campomelic dysplasia
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Epidemiology
rare
Genetics
- autosomal dominant
- associated with defects in SOX9
Clinical manifestations
- congenital osteochondrodysplasia
- male-to-female autosomal sex reversal in 2/3 of affected karyotypic males
- congenital bowing & angulation of long bones
- unusually small scapulae
- deformed pelvis & spine
- missing pair of ribs
- craniofacial defects are common
- cleft palate
- micrognatia
- flat face
- hypertelorism
- various defects of the ear are often evident, affecting the cochlea, malleus incus, stapes & tympanum
- most patients die soon after birth due to respiratory distress, attributed to hypoplasia of the tracheobronchial cartilage & small thoracic cage
Complications
- often lethal