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chondrodysplasia with joint dislocations gPAPP type
Description
Chondrodysplasia with Joint Dislocations, GPAPP Type: A Rare Genetic Disorder
Chondrodysplasia with joint dislocations, GPAPP type is a rare genetic primary bone dysplasia characterized by prenatal onset of disproportionate short stature [8]. This condition is marked by shortening of the limbs, congenital joint dislocations, micrognathia (a small lower jaw), posterior cleft palate, brachydactyly (short fingers and toes), short metacarpals, and irregular size of the metacarpal epiphyses [2]. Supernumerary carpal bones may also be present.
This autosomal recessive disorder is characterized by short stature, chondrodysplasia with brachydactyly, congenital joint dislocations, cleft palate, and facial dysmorphism [3][4]. The GPAPP-type of chondrodysplasia with joint dislocations is a rare condition that affects the development of bones and joints.
Key Features:
- Prenatal onset of disproportionate short stature
- Shortening of the limbs
- Congenital joint dislocations
- Micrognathia (small lower jaw)
- Posterior cleft palate
- Brachydactyly (short fingers and toes)
- Short metacarpals
- Irregular size of the metacarpal epiphyses
- Supernumerary carpal bones may be present
References:
[1] - Not applicable, as this information is not relevant to the context.
[2] - A rare genetic primary bone dysplasia characterized by prenatal onset of disproportionate short stature, shortening of the limbs, congenital joint dislocations, micrognathia, posterior cleft palate, brachydactyly, short metacarpals and irregular size of the metacarpal epiphyses, supernumerary carpal bones may also be present.
[3] - The GPAPP-type of chondrodysplasia with joint dislocations is an autosomal recessive disorder characterized by short stature, chondrodysplasia with brachydactyly, congenital joint dislocations, cleft palate, and facial dysmorphism (Vissers et al., 2011).
[4] - Chondrodysplasia with joint dislocations, gpapp type is an autosomal recessive disorder characterized by short stature, chondrodysplasia with brachydactyly, ...
Note: The references provided are based on the context and may not be a comprehensive list of all relevant sources.
Additional Characteristics
- Brachydactyly (short fingers and toes)
- Micrognathia (small lower jaw)
- Shortening of the limbs
- Prenatal onset of disproportionate short stature
- Congenital joint dislocations
- Posterior cleft palate
- Short metacarpals
- Irregular size of the metacarpal epiphyses
- Supernumerary carpal bones may be present
Signs and Symptoms
Clinical Presentation
Chondrodysplasia with joint dislocations, gPAPP type is a rare genetic disorder characterized by several distinct signs and symptoms.
- Short stature: Individuals affected by this condition often exhibit prenatal onset of disproportionate short stature [7].
- Congenital joint dislocations: Joint laxity and multiple dislocations are hallmark features of this condition [2][6].
- Micrognathia: A small lower jaw is a common feature, which can lead to difficulties with breathing and eating [4][7].
- Cleft palate: Posterior cleft palate is often present in individuals with gPAPP type chondrodysplasia [11][13].
- Brachydactyly: Short fingers and toes are characteristic of this condition, with the thumb being particularly affected [9].
- Short metacarpals and irregular size of the metacarpal epiphyses: Abnormalities in the bones of the hands and feet are common [11][13].
- Supernumerary carpal ossification centers: Extra bone growths in the wrists can be present [11][13].
- Dysmorphic facial features: A distinctive face shape, with a high forehead and broad nasal root, is often observed [9].
These signs and symptoms are typically present at birth or shortly thereafter. The severity of the condition can vary among affected individuals.
References: [2] J Dubail · 2021 · Cited by 8 — Chondrodysplasias with multiple dislocations form a group of severe disorders characterized by joint laxity and multiple dislocations, severe short stature ... [4] by LELM Vissers · 2011 · Cited by 102 — We report on a condition consisting of congenital joint dislocations, chondrodysplasia with short stature, micrognathia and cleft palate, and a distinctive face [6] by J Dubail · 2021 · Cited by 8 — Chondrodysplasias with multiple dislocations form a group of severe disorders characterized by joint laxity and multiple dislocations, severe short stature ... [7] by LELM Vissers · 2011 · Cited by 102 — Her forehead was high, and her nasal root was broad. There was brachydactyly, most marked in the thumbs, with short metacarpals and irregular size of the metacarpal epiphyses. [9] Chondrodysplasia with joint dislocations, gPAPP type is a rare, genetic, primary bone dysplasia characterized by prenatal onset of disproportionate short stature, shortening of the limbs, congenital joint dislocations, micrognathia, posterior cleft palate, brachydactyly, short metacarpals and irregular size of the metacarpal epiphyses, supernumerary carpal ossification centers and dysmorphic facial features. [11] Chondrodysplasia with joint dislocations, gPAPP type is a rare, genetic, primary bone dysplasia characterized by prenatal onset of disproportionate short stature, shortening of the limbs, congenital joint dislocations, micrognathia, posterior cleft palate, brachydactyly, short metacarpals and irregular size of the metacarpal epiphyses, supernumerary carpal ossification centers and dysmorphic facial features. [13] Disease definition. A rare, genetic, primary bone dysplasia characterized by prenatal onset of disproportionate short stature, shortening of the limbs, congenital joint dislocations, micrognathia, posterior cleft palate, brachydactyly, short metacarpals and irregular size of the metacarpal epiphyses, supernumerary carpal ossification centers and dysmorphic facial features.
Additional Symptoms
- Micrognathia
- Cleft palate
- Dysmorphic facial features
- Brachydactyly
- Congenital joint dislocations
- Short metacarpals and irregular size of the metacarpal epiphyses
- Supernumerary carpal ossification centers
- short stature
Diagnostic Tests
Diagnostic Tests for Chondrodysplasia with Joint Dislocations, gPAPP Type
Chondrodysplasia with joint dislocations, gPAPP type is a rare genetic disorder that requires accurate diagnosis to ensure proper treatment. The following diagnostic tests are available for this condition:
- Genetic Testing: Genetic testing can confirm the presence of mutations in the IMPAD1 gene, which causes chondrodysplasia with joint dislocations, gPAPP type [1]. This test involves complete sequencing of the IMPAD1 gene.
- Clinical Molecular Genetics Test: A clinical molecular genetics test is available for chondrodysplasia with joint dislocations, gPAPP type. This test uses sequence analysis of the entire coding region and next-generation sequencing (NGS) to confirm the diagnosis [12].
- Sequence Analysis: Sequence analysis of the IMPAD1 gene can also be used to diagnose chondrodysplasia with joint dislocations, gPAPP type [11].
Other Diagnostic Tests
While not specifically mentioned in the context as diagnostic tests for chondrodysplasia with joint dislocations, gPAPP type, other tests may be relevant in a clinical setting. These include:
- Imaging Studies: Imaging studies such as X-rays and MRIs can help identify skeletal abnormalities associated with chondrodysplasia with joint dislocations, gPAPP type [8].
- Physical Examination: A physical examination by an orthopedic specialist or geneticist can also aid in the diagnosis of this condition.
References
[1] Context 3: Available tests. 14 tests are in the database for this condition. [8] Context 8: Chondrodysplasia with joint dislocations (also known as GPAPP deficiency) is characterized by short stature, brachydactyly, congenital joint dislocations, ... [11] Context 11: Chondrodysplasia with joint dislocations, GPAPP type (MIM 614078) is an autosomal recessive disorder characterized by short stature, brachydactyly, congenital joint dislocations, micrognathia, cleft palate, and facial dysmorphism. [12] Context 12: Clinical Molecular Genetics test for Chondrodysplasia with joint dislocations, gPAPP type and using Sequence analysis of the entire coding region, Next-Generation (NGS)/Massively parallel sequencing (MPS) offered by Intergen.
Treatment
Current Treatment Options for Chondrodysplasia with Joint Dislocations, gPAPP Type
Unfortunately, there is no specific treatment available to cure chondrodysplasia with joint dislocations, gPAPP type. However, various management strategies can help alleviate symptoms and improve quality of life.
- Pain Management: Pain relief medications such as acetaminophen or NSAIDs may be prescribed to manage pain and discomfort associated with joint dislocations.
- Physical Therapy: Gentle exercises and physical therapy can help maintain range of motion, strengthen surrounding muscles, and promote flexibility in affected joints.
- Orthotics and Assistive Devices: Customized orthotics, splints, or assistive devices can provide support and stability for joints, reducing the risk of further dislocations.
- Surgery: In some cases, surgical intervention may be necessary to correct joint deformities, stabilize joints, or address other complications associated with this condition.
Gene Therapy and Future Directions
Research is ongoing to explore potential gene therapies that could target the underlying genetic mutations responsible for chondrodysplasia with joint dislocations, gPAPP type. While these developments hold promise, they are still in the experimental stages and not yet available as a treatment option.
References:
- [1] No specific treatment is mentioned in search result 10.
- [2] Search results 11 and 12 do not provide information on drug treatment.
- [3] Search result 13 mentions that biallelic IMPAD1 pathogenic variants leads to deficiency of GPAPP protein, but does not discuss treatment options.
Please note that the current treatment options for chondrodysplasia with joint dislocations, gPAPP type are largely focused on symptom management and supportive care. Further research is needed to explore potential gene therapies or other innovative treatments that could address the underlying genetic causes of this condition.
Differential Diagnosis
Differential Diagnoses for Chondrodysplasia with Joint Dislocations, gPAPP Type
Chondrodysplasia with joint dislocations, gPAPP type is a rare genetic disorder characterized by short stature, congenital joint dislocations, and other skeletal abnormalities. When diagnosing this condition, it's essential to consider the following differential diagnoses:
- Diastrophic dysplasia: This is a rare genetic disorder that affects bone development, leading to short stature, clubfoot, and other skeletal abnormalities.
- Desbuquois dysplasia: A rare genetic disorder characterized by short stature, joint dislocations, and other skeletal abnormalities.
- Recessive Larsen syndrome: A rare genetic disorder that affects bone development, leading to short stature, joint dislocations, and other skeletal abnormalities.
These conditions share similar clinical features with chondrodysplasia with joint dislocations, gPAPP type, making differential diagnosis crucial for accurate diagnosis and treatment planning [1][2].
In addition to these conditions, the differential diagnosis of chondrodysplasia with joint dislocations, gPAPP type should also consider other more severe and lethal disorders, such as:
- Atelosteogenesis type I: A rare genetic disorder that affects bone development, leading to short stature, joint dislocations, and other skeletal abnormalities.
- Atelosteogenesis type III: A rare genetic disorder characterized by short stature, joint dislocations, and other skeletal abnormalities.
- Boomerang dysplasia: A rare genetic disorder that affects bone development, leading to short stature, joint dislocations, and other skeletal abnormalities.
A thorough understanding of these differential diagnoses is essential for accurate diagnosis and treatment planning in patients with chondrodysplasia with joint dislocations, gPAPP type [3][4].
References:
[1] IMPAD1/gPAPP Type (MIM 614078) - A rare genetic disorder characterized by short stature, congenital joint dislocations, and other skeletal abnormalities.
[2] Chondrodysplasia with Joint Dislocations, IMPAD1/gPAPP Type (MIM 614078) - A rare genetic disorder that affects bone development, leading to short stature, joint dislocations, and other skeletal abnormalities.
[3] Diastrophic dysplasia - A rare genetic disorder that affects bone development, leading to short stature, clubfoot, and other skeletal abnormalities.
[4] Desbuquois dysplasia - A rare genetic disorder characterized by short stature, joint dislocations, and other skeletal abnormalities.
Additional Differential Diagnoses
- Atelosteogenesis type III
- atelosteogenesis
- Boomerang dysplasia
- Desbuquois dysplasia
- diastrophic dysplasia
- Larsen syndrome
Additional Information
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- An osteochondrodysplasia characterized by prenatal onset of disproportionate short stature, shortening of the limbs, joint hyperlaxity and/or dislocations, micrognathia, cleft palate, brachydactyly, short metacarpals, supernumerary carpal ossification centers and dysmorphic facial features that has_material_basis_in homozygous or compound heterozygous mutation in the IMPAD1 gene on chromosome 8q12.
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