spondylocostal dysostosis type 3
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Introduction
heterogeneous group of disorders
Genetics
- type 2 autosomal recessive, associated with defects in LFNG
Clinical manifestations
- variable severity
- vertebral & rib segmentation defects
- skeletal malformations include
- fusion of vertebrae
- hemivertebrae
- fusion of certain ribs
- other rib malformations
- deformity of the chest & spine (severe scoliosis, kyphoscoliosis & lordosis) is a natural consequence of the malformation & leads to a dwarf-like appearance
- since the thorax is small, infants frequently have respiratory insufficiency & repeated respiratory infections resulting in life-threatening complications in the first year of life