A mesomelic skeletal dysplasia, Kantaputra-like, not related to HOXD cluster region, and with phenotypic gender differences

Am J Med Genet A. 2024 Feb;194(2):328-336. doi: 10.1002/ajmg.a.63444. Epub 2023 Oct 17.

Abstract

Mesomelic skeletal dysplasia is a heterogeneous group of skeletal disorders that has grown since the molecular basis of these conditions is in the process of research and discovery. Here, we report a Brazilian family with eight affected members over three generations with a phenotype similar to mesomelic Kantaputra dysplasia. This family presents marked shortening of the upper limbs with hypotrophy of the lower limbs and clubfeet without synostosis. Array-based CNV analysis and exome sequencing of four family members failed to show any region or gene candidate. Interestingly, males were more severely affected than females in this family, suggesting that gender differences could play a role in the phenotypic expressivity of this condition.

Keywords: Kantaputra dysplasia; mesomelic shortening; skeletal dysplasia.

MeSH terms

  • Family
  • Female
  • Gonadal Dysgenesis*
  • Humans
  • Male
  • Osteochondrodysplasias* / genetics
  • Phenotype
  • Sex Factors