Entry - #271700 - SPONDYLOPERIPHERAL DYSPLASIA - OMIM
# 271700

SPONDYLOPERIPHERAL DYSPLASIA


Alternative titles; symbols

SPONDYLOPERIPHERAL DYSPLASIA WITH SHORT ULNA


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
12q13.11 Spondyloperipheral dysplasia 271700 AD 3 COL2A1 120140
Clinical Synopsis
 

INHERITANCE
- Autosomal dominant
GROWTH
Height
- Short stature
HEAD & NECK
Face
- 'Pugilistic facies'
- Midface hypoplasia
Ears
- Hearing loss, sensorineural
CHEST
External Features
- Pectus carinatum
- Barrel-shaped chest
SKELETAL
- Spondyloepiphyseal dysplasia
Spine
- Platyspondyly, mild
- Biconcave disc (fish-mouth vertebrae)
- Kyphosis
Pelvis
- Short ilia
- Horizontal acetabulae
- Flattened capital femoral epiphyses
- Acetabular spurs (infancy)
Limbs
- Short ulna
- Absent styloid processes
- Limited elbow extension
Hands
- Short fingers
- Broad hands
- Very short distal phalanges (2nd, 3rd, 4th, 5th)
- Short metacarpals (2nd, 3rd, 4th, 5th)
- Cone-shaped epiphyses
- Short, broad thumbs
- Brachydactyly E-like changes
- Short proximal and middle phalanges
Feet
- Short feet
- Short phalanges
- Short metatarsals (4th)
MOLECULAR BASIS
- Caused by mutation in the collagen II, alpha-1 polypeptide gene (COL2A1, 120140.0030)

TEXT

A number sign (#) is used with this entry because spondyloperipheral dysplasia is caused by heterozygous mutation in the alpha-1 type II collagen gene (COL2A1; 120140) on chromosome 12q13.


Clinical Features

Kelly et al. (1977) described a father and 2 children (son and daughter) with an identical skeletal dysplasia of unusual type. It fell generally in the category of spondyloepiphyseal dysplasias. Platyspondyly and severe hip changes were present. The hands and feet were very short as in peripheral dysostosis. The ulna was very short distally, so that it showed deficiency at the wrist. Some of the metatarsals were particularly short. The father was 144 cm tall; the 31-year-old daughter was 142 cm tall; and the 30-year-old son was 154 cm tall. The pedigree was equally consistent with autosomal dominant or autosomal recessive inheritance because the affected father was married to his first cousin and came himself from a consanguineous mating. The families reported by Sybert et al. (1979) and by Vanek (1983) have some similarities; in these families, inheritance seems to have been autosomal dominant. The single case reported by Goldblatt and Behari (1987) also has some similarities. The patient was 108 cm tall at the age of 20, with an arm span of 125.5 cm; the forearms showed mild bilateral bowing. The shortening of the bones of the hands and feet was possibly more striking in the patients reported by Kelly et al. (1977).

Sorge et al. (1995) described the disorder in a mother and 3 of her children, 2 daughters and a son. In addition to platyspondyly with endplate indentations and brachydactyly, the proband had a characteristic, 'pugilistic' face, sensorineural deafness, and mental retardation.

Zankl et al. (2004) reported 2 patients with findings similar to those described by Zabel et al. (1996): clubfeet, midface hypoplasia, early-onset high grade myopia, platyspondyly, epiphyseal dysplasia, and brachydactyly E-like changes developing in childhood.


Inheritance

The transmission pattern of spondyloperopheral dysplasia in a patient reported by Zabel et al. (1996) was consistent with autosomal dominant inheritance.


Molecular Genetics

Zabel et al. (1996) described a heterozygous 5-bp duplication in exon 51 of the COL2A1 gene (120140.0030) resulting in a frameshift in a patient with what they concluded was the same disorder as that reported by Kelly et al. (1977), Vanek (1983), Sybert et al. (1979), and Sorge et al. (1995).

In 2 patients with findings similar to those described by Zabel et al. (1996), Zankl et al. (2004) identified heterozygous truncating mutations in the COL2A1 gene (120140.0041 and 120140.0042).


REFERENCES

  1. Goldblatt, J., Behari, D. Unique skeletal dysplasia with absence of the distal ulnae. Am. J. Med. Genet. 28: 625-630, 1987. [PubMed: 3425631, related citations] [Full Text]

  2. Kelly, T. E., Lichtenstein, J. R., Dorst, J. P. An unusual familial spondyloepiphyseal dysplasia: 'spondyloperipheral dysplasia'. Birth Defects Orig. Art. Ser. XIII(3B): 149-165, 1977. [PubMed: 407956, related citations]

  3. Sorge, G., Ruggieri, M., Lachman, R. S. Spondyloperipheral dysplasia. Am. J. Med. Genet. 59: 139-142, 1995. [PubMed: 8588574, related citations] [Full Text]

  4. Sybert, V. P., Byers, P. H., Hall, J. G. Variable expression in a dominantly inherited skeletal dysplasia with similarities to brachydactyly E and spondyloepiphyseal-spondyloperipheral dysplasia. Clin. Genet. 15: 160-166, 1979. [PubMed: 104811, related citations] [Full Text]

  5. Vanek, J. Spondyloperipheral dysplasia. J. Med. Genet. 20: 117-121, 1983. [PubMed: 6405037, related citations]

  6. Zabel, B., Hilbert, K., Stoss, H., Superti-Furga, A., Spranger, J., Winterpacht, A. A specific collagen type II gene (COL2A1) mutation presenting as spondyloperipheral dysplasia. Am. J. Med. Genet. 63: 123-128, 1996. [PubMed: 8723097, related citations] [Full Text]

  7. Zankl, A., Zabel, B., Hilbert, K., Wildhardt, G., Cuenot, S., Xavier, B., Ha-Vinh, R., Bonafe, L., Spranger, J., Superti-Furga, A. Spondyloperipheral dysplasia is caused by truncating mutations in the C-propeptide of COL2A1. Am. J. Med. Genet. 129A: 144-148, 2004. [PubMed: 15316962, related citations] [Full Text]


Marla J. F. O'Neill - updated : 10/7/2004
Victor A. McKusick - updated : 1/26/1999
Creation Date:
Victor A. McKusick : 6/4/1986
carol : 01/10/2024
carol : 06/25/2014
carol : 10/11/2004
terry : 10/7/2004
carol : 1/29/1999
terry : 1/26/1999
mark : 12/16/1997
mark : 1/16/1996
terry : 1/11/1996
mimadm : 3/12/1994
supermim : 3/17/1992
supermim : 3/20/1990
ddp : 10/27/1989
marie : 3/25/1988
root : 12/10/1987

# 271700

SPONDYLOPERIPHERAL DYSPLASIA


Alternative titles; symbols

SPONDYLOPERIPHERAL DYSPLASIA WITH SHORT ULNA


SNOMEDCT: 702339001;   ORPHA: 1856;   DO: 0112195;  


Phenotype-Gene Relationships

Location Phenotype Phenotype
MIM number
Inheritance Phenotype
mapping key
Gene/Locus Gene/Locus
MIM number
12q13.11 Spondyloperipheral dysplasia 271700 Autosomal dominant 3 COL2A1 120140

TEXT

A number sign (#) is used with this entry because spondyloperipheral dysplasia is caused by heterozygous mutation in the alpha-1 type II collagen gene (COL2A1; 120140) on chromosome 12q13.


Clinical Features

Kelly et al. (1977) described a father and 2 children (son and daughter) with an identical skeletal dysplasia of unusual type. It fell generally in the category of spondyloepiphyseal dysplasias. Platyspondyly and severe hip changes were present. The hands and feet were very short as in peripheral dysostosis. The ulna was very short distally, so that it showed deficiency at the wrist. Some of the metatarsals were particularly short. The father was 144 cm tall; the 31-year-old daughter was 142 cm tall; and the 30-year-old son was 154 cm tall. The pedigree was equally consistent with autosomal dominant or autosomal recessive inheritance because the affected father was married to his first cousin and came himself from a consanguineous mating. The families reported by Sybert et al. (1979) and by Vanek (1983) have some similarities; in these families, inheritance seems to have been autosomal dominant. The single case reported by Goldblatt and Behari (1987) also has some similarities. The patient was 108 cm tall at the age of 20, with an arm span of 125.5 cm; the forearms showed mild bilateral bowing. The shortening of the bones of the hands and feet was possibly more striking in the patients reported by Kelly et al. (1977).

Sorge et al. (1995) described the disorder in a mother and 3 of her children, 2 daughters and a son. In addition to platyspondyly with endplate indentations and brachydactyly, the proband had a characteristic, 'pugilistic' face, sensorineural deafness, and mental retardation.

Zankl et al. (2004) reported 2 patients with findings similar to those described by Zabel et al. (1996): clubfeet, midface hypoplasia, early-onset high grade myopia, platyspondyly, epiphyseal dysplasia, and brachydactyly E-like changes developing in childhood.


Inheritance

The transmission pattern of spondyloperopheral dysplasia in a patient reported by Zabel et al. (1996) was consistent with autosomal dominant inheritance.


Molecular Genetics

Zabel et al. (1996) described a heterozygous 5-bp duplication in exon 51 of the COL2A1 gene (120140.0030) resulting in a frameshift in a patient with what they concluded was the same disorder as that reported by Kelly et al. (1977), Vanek (1983), Sybert et al. (1979), and Sorge et al. (1995).

In 2 patients with findings similar to those described by Zabel et al. (1996), Zankl et al. (2004) identified heterozygous truncating mutations in the COL2A1 gene (120140.0041 and 120140.0042).


REFERENCES

  1. Goldblatt, J., Behari, D. Unique skeletal dysplasia with absence of the distal ulnae. Am. J. Med. Genet. 28: 625-630, 1987. [PubMed: 3425631] [Full Text: https://doi.org/10.1002/ajmg.1320280310]

  2. Kelly, T. E., Lichtenstein, J. R., Dorst, J. P. An unusual familial spondyloepiphyseal dysplasia: 'spondyloperipheral dysplasia'. Birth Defects Orig. Art. Ser. XIII(3B): 149-165, 1977. [PubMed: 407956]

  3. Sorge, G., Ruggieri, M., Lachman, R. S. Spondyloperipheral dysplasia. Am. J. Med. Genet. 59: 139-142, 1995. [PubMed: 8588574] [Full Text: https://doi.org/10.1002/ajmg.1320590204]

  4. Sybert, V. P., Byers, P. H., Hall, J. G. Variable expression in a dominantly inherited skeletal dysplasia with similarities to brachydactyly E and spondyloepiphyseal-spondyloperipheral dysplasia. Clin. Genet. 15: 160-166, 1979. [PubMed: 104811] [Full Text: https://doi.org/10.1111/j.1399-0004.1979.tb01755.x]

  5. Vanek, J. Spondyloperipheral dysplasia. J. Med. Genet. 20: 117-121, 1983. [PubMed: 6405037]

  6. Zabel, B., Hilbert, K., Stoss, H., Superti-Furga, A., Spranger, J., Winterpacht, A. A specific collagen type II gene (COL2A1) mutation presenting as spondyloperipheral dysplasia. Am. J. Med. Genet. 63: 123-128, 1996. [PubMed: 8723097] [Full Text: https://doi.org/10.1002/(SICI)1096-8628(19960503)63:1<123::AID-AJMG22>3.0.CO;2-P]

  7. Zankl, A., Zabel, B., Hilbert, K., Wildhardt, G., Cuenot, S., Xavier, B., Ha-Vinh, R., Bonafe, L., Spranger, J., Superti-Furga, A. Spondyloperipheral dysplasia is caused by truncating mutations in the C-propeptide of COL2A1. Am. J. Med. Genet. 129A: 144-148, 2004. [PubMed: 15316962] [Full Text: https://doi.org/10.1002/ajmg.a.30222]


Contributors:
Marla J. F. O'Neill - updated : 10/7/2004
Victor A. McKusick - updated : 1/26/1999

Creation Date:
Victor A. McKusick : 6/4/1986

Edit History:
carol : 01/10/2024
carol : 06/25/2014
carol : 10/11/2004
terry : 10/7/2004
carol : 1/29/1999
terry : 1/26/1999
mark : 12/16/1997
mark : 1/16/1996
terry : 1/11/1996
mimadm : 3/12/1994
supermim : 3/17/1992
supermim : 3/20/1990
ddp : 10/27/1989
marie : 3/25/1988
root : 12/10/1987