Table 1.
iPPSD1: phenotypes associated with PTH1R pathogenic variants.
MIM number | Inheritance | Suspected mechanism | Antenatal manifestations | Growth | Facial dysmorphism | Teeth | Skeletal features | Lab findings | Evolution | |
---|---|---|---|---|---|---|---|---|---|---|
Blomstrand chondrodysplasia | 215045 | AR | Loss of function | Hydrops fetalis, polyhydramnios | n.a. | Midface hypoplasia, mandibular hypoplasia | n.a. | Advanced skeletal maturation, short limbs | n.a. | Death at birth or shortly thereafter |
Eiken syndrome | 600002 | AR | Loss of function | n.a. | Short stature | n.a. | Primary failure of eruption | Delayed ossification, brachydactyly, partial sacrum agenesis | Normal calcemia, elevated or normal PTH |
Normal intelligence |
Primary failure of tooth eruption | 125350 | AR or AD | Loss of function or haploinsufficiency | n.a. | n.a. | n.a. | Primary failure of eruption | n.a. | n.a. | n.a. |
Murk Jansen metaphyseal chondrodysplasia | 156400 | AD | Gain of function | n.a. | Severe postnatal short stature | Brachycephaly, hypertelorism, micrognathia. | Malposition | Generalized osteopenia, pathologic fractures, short bowed limbs, clinodactyly, short clubbed fingers | Hypercalcemia, hypophosphatemia, low or absent PTH | Waddling gait, deafness |
Modified from OMIM clinical synopses.
iPPSD, inactivating PTH/PTHrP signalling disorder; AR, autosomal recessive; PTH, parathyroid hormone; n.a., not available; AD, autosomal dominant.