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Lethal short-limbed short stature

MedGen UID:
388831
Concept ID:
C2674171
Finding
Synonym: Dwarfism, lethal micromelic
 
HPO: HP:0008909

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • Lethal short-limbed short stature

Conditions with this feature

Thanatophoric dysplasia, type 2
MedGen UID:
226975
Concept ID:
C1300257
Disease or Syndrome
Thanatophoric dysplasia (TD) is a short-limb skeletal dysplasia that is usually lethal in the perinatal period. TD is divided into subtypes: TD type I is characterized by micromelia with bowed femurs and, uncommonly, the presence of craniosynostosis of varying severity. TD type II is characterized by micromelia with straight femurs and uniform presence of moderate-to-severe craniosynostosis with cloverleaf skull deformity. Other features common to type I and type II include: short ribs, narrow thorax, relative macrocephaly, distinctive facial features, brachydactyly, hypotonia, and redundant skin folds along the limbs. Most affected infants die of respiratory insufficiency shortly after birth. Rare long-term survivors have been reported.
Thanatophoric dysplasia type 1
MedGen UID:
358383
Concept ID:
C1868678
Disease or Syndrome
Thanatophoric dysplasia (TD) is a short-limb skeletal dysplasia that is usually lethal in the perinatal period. TD is divided into subtypes: TD type I is characterized by micromelia with bowed femurs and, uncommonly, the presence of craniosynostosis of varying severity. TD type II is characterized by micromelia with straight femurs and uniform presence of moderate-to-severe craniosynostosis with cloverleaf skull deformity. Other features common to type I and type II include: short ribs, narrow thorax, relative macrocephaly, distinctive facial features, brachydactyly, hypotonia, and redundant skin folds along the limbs. Most affected infants die of respiratory insufficiency shortly after birth. Rare long-term survivors have been reported.

Professional guidelines

PubMed

Yamanaka Y, Ueda K, Seino Y, Tanaka H
Horm Res 2003;60 Suppl 3:60-4. doi: 10.1159/000074503. PMID: 14671399

Recent clinical studies

Etiology

Puri RD, Thakur S, Verma IC
Indian J Pediatr 2007 Nov;74(11):995-1002. doi: 10.1007/s12098-007-0183-y. PMID: 18057679
van der Harten HJ, Brons JT, Dijkstra PF, Barth PG, Niermeyer MF, Meijer CJ, van Geijn HP, Arts NF
Clin Dysmorphol 1993 Jan;2(1):1-19. PMID: 8298733
Pierce GF, Polmar SH
Clin Exp Immunol 1982 Dec;50(3):621-8. PMID: 6984669Free PMC Article

Diagnosis

Wainwright H
S Afr Med J 2016 May 25;106(6 Suppl 1):S50-3. doi: 10.7196/SAMJ.2016.v106i6.10993. PMID: 27245526
Hecht JT, Bodensteiner JB, Butler IJ
Handb Clin Neurol 2014;119:551-63. doi: 10.1016/B978-0-7020-4086-3.00036-9. PMID: 24365319
Puri RD, Thakur S, Verma IC
Indian J Pediatr 2007 Nov;74(11):995-1002. doi: 10.1007/s12098-007-0183-y. PMID: 18057679
Spirt BA, Oliphant M, Gottlieb RH, Gordon LP
Radiographics 1990 Mar;10(2):217-36. doi: 10.1148/radiographics.10.2.2183297. PMID: 2183297
Yang SS, Heidelberger KP, Brough AJ, Corbett DP, Bernstein J
Perspect Pediatr Pathol 1976;3:1-40. PMID: 972830

Prognosis

Lindy AS, Basehore MJ, Munisha M, Williams AL, Friez MJ, Writzl K, Willems P, Dougan ST
Am J Med Genet A 2016 Jun;170(6):1573-9. Epub 2016 Mar 30 doi: 10.1002/ajmg.a.37609. PMID: 27028100
Tsutsumi S, Maekawa A, Obata M, Morgan T, Robertson SP, Kurachi H
Fetal Diagn Ther 2012;32(3):216-20. Epub 2012 Feb 18 doi: 10.1159/000335687. PMID: 22354125
Omran H, Uhl M, Brandis M, Wolff G
J Pediatr 2000 Mar;136(3):411-3. doi: 10.1067/mpd.2000.103443. PMID: 10700704
Rennie AC, Stewart G, Whiteford M, Johnston T, Tolmie JL
Prenat Diagn 1997 Nov;17(11):1067-70. PMID: 9399356
Aslan Y, Erduran E, Mocan H, Soylu H, Gedik Y
Genet Couns 1996;7(1):17-20. PMID: 8652083

Clinical prediction guides

Lindy AS, Basehore MJ, Munisha M, Williams AL, Friez MJ, Writzl K, Willems P, Dougan ST
Am J Med Genet A 2016 Jun;170(6):1573-9. Epub 2016 Mar 30 doi: 10.1002/ajmg.a.37609. PMID: 27028100
Tsutsumi S, Maekawa A, Obata M, Morgan T, Robertson SP, Kurachi H
Fetal Diagn Ther 2012;32(3):216-20. Epub 2012 Feb 18 doi: 10.1159/000335687. PMID: 22354125
Vajo Z, Francomano CA, Wilkin DJ
Endocr Rev 2000 Feb;21(1):23-39. doi: 10.1210/edrv.21.1.0387. PMID: 10696568
Rennie AC, Stewart G, Whiteford M, Johnston T, Tolmie JL
Prenat Diagn 1997 Nov;17(11):1067-70. PMID: 9399356

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