Table 1.
Clinical Findings of the Affected Individuals with XLR SEMD BGN Type
Family |
F1 (Korean) |
F2 (Italian) |
F3 (Indian) |
||||||
---|---|---|---|---|---|---|---|---|---|
Subject | IV-1 | IV-2 | II-1 | II-2 | II-6 | V-8 | V-9 | VI-2 | III-4 |
Age at onset of symptoma | 12 months | 15 months | <2 years | <2 years | <2 years | 18 months | 18 months | 18 months | around 2 years |
Age at exam | 5 years 1 month | 2 years 9 months | 72 years | 70 years | 60 years | 52 years (73 yearsb) | 50 years (51 yearsb) | 25 years (46 yearsb) | 10 years |
Height at exam (cm) (SD) | 90 (−4.17) | 79.6 (−3.56) | 115 (−9.67) | 113 (−10) | 115 (−9.67) | 119 (−8.98) | 125 (−7.95) | 131 (−6.91)c | 103 (−5.58) |
Weight at exam (kg) (SD) | 17.1 (−0.78) | 13.5 (−0.83) | ND | ND | ND | 68 (0.51) | 58 (−0.55) | ND | 30 (−1.15) |
Mesomelic short limbs | + | + | + | + | + | + | + | + | + |
Genu varum | + | + | + | + | + | + | + | + | + |
Lumbar lodosis | + | + | + | + | + | + | + | ND | − |
Brachydactyly | + | + | + | + | + | + | + | + | + |
Joint laxity | + | + | + | + | + | − | − | − | − |
Waddling gait | + | + | + | + | + | + | + | + | + |
Episode of fractures | − | − | − | − | − | − | +d | +e | − |
Current medication | − | − | AHD | AHD | AHD | AHD | AHD | − | − |
Intelligence | N | N | N | N | N | N | N | N | N |
BGN mutation | c.[439A>G];[0] | c.[439A>G];[0] | ND | c.[439A>G];[0] | c.[439A>G];[0] | c.[776G>T];[0] | c.[776G>T];[0] | c.[776G>T];[0] | c.[439A>G];[0] |
All affected individuals had no hypotonia, limitation of movement, joint pain during childhood, early degenerative osteoarthritis, dentinogenesis imperfecta, hyperextensibility, visual difficulty, hearing difficulty, or neurologic abnormalities. Abbreviations are as follows: N, normal; ND, not described; SDS, standard deviation score; DI, dentinogenesis imperfecta; AHD, antihypertensive drug.
Disproportionately short stature with markedly bowed legs.
Follow up examination in 2015.
160 (−1.91) cm after surgery.
Fracture of femur secondary to accidental trauma at 60 years.
Various fractures after lengthening of the lower limbs.