Desbuquois dysplasia
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Classification
- type 1: presence of hand anomalies (see Radiology)
- type 2: absencce of hand anomailies
Genetics
- associated with defects in CANT1
Clinical manifestations
- severe prenatal & postnatal growth retardation (< -5 SD)
- joint laxity
- short extremities
- progressive scoliosis
- round face
- midface hypoplasia
- prominent bulging eyes
Radiology
- radiographs show
- short long bones with metaphyseal splay, a 'Swedish key' appearance of the proximal femur (exaggerated trochanter), & advance carpal & tarsal bone age
- characteristic hand anomalies: (type 1)
- an extra ossification center distal to the 2nd metacarpal, delta phalanx, bifid distal thumb phalanx, & phalangeal dislocations