylometaphyseal Dysplasia 

        AR 

        na 

        na 

        CHD7 

        CHARGE Syndrome, Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism, Omenn Syndrome 

        AD 

        96.25% 

        823 of 896 

        CHST3 

        CHST3-Related Skeletal Dysplasia, Multiple Joint Dislocations, Short Stature, Craniofacial Dysmorphism With Or Without Congenital Heart Defects, Spondyloepiphyseal Dysplasia With Congenital Joint Dislocations 

        AR 

        99.97% 

        38 of 38 

        COL10A1 

        Metaphyseal Chondrodysplasia Schmid Type 

        AD 

        96.18% 

        55 of 55 

        COL11A1 

        Autosomal Dominant Myopia-Midfacial Retrusion-Sensorineural Hearing Loss, Rhizomelic Dysplasia Syndrome, Autosomal Recessive Stickler Syndrome, Autosomal Dominant Deafness, Fibrochondrogenesis, Marshall Syndrome, Stickler Syndrome Type 2 

        AD,AR 

        100% 

        104 of 106 

        COL11A2 

        Autosomal Dominant Otospondylomegaepiphyseal Dysplasia, Autosomal Dominant Deafness, Fibrochondrogenesis, Stickler Syndrome Type 3 

        AD,AR 

        99.98% 

        58 of 58 

        COL1A1 

        Arthrochalasia, Ehlers-Danlos Syndrome, Caffey Disease, Dermatofibrosarcoma Protuberans, Ehlers-Danlos Syndrome Type 7, Osteogenesis Imperfecta Type I, IIa, III, IV, Osteoporosis 

        AD 

        99.98% 

        1156 of 1159 

        COL1A2 

        Arthrochalasia Ehlers-Danlos Syndrome, Cardiac-Valvular Ehlers-Danlos Syndrome, Osteogenesis Imperfecta, Type IIa, III, IV, Osteoporosis 

        AD,AR 

        100% 

        576 of 581 

        COL2A1 

        Achondrogenesis Type 2, Autosomal Dominant Otospondylomegaepiphyseal Dysplasia, Avascular Necrosis Of Femoral Head, Primary Czech Dysplasia Metatarsal Type, Dysspondyloenchondromatosis, Epiphyseal Dysplasia Multiple With Myopia And Conductive Deafness, Familial Avascular Necrosis Of Femoral Head, Kniest Dysplasia, Legg-Calve-Perthes Disease, Multiple Epiphyseal Dysplasia Beighton Type, Osteoarthritis With Mild Chondrodysplasia, Platyspondylic Dysplasia Torrance Type, Spondyloepimetaphyseal Dysplasia Congenita Strudwick Type, Stanescu Type, Spondylometaphyseal Dysplasia ‘Corner Fracture’ Type, Spondyloperipheral Dysplasia, Short Ulna Syndrome, Stickler Syndrome Type 1 

        AD,MU 

        100% 

        583 of 583 

        COL3A1 

        Acrogeria, Ehlers-Danlos Syndrome Type IV, Autosomal Dominant Familial Cerebral Saccular Aneurysm, Polymicrogyria With Or Without Vascular-Type Ehlers-Danlos Syndrome, Vascular Ehlers-Danlos Syndrome 

        AD,AR 

        100% 

        676 of 676 

        COL9A1 

        Autosomal Recessive Stickler Syndrome, Multiple Epiphyseal Dysplasia, Multiple Epiphyseal Dysplasia Due To Collagen 9 Anomaly, Stickler Syndrome Type IV 

        AD,AR 

        99.98% 

        8 of 8 

        COL9A2 

        Autosomal Recessive Stickler Syndrome, Multiple Epiphyseal Dysplasia, Multiple Epiphyseal Dysplasia Due To Collagen 9 Anomaly, Stickler Syndrome, Type V 

        AD,AR 

        100% 

        16 of 16 

        COL9A3 

        Autosomal Recessive Stickler Syndrome, Multiple Epiphyseal Dysplasia, Multiple Epiphyseal Dysplasia Due To Collagen 9 Anomaly 

        AD 

        99.98% 

        20 of 20 

        COMP 

        Multiple Epiphyseal Dysplasia, Multiple Epiphyseal Dysplasia Type 1, Pseudoachondroplasia 

        AD 

        99.71% 

        189 of 189 

        CTSA 

        Galactosialidosis, Neuraminidase Deficiency With Beta-Galactosidase Deficiency 

        AR 

        100% 

        40 of 40 

        CTSK 

        Pycnodysostosis 

        AR 

        99.97% 

        59 of 59 

        CWC27 

        Retinitis Pigmentosa With Or Without Skeletal Anomalies 

        AR 

        99.77% 

        8 of 8 

        DCC 

        Colorectal Cancer, Esophageal Cancer, Familial Congenital Mirror Movements, Familial Horizontal Gaze Palsy With Progressive Scoliosis And Impaired Intellectual Development, Kallmann Syndrome 

        AD,AR 

        94% 

        39 of 39 

        DCHS1 

        Cerebrofacioarticular Syndrome, Mitral Valve Prolapse, Van Maldergem Syndrome 

        AD,AR 

        99.69% 

        30 of 30 

        DDR2 

        Spondylometaepiphyseal Dysplasia, Short Limb-hand Type, Warburg-Cinotti Syndrome 

        AD,AR 

        100% 

        13 of 13 

        DDRGK1 

        Spondyloepimetaphyseal Dysplasia, Shohat Type 

        AR 

        99.94% 

        1 of 1 

        DMP1 

        Autosomal Recessive Hypophosphatemic Rickets 

        AR 

        99.89% 

        11 of 11 

        DNAJC21 

        Bone Marrow Failure Syndrome, Shwachman-Diamond Syndrome 

        AR 

        99.83% 

        12 of 12 

        DUSP6 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism 

        AD,AR 

        99.36% 

        4 of 4 

        DYM 

        Dyggve-Melchior-Clausen Disease, Smith-Mccort Dysplasia 

        AR 

        90% 

        37 of 37 

        DYNC2H1 

        Jeune Syndrome, Short Rib-Polydactyly Syndrome Verma-Naumoff Type, Short-Rib Thoracic Dysplasia With Or Without Polydactyly 

        AR,MU,D 

        99.78% 

        214 of 221 

        DYNC2I1 

        Jeune Syndrome, Short Rib-Polydactyly Syndrome Verma-Naumoff Type, Short-Rib Thoracic Dysplasia With Or Without Polydactyly 

        AR 

        97.76% 

        14 of 14 

        DYNC2I2 

        Jeune Syndrome, Short Rib-Polydactyly Syndrome, Verma-Naumoff Type, Short-Rib Thoracic Dysplasia With Or Without Polydactyly 

        AR 

        99.54% 

        23 of 23 

        DYNC2LI1 

        Ellis Van Creveld Syndrome, Jeune Syndrome, Short-Rib Thoracic Dysplasia With Polydactyly 

        AR 

        91.58% 

        16 of 16 

        EIF2AK3 

        Multiple Epiphyseal Dysplasia With Early-Onset Diabetes Mellitus, Wolcott-Rallison Syndrome 

        AR 

        99.30% 

        89 of 89 

        ENPP1 

        Generalized Arterial Calcification Of Infancy, Autosomal Recessive Hypophosphatemic Rickets, Cole Disease, Noninsulin-Dependent Diabetes Mellitus, Obesity, Pseudoxanthoma Elasticum 

        AD,AR,MU,P 

        96.59% 

        73 of 75 

        ERF 

        Chitayat Syndrome, Crouzon Disease, Familial Lambdoid Synostosis, Isolated Cloverleaf Skull Syndrome 

        AD 

        99.73% 

        31 of 31 

        EXOC6B 

        Spondyloepimetaphyseal Dysplasia With Joint Laxity, Spondyloepimetaphyseal Dysplasia With Joint Laxity Type 3 

        AR 

        99.99% 

        2 of 3 

        EXTL3 

        Immunoskeletal Dysplasia With Neurodevelopmental Abnormalities, Skeletal Dysplasia-T-Cell Immunodeficiency Developmental Delay Syndrome 

        AR 

        99.99% 

        10 of 10 

        FAM111A 

        Autosomal Dominant Kenny-Caffey Syndrome, Gracile Bone Dysplasia 

        AD 

        99.47% 

        9 of 10 

        FAT4 

        Cerebrofacioarticular Syndrome, Hennekam Lymphangiectasia-Lymphedema Syndrome, Van Maldergem Syndrome 

        AR 

        99.80% 

        41 of 41 

        FEZF1 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome 

        AR 

        99.95% 

        3 of 3 

        FGF17 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism 

        AD,AR 

        99.98% 

        8 of 8 

        FGF8 

        Alobar Holoprosencephaly, Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Lobar Holoprosencephaly, Microform Holoprosencephaly, Midline Interhemispheric Variant Of Holoprosencephaly, Normosmic Congenital Hypogonadotropic Hypogonadism, Septopreoptic Holoprosencephaly 

        AD 

        98.36% 

        38 of 38 

        FGFR1 

        Encephalocraniocutaneous Lipomatosis, Hartsfield Syndrome, Isolated Trigonocephaly, Jackson-Weiss Syndrome, Kallmann Syndrome, Lobar Holoprosencephaly, Microform Holoprosencephaly, Normosmic Congenital Hypogonadotropic Hypogonadism, Oligodontia, Osteoglophonic Dysplasia, Pfeiffer Syndrome, Semilobar Holoprosencephaly, Septo-Optic Dysplasia Spectrum, Nonsyndromic Trigonocephaly 

        AD 

        100% 

        279 of 280 

        FGFR3 

        Severe Achondroplasia With Developmental Delay And Acanthosis Nigricans, Bladder Cancer, Camptodactyly-Tall Stature-Scoliosis-Hearing Loss Syndrome, Cervical Cancer, Colorectal Cancer, Crouzon Syndrome With Acanthosis Nigricans, Epidermal Nevus, Hypochondroplasia, Isolated Brachycephaly, Isolated Plagiocephaly, Lacrimoauriculodentodigital Syndrome, Muenke Syndrome, Saethre-Chotzen Syndrome, Severe Achondroplasia-Developmental Delay-Acanthosis Nigricans Syndrome, Testicular Tumor, Thanatophoric Dysplasia Type 1 And 2 

        AD,AR 

        99.89% 

        77 of 78 

        FLNA 

        X-linked Cardiac Valvular Dysplasia, Congenital Short Bowel Syndrome, Frontometaphyseal Dysplasia, X-linked Dominant Periventricular Heterotopia, Neuronal Intestinal Pseudoobstruction, Melnick-Needles Syndrome, Otopalatodigital Syndrome Type 1, 2, Periventricular Nodular Heterotopia, Terminal Osseous Dysplasia, X-linked Ehlers-Danlos Syndrome 

        X,XR,XD,G 

        100% 

        NA of NA 

        FLNB 

        Atelosteogenesis Type I and Type III, Boomerang Dysplasia, Larsen Syndrome, Spondylocarpotarsal Synostosis Syndrome 

        AD,AR 

        100% 

        124 of 124 

        FLRT3 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome 

        AD 

        99.98% 

        7 of 7 

        FN1 

        Fibronectin Glomerulopathy, Spondylometaphyseal Dysplasia ‘Corner Fracture’ Type 

        AD 

        100% 

        34 of 34 

        GDF5 

        Acromesomelic Dysplasia Grebe Type, Hunter-Thompson Type, Angel-Shaped Phalango-Epiphyseal Dysplasia, Brachydactyly Type A1, Type A2, Type C, Chondrodysplasia Grebe Type, Fibular Aplasia-Complex Brachydactyly Syndrome, Multiple Synostoses Syndrome, Proximal Symphalangism 

        AD,AR 

        99.48% 

        48 of 51 

        GJA1 

        Alopecia Congenita With Keratosis Palmoplantaris, Atrioventricular Septal Defect, Autosomal Dominant Palmoplantar Keratoderma And Congenital Alopecia, Craniometaphyseal Dysplasia, Erythrokeratodermia Variabilis,,hypoplastic Left Heart Syndrome, Hypoplastic Left Heart Syndrome, Oculodentodigital Dysplasia, Syndactyly Type 3 

        AD,AR,MU,O 

        100% 

        119 of 119 

        GLI3 

        Acrocallosal Syndrome, Greig Cephalopolysyndactyly Syndrome, Congenital Hypothalamic Hamartoma Syndrome, Pallister-hall Syndrome, Postaxial Polydactyly, Preaxial Polydactyly, Tibial Hemimelia 

        AD,AR 

        100% 

        231 of 231 

        GNAS 

        ACTH-Independent Macronodular Adrenal Hyperplasia, Albright Hereditary Osteodystrophy, Cushing Syndrome Due To Macronodular Adrenal Hyperplasia, Mazabraud Syndrome, McCune-Albright Syndrome, Progressive Osseous, Pseudohypoparathyroidism Type 1A, 1B, 1C Type 1c 

        AD 

        99.95% 

        263 of 273 

        GPX4 

        Spondylometaphyseal Dysplasia Sedaghatian Type 

        AR 

        79.72% 

        3 of 3 

        HBB 

        Alpha-Thalassemia, Beta-thalassemia, Heinz Body Anemias, Hemoglobin C-Beta-Thalassemia Syndrome, Hemoglobin E-beta-thalassemia Syndrome, Hereditary Persistence Of Fetal Hemoglobin-Beta-Thalassemia Syndrome, Sickle Cell Anemia 

        AD,AR 

        100% 

        753 of 789 

        HDAC6 

        Chondrodysplasia With Platyspondyly, Distinctive Brachydactyly, Hydrocephaly and Microphthalmia, X-linked Dominant Chondrodysplasia, Chassaing-Lacombe Type 

        X,XD,G 

        100% 

        NA of NA 

        HESX1 

        Combined Pituitary Hormone Deficiencies, Genetic Forms, Hypothyroidism, Kallmann Syndrome, Pituitary Stalk Interruption Syndrome, Septo-Optic Dysplasia Spectrum 

        AD,AR 

        100% 

        26 of 26 

        HS6ST1 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism 

        AD 

        99.97% 

        8 of 8 

        HSPA9 

        Autosomal Dominant Sideroblastic Anemia, Even-Plus Syndrome 

        AD,AR 

        99.72% 

        14 of 14 

        HSPG2 

        Dyssegmental Dysplasia Silverman-Handmaker Type, Schwartz-jJmpel Syndrome 

        AR 

        99.41% 

        68 of 69 

        IARS2 

        Cataract-Growth Hormone Deficiency-Sensory Neuropathy-Sensorineural Hearing Loss-Skeletal Dysplasia Syndrome 

        AR 

        99.95% 

        11 of 11 

        IDUA 

        Hurler Syndrome, Hurler-Scheie Syndrome, Scheie Syndrome 

        AR 

        99.73% 

        287 of 292 

        IFT140 

        Jeune Syndrome, Leber Congenital Amaurosis, Retinitis Pigmentosa, Short-Rib Thoracic Dysplasia With Or Without Polydactyly 

        AR 

        99.97% 

        81 of 81 

        IFT172 

        Bardet-Biedl Syndrome, Jeune Syndrome, Retinitis Pigmentosa, Short-Rib Thoracic Dysplasia With Or Without Polydactyly 

        AR 

        100% 

        37 of 37 

        IFT80 

        Asphyxiating Thoracic Dystrophy, Jeune Syndrome, Short Rib-Polydactyly Syndrome, Verma-Naumoff Type 

        AR 

        99.96% 

        16 of 16 

        IHH 

        Acrocapitofemoral Dysplasia, Brachydactyly Type A1 

        AD,AR 

        99.39% 

        28 of 29 

        IL17RD 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome 

        AD,AR 

        99.95% 

        17 of 17 

        KCNJ8 

        Brugada Syndrome, Hypertrichotic Osteochondrodysplasia, Cantu Type 

         

        100% 

        8 of 8 

        KIF22 

        Spondyloepimetaphyseal Dysplasia With Multiple Dislocations 

        AD 

        100% 

        4 of 4 

        KIF7 

        Acrocallosal Syndrome, Hydrolethalus Syndrome, Macrocephaly With Multiple Epiphyseal Dysplasia And Distinctive Facies, Orofaciodigital Syndrome Type 6 

        AR 

        94.91% 

        47 of 50 

        KISS1R 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism, Central Precocious Puberty 

        AD,AR 

        99.41% 

        42 of 43 

        KRAS 

        Aplasia Cutis Congenita With Epibulbar Dermoids, Arteriovenous Malformation Of The Brain, Somatic,bladder Cancer, Breast Cancer, Cardiofaciocutaneous Syndrome, Encephalocraniocutaneous Lipomatosis, Familial Pancreatic Carcinoma, Gastric Cancer, Acute Myeloid Leukemia, Linear Nevus Sebaceus Syndrome, Lung Cancer, Lynch Syndrome, Noonan Syndrome, Pancreatic Cancer, RAS-associated Autoimmune Lymphoproliferative Syndrome Type IV, Schimmelpenning-Feuerstein-Mims Syndrome, Toriello-Lacassie-Droste Syndrome 

        AD 

        100% 

        38 of 38 

        LBR 

        Greenberg Dysplasia, Hydrops-Ectopic Calcification-Moth-Eaten Skeletal Dysplasia, Pelger-Huet Anomaly, Reynolds Syndrome 

        AD,AR 

        99.98% 

        34 of 34 

        LEMD3 

        12q14 Microdeletion Syndrome, Buschke-Ollendorff Syndrome, Isolated Osteopoikilosis, Melorheostosis With Osteopoikilosis 

        AD 

        99.06% 

        30 of 33 

        LIFR 

        Stuve-Wiedemann Syndrome 

        AR 

        99.81% 

        33 of 33 

        LMX1B 

        9q33.3q34.11 Microdeletion Syndrome, Nail-Patella Syndrome, Nail-Patella-Like Renal Disease 

        AD 

        100% 

        191 of 191 

        LONP1 

        Codas Syndrome 

        AR 

        99.84% 

        21 of 21 

        LOXL3 

        Autosomal Recessive Stickler Syndrome 

         

        99.97% 

        7 of 7 

        LTBP3 

        Acromicric Dysplasia, Geleophysic Dysplasia, Platyspondyly With Amelogenesis Imperfecta 

        AD,AR 

        97.67% 

        22 of 23 

        MAB21L2 

        Syndromic Microphthalmia 

        AD,AR 

        99.97% 

        8 of 8 

        MATN3 

        Multiple Epiphyseal Dysplasia, Osteoarthritis Of Distal Interphalangeal Joints, Spondyloepimetaphyseal Dysplasia, Matrilin-3 Related 

        AD,AR 

        86.16% 

        24 of 25 

        MBTPS1 

        Spondyloepiphyseal Dysplasia, Kondo-Fu Type 

        AR 

        99.99% 

        5 of 5 

        MMP13 

        Metaphyseal Anadysplasia, Metaphyseal Chondrodysplasia, Spahr Type, Spondyloepimetaphyseal Dysplasia, Missouri Type, Spondyloepimetaphyseal Dysplasia Type II 

        AD,AR 

        100% 

        10 of 10 

        MYSM1 

        Bone Marrow Failure Syndrome, Congenital Progressive Bone Marrow Failure-B-Cell Immunodeficiency-Skeletal Dysplasia Syndrome 

        AR 

        98.50% 

        4 of 4 

        NANS 

        Spondyloepimetaphyseal Dysplasia, Genevieve Type 

        AR 

        99.97% 

        12 of 12 

        NEU1 

        Congenital Sialidosis Type 2, Juvenile Sialidosis Type 2, Neuraminidase Deficiency, Sialidosis Type 1 

        AR 

        100% 

        68 of 68 

        NKX3-2 

        Spondylo-Megaepiphyseal-Metaphyseal Dysplasia 

        AR 

        99.02% 

        5 of 5 

        NLRC4 

        Autoinflammation With Infantile Enterocolitis, Familial Cold Autoinflammatory Syndrome 

        AD 

        99.54% 

        15 of 15 

        NLRP3 

        Cinca Syndrome, Autosomal Dominant Deafness, Familial Cold Inflammatory Syndrome, Familial Cold Urticaria, Keratoendotheliitis Fugax Hereditaria, Muckle-Wells Syndrome 

        AD 

        100% 

        152 of 152 

        NOTCH2 

        Acroosteolysis Dominant Type, Acroosteolysis With Osteoporosis And Changes In Skull And Mandible, Alagille Syndrome 

        AD 

        99.88% 

        91 of 91 

        NPR2 

        Acromesomelic Dysplasia, Maroteaux Type, Epiphyseal Chondrodysplasia, Miura Type, Short Stature With Nonspecific Skeletal Abnormalities 

        AD,AR 

        100% 

        81 of 81 

        NSMF 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism 

        AD 

        99.69% 

        11 of 11 

        P4HB 

        Cole-Carpenter Syndrome 

        AD 

        94.97% 

        13 of 13 

        PAM16 

        Chondrodysplasia, Megarbane-Dagher-Melki Type 

        AR 

        41% 

        2 of 2 

        PAPSS2 

        Spondyloepimetaphyseal Dysplasia, Pakistani Type 

        AR 

        99.97% 

        27 of 27 

        PCYT1A 

        Leber Congenital Amaurosis, Spondylometaphyseal Dysplasia With Cone-Rod Dystrophy Syndrome 

        AR 

        99.98% 

        22 of 22 

        PEX1 

        Deafness-Enamel Hypoplasia-Nail Defects Syndrome, Sensorineural Hearing Loss With Enamel Hypoplasia And Nail Defects, Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder, Zellweger Syndrome 

        AR 

        97.02% 

        126 of 134 

        PEX10 

        Autosomal Recessive Ataxia Due To PEX10 Deficiency, Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder 6A, Zellweger Syndrome 

        AR 

        99.76% 

        29 of 32 

        PEX11B 

        Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder, Zellweger Syndrome 

        AR 

        90.29% 

        7 of 7 

        PEX12 

        Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder 3A (Zellweger), Refsum Disease Infantile Form, Zellweger Syndrome 

        AR 

        100% 

        38 of 38 

        PEX13 

        Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder 11A (Zellwege), Peroxisome Biogenesis Disorder 11B, Zellweger Syndrome 

        AR 

        99.98% 

        11 of 12 

        PEX14 

        Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder 13A (Zellweger), Zellweger Syndrome 

        AR 

        100% 

        4 of 4 

        PEX16 

        Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder 8A (Zellweger), 8B, Zellweger Syndrome 

        AR 

        100% 

        17 of 17 

        PEX19 

        Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder 12A (Zellweger), Zellweger Syndrome 

        AR 

        100% 

        5 of 5 

        PEX2 

        Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder 5A (Zellweger), 5B, Zellweger Syndrome 

        AR 

        99.89% 

        17 of 17 

        PEX26 

        Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder 7A (Zellweger), 7B, Zellweger Syndrome 

        AR 

        100% 

        29 of 29 

        PEX3 

        Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder 10A (Zellweger), 10B, Zellweger Syndrome 

        AR 

        100% 

        9 of 9 

        PEX5 

        Adrenoleukodystrophy, Cerebrohepatorenal Syndrome, Variant Types, Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Rhizomelic Chondrodysplasia Punctata Type 5, Zellweger Syndrome 

        AR 

        100% 

        12 of 12 

        PEX6 

        Autosomal Recessive Spinocerebellar Ataxia-Blindness-Deafness Syndrome, Deafness-Enamel Hypoplasia-Nail Defects Syndrome, Heimler Syndrome, Infantile Refsum Disease, Neonatal Adrenoleukodystrophy, Peroxisome Biogenesis Disorder 4A (Zellweger), 4B, Zellweger Syndrome 

        AD,AR 

        99.94% 

        105 of 108 

        PEX7 

        Peroxisome Biogenesis Disorder 9B, Refsum Disease, Rhizomelic Chondrodysplasia Punctata Type 1 

        AR 

        99.21% 

        47 of 53 

        PHYH 

        Refsum Disease 

        AR 

        100% 

        34 of 34 

        POLE 

        Colorectal Cancer, Facial Dysmorphism, Immunodeficiency, Livedo And Short Stature, IMAGE Syndrome, Intrauterine Growth Retardation, Metaphyseal Dysplasia Adrenal Hypoplasia Congenita Genital Anomalies And Immunodeficiency, Polymerase Proofreading-Related Adenomatous Polyposis 

        AD,AR 

        100% 

        100 of 100 

        POLR1C 

        Hypomyelination-Hypogonadotropic Hypogonadism-Hypodontia Syndrome, Hypomyelinating Leukodystrophy, Mandibulofacial Dysostosis, Autosomal Recessive Treacher Collins Type 

        AR 

        99.99% 

        35 of 35 

        POLR1D 

        Treacher Collins Syndrome 

        AD,AR 

        100% 

        23 of 23 

        POP1 

        Anauxetic Dysplasia 

        AR 

        99.88% 

        6 of 6 

        PROK2 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism 

        AD 

        100% 

        20 of 20 

        PROKR2 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism, Pituitary Stalk Interruption Syndrome, Septo-optic Dysplasia Spectrum 

        AD 

        100% 

        64 of 64 

        PTEN 

        Bannayan-Riley-Ruvalcaba Syndrome, Cowden Disease, Hereditary Breast And Ovarian Cancer Syndrome, Juvenile Polyposis Of Infancy, Lhermitte-Duclos Disease, Macrocephaly/Autism Syndrome, Familia Meningioma, Prostate Cancer, Proteus Syndrome, Segmental Outgrowth-Lipomatosis-Arteriovenous Malformation-Epidermal Nevus Syndrome 

        AD 

        99.97% 

        609 of 629 

        PTH1R 

        Blomstrand Lethal Chondrodysplasia, Dental Noneruption, Eiken Skeletal Dysplasia, Metaphyseal Chondrodysplasia, Jansen Type, Ollier Disease 

        AD,AR 

        100% 

        48 of 48 

        RECQL4 

        Baller-Gerold Syndrome, Rapadilino Syndrome, Rothmund-Thomson Syndrome 

        AR 

        96.72% 

        134 of 135 

        RMRP 

        Anauxetic Dysplasia, Cartilage-Hair Hypoplasia, Metaphyseal Dysplasia Without Hypotrichosis, Omenn Syndrome 

        AR 

        na 

        na 

        RNU4ATAC 

        Lowry-Wood Syndrome, Microcephalic Osteodysplastic Primordial Dwarfism Types I And III, Microcephalic Osteodysplastic Primordial Dwarfism Type I, Roifman Syndrome 

        AR 

        na 

        na 

        RPL10 

        X-linked Mental Retardation, X-linked Intellectual Disability-Cerebellar Hypoplasia-Spondylo-Epiphyseal Dysplasia Syndrome, X-linked Microcephaly-Growth Retardation-Prognathism-Cryptorchidism Syndrome 

        X,XR,G 

        100% 

        NA of NA 

        RSPRY1 

        Progressive Spondyloepimetaphyseal Dysplasia-Short Stature-Short Fourth Metatarsals-Intellectual Disability Syndrome, Spondyloepimetaphyseal Dysplasia, Faden-Alkuraya Type 

        AR 

        99.98% 

        4 of 4 

        RUNX2 

        Cleidocranial Dysplasia, Metaphyseal Dysplasia With Maxillary Hypoplasia And Brachydactyly 

        AD 

        73.67% 

        189 of 190 

        SBDS 

        Aplastic Anemia, Idiopathic Aplastic Anemia, Shwachman-Diamond Syndrome 

        AR 

        100% 

        77 of 79 

        SEC23A 

        Craniolenticulosutural Dysplasia 

        AR 

        100% 

        4 of 4 

        SEC24D 

        Cole-Carpenter Syndrome 

        AR 

        99.97% 

        14 of 14 

        SEMA3A 

        Brugada Syndrome, Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome 

        AD 

        100% 

        29 of 29 

        SF3B4 

        Acrofacial Dysostosis, Nager Type, Rodriguez Type, Nager Syndrome 

        AD 

        94.86% 

        33 of 40 

        SFRP4 

        Pyle Disease 

        AR 

        99.95% 

        5 of 5 

        SLC10A7 

        Short Stature, Amelogenesis Imperfecta And Skeletal Dysplasia With Scoliosis 

        AR 

        99.99% 

        8 of 8 

        SLC26A2 

        Achondrogenesis Type 1B, Atelosteogenesis Type II, Diastrophic Dwarfism, Diastrophic Dysplasia, Multiple Epiphyseal Dysplasia Type 4 

        AR 

        99.59% 

        51 of 56 

        SLC39A13 

        Ehlers-Danlos Syndrome Spondylodysplastic Type 

        AR 

        100% 

        9 of 9 

        SMARCAL1 

        Immunoosseous Dysplasia, Schimke Type 

        AR 

        99.94% 

        93 of 93 

        SOX10 

        Kallmann Syndrome, Peripheral Demyelinating Neuropathy-Central Dysmyelinating Leukodystrophy-Waardenburg Syndrome-Hirschsprung Disease, Waardenburg-Shah Syndrome 

        AD 

        99.74% 

        139 of 147 

        SPRY4 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism 

        AD,AR 

        99.72% 

        13 of 13 

        SRP54 

        Autosomal Dominant Severe Congenital Neutropenia, Shwachman-Diamond Syndrome 

        AD,AR 

        99.95% 

        8 of 8 

        STAC3 

        Native American Myopathy 

        AR 

        99.98% 

        5 of 5 

        TACR3 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism 

        AR 

        99.97% 

        40 of 40 

        TBXAS1 

        Ghosal Hematodiaphyseal Dysplasia 

        AR 

        100% 

        6 of 6 

        TCOF1 

        Treacher Collins-Franceschetti Syndrome 

        AD 

        100% 

        326 of 327 

        TGFB1 

        Camurati-Engelmann Disease, Cystic Fibrosis, Inflammatory Bowel Disease, Immunodeficiency And Encephalopathy 

        AD,AR 

        99.75% 

        24 of 24 

        TMEM165 

        Congenital Disorder Of Glycosylation Type IIk 

        AR 

        93.69% 

        4 of 5 

        TMEM67 

        Bardet-Biedl Syndrome, Coach Syndrome, Joubert Syndrome, Joubert Syndrome With Hepatic Defect, Meckel Syndrome Type 3, Nephronophthisis, Rhyns Syndrome 

        AR 

        96.93% 

        177 of 179 

        TONSL 

        Sponastrime Dysplasia, Spondyloepimetaphyseal Dysplasia 

        AR 

        98.76% 

        36 of 40 

        TRAPPC2 

        X-linked Spondyloepiphyseal Dysplasia Tarda 

        X,XR,G 

        99.58% 

        NA of NA 

        TREM2 

        Amyotrophic Lateral Sclerosis, Behavioral Variant Of Frontotemporal Dementia, Early-Onset Autosomal Dominant Alzheimer Disease, Nasu-Hakola Disease, Polycystic Lipomembranous Osteodysplasia With Sclerosing Leukoencephalopathy, Progressive Non-fluent Aphasia, Semantic Dementia 

        AD 

        100% 

        55 of 55 

        TRIP11 

        Achondrogenesis Type 1A, Odontochondrodysplasia 

        AR 

        98.94% 

        20 of 21 

        TRPV4 

        Autosomal Dominant Brachyolmia Autosomal Dominant Congenital Benign Spinal Muscular Atrophy, Primary Avascular Necrosis Of Femoral Head, Brachyrachia, Familial Digital Arthropathy-Brachydactyly, Hereditary Motor And Sensory Neuropathy Type IIC, Nonlethal Dominant Metatropic Dysplasia, Parastremmatic Dwarfism, Scapuloperoneal Spinal Muscular Atrophy, Spondyloepiphyseal Dysplasia, Maroteaux Type, Spondylometaphyseal Dysplasia, Kozlowski Type 

        AD 

        100% 

        88 of 88 

        TTC21B 

        Asphyxiating Thoracic Dystrophy, Jeune Syndrome, Nephronophthisis, Joubert Syndrome 

        AD,AR 

        100% 

        67 of 67 

        TYROBP 

        Nasu-Hakola Disease, Polycystic Lipomembranous Osteodysplasia With Sclerosing Leukoencephalopathy 

        AR 

        100% 

        12 of 13 

        UFSP2 

        Hip Dysplasia, Beukes Type, Spondyloepimetaphyseal Dysplasia, Di Rocco Type 

        AD 

        99.83% 

        3 of 3 

        VPS33A 

        Mucopolysaccharidosis-Like Syndrome With Congenital Heart Defects And Hematopoietic Disorders 

        AR 

        97.86% 

        1 of 1 

        WDR11 

        Hypogonadotropic Hypogonadism With Or Without Anosmia, Kallmann Syndrome, Normosmic Congenital Hypogonadotropic Hypogonadism, Pituitary Stalk Interruption Syndrome 

        AD,AR 

        100% 

        19 of 19 

        WDR19 

        Asphyxiating Thoracic Dystrophy, Cranioectodermal Dysplasia, Jeune Syndrome, Nephronophthisis, Senior-Loken Syndrome, 

        AR 

        99.96% 

        47 of 49 

        WDR35 

        Cranioectodermal Dysplasia, Short Rib-Polydactyly Syndrome, Verma-Naumoff Type, Short-Rib Thoracic Dysplasia With Or Without Polydactyly 

        AR 

        100% 

        31 of 33 

        XYLT1 

        Desbuquois Dysplasia, Desbuquois Syndrome, Pseudoxanthoma Elasticum 

        AR 

        92.61% 

        19 of 23 

        *Inheritance: AD: Autosomal Dominant; AR: Autosomal Recessive; X: X linked; XLR: X linked Recessive; Mi: Mitochondrial; Mu: Multifactorial.  

        **Number of clinically relevant mutations according to HGMD 

        Methodology

        References

        See scientific referrals

        Nikkel, S. (2017). Skeletal Dysplasias: What Every Bone Health Clinician Needs to Know. Current Osteoporosis Reports, 15(5), 419-424. doi: 10.1007/s11914-017-0392-x 

        Calder, A. (2020). The changing world of skeletal dysplasia. The Lancet Child & Adolescent Health, 4(4), 253-254. doi: 10.1016/s2352-4642(20)30056-0 

        Mortier, G., Cohn, D., Cormier‐Daire, V., Hall, C., Krakow, D., & Mundlos, S. et al. (2019). Nosology and classification of genetic skeletal disorders: 2019 revision. American Journal Of Medical Genetics Part A, 179(12), 2393-2419. doi: 10.1002/ajmg.a.61366 

        Krakow D. (2015). Skeletal dysplasias. Clinics in perinatology, 42(2), 301–viii. https://doi.org/10.1016/j.clp.2015.03.003 

        Maddirevula, S., Alsahli, S., Alhabeeb, L., Patel, N., Alzahrani, F., & Shamseldin, H. et al. (2018). Expanding the phenome and variome of skeletal dysplasia. Genetics In Medicine, 20(12), 1609-1616. doi: 10.1038/gim.2018.50 

        Huybrechts, Y., Mortier, G., Boudin, E., & Van Hul, W. (2020). WNT Signaling and Bone: Lessons From Skeletal Dysplasias and Disorders. Frontiers in endocrinology, 11, 165. https://doi.org/10.3389/fendo.2020.00165 

        Lachman, R. S., Tiller, G. E., Graham, J. M., Jr, & Rimoin, D. L. (1992). Collagen, genes and the skeletal dysplasias on the edge of a new era: a review and update. European journal of radiology, 14(1), 1–10. https://doi.org/10.1016/0720-048x(92)90052-b 

        Offiah A. C. (2015). Skeletal Dysplasias: An Overview. Endocrine development, 28, 259–276. https://doi.org/10.1159/000381051 

        Rimoin, D. L., Cohn, D., Krakow, D., Wilcox, W., Lachman, R. S., & Alanay, Y. (2007). The skeletal dysplasias: clinical-molecular correlations. Annals of the New York Academy of Sciences, 1117, 302–309. https://doi.org/10.1196/annals.1402.072 

        Frias J. L. (1975). Genetic heterogeneity in skeletal dysplasias. Annals of clinical and laboratory science, 5(6), 435–439. 

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