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. 2025 Aug 22;17(3):297–306. doi: 10.4274/jcrpe.galenos.2025.2024-9-7

Table 2. Clinical summary of the patients .

-

Patient 1

Patient 2

Patient 3

Patient 4

Patient 5

Patient 6

COL2A1 heterozygous mutation (NM_001844.4)

c.1023+2T>C

c.905C>T:p.Ala302Val

c.1394G>A:p.Gly465Asp

c.2564G>A:p.Gly855Asp

c.2006G>C:p.Gly669Ala

c.2006G>C:p.Gly669Ala

Mutation type

Splicing

Missense

Missense

Missense

Missense

Missense

Inheritance

De novo

De novo

De novo

De novo

Maternal

De novo

Novel variant

+

-

+

+

+

+

Gender

Male

Female

Male

Female

Male

Female

Age of diagnosis (years)

0.42

3

7.5

1.5

1 y

28

Age at last admission (years)

3

6

12

4.5

5 y 10 mo 5.83

32

Short-trunk dwarfism, identifiable at birth

-

+

+

+

+

?

Height SDS

-2

-5.9

-8.3

-7.8

-5.3

-6.8

Weight SDS

-0.9

-2.9

-2.4

-4.5

-2

-2.8

Head circumference SDS

1.5

0.5

0.2

1.4

-0.9

-2

Congenital hypotonia

-

+

+

+

-

+

Flat midface

+

+

-

-

-

-

Round face

+

+

-

-

-

-

Malar hypolasia

-

-

-

-

-

-

Short neck

+

+

+

+

+

+

Cleft palate

-

-

+

-

-

-

Hearing loss

-

+

+

-

-

-

Myopia

-

+

-

-

-

-

Retinal detachment

-

-

-

-

-

-

Pectus excavatum

-

-

-

+

-

-

Pectus carinatum

-

-

+

-

-

-

Barrel chest

-

-

-

-

+

-

Inguinal hernias

-

-

+

-

-

-

Atlanto-axial instability

-

+

+

-

-

-

Odontoid hypoplasia

-

+

+

-

-

-

Platyspondyly

+

-

+

+

-

+

Irregular vertebral endplates

+

+

+

+

-

+

Coronal vertebral clefts

-

-

+

-

-

-

Kyphosis

-

-

+

-

-

-

Scoliosis

-

+

+

-

-

+

Lordosis

+

+

+

+

+

+

Dislocation of hip, congenital

-

?

-

+

-

+

Coxa vara

-

-

-

-

-

-

Coxa valga

+

-

-

-

-

-

Flexion contractures, especially at hip and knee

-

+

-

-

-

+

Absent pubic ossification, infancy

+

+

+

+

+

?

Delayed epiphyseal ossification, childhood

+

+

+

+

+

+

Enlarged epiphyses

+

-

-

-

-

-

Irregular epiphyses

+

+

+

+

-

+

Metaphyseal irregularity

+

+

+

+

-

-

Osteosclerosis/osteopenia zones

-

-

+

-

-

-

Short, dumbbell appearance of long bones

+

-

-

+

-

-

Limited joint mobility

-

+

-

-

-

+

Painful joints

-

+

+

+

-

-

Enlarged joints

+

+

-

-

-

-

Delayed motor milestones

+

+

+

+

+

+

Abnormal gait

+

+

+

+

+

-

Normal intelligence

+

+

+

+

+

+

SDS: standard deviation score