" /> Desbuquois dysplasia 1 - CISMeF





Preferred Label : Desbuquois dysplasia 1;

Symbol : DBQD1;

CISMeF acronym : DBQD1;

Type : Phenotype, molecular basis known;

Alternative titles and symbols : Desbuquois syndrome; Micromelic dwarfism with vertebral and metaphyseal abnormalities and advanced carpotarsal ossification;

Included titles and symbols : Desbuquois dysplasia, kim variant;

Description : Desbuquois dysplasia (DBQD) is an autosomal recessive chondrodysplasia belonging to the multiple dislocation group and characterized by severe prenatal and postnatal growth retardation (stature less than -5 SD), joint laxity, short extremities, and progressive scoliosis. The main radiologic features are short long bones with metaphyseal splay, a 'Swedish key' appearance of the proximal femur (exaggerated trochanter), and advanced carpal and tarsal bone age with a delta phalanx (summary by Huber et al., 2009). Desbuquois dysplasia is clinically and radiographically heterogeneous, and has been classified into 2 types based on the presence (type 1) or absence (type 2) of characteristic hand anomalies, including an extra ossification center distal to the second metacarpal, a delta phalanx, bifid distal thumb phalanx, and dislocation of the interphalangeal joints (Faivre et al., 2004). In addition, Kim et al. (2010) described another milder variant of DBQD with almost normal outwardly appearing hands, but significant radiographic changes, including short metacarpals, elongated phalanges, and remarkably advanced carpal bone age. However, there is no accessory ossification center distal to the second metacarpal, and patients do not have thumb anomalies. Similar changes occur in the feet. These patients also tend to develop precocious osteoarthritis of the hand and spine with age. This phenotype is sometimes referred to as the 'Kim variant' of DBQD (Furuichi et al., 2011).;

Inheritance : Autosomal recessive;

Molecular basis : Caused by mutation in the calcium-activated nucleotidase 1 gene (CANT1, 613165.0001);

Prefixed ID : #251450;

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10/05/2024


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