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Genomics Precision Diagnostic > Skeletal > Skeletal Dysplasias

Skeletal Dysplasias – 177 genes

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 

* Herança: AD: Autossômico Dominante; AR: Recessivo autossômico; X: X vinculado; XLR: Recessivo vinculado a X; Mi: Mitocondrial; Mu: Multifatorial; G: Herança gonossômica; D: Herança Digenic

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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