Chondrodysplasia lethal recessive
Chondrodysplasia Lethal Recessive is a rare genetic disorder characterized by abnormal development of bone and cartilage, leading to severe skeletal abnormalities. This condition falls under the broader category of chondrodysplasia, which encompasses a group of disorders affecting the growth and development of bones and cartilage. The term "lethal" in its name indicates that this particular form of chondrodysplasia is often fatal, either in utero or shortly after birth.
Etiology[edit | edit source]
Chondrodysplasia Lethal Recessive is caused by genetic mutations that are inherited in an autosomal recessive manner. This means that an individual must inherit two copies of the mutated gene, one from each parent, to be affected by the disorder. The specific genes involved can vary, but mutations affecting the development and function of bone and cartilage tissue are the underlying cause.
Pathophysiology[edit | edit source]
The genetic mutations responsible for Chondrodysplasia Lethal Recessive disrupt the normal process of bone and cartilage formation. Cartilage is a flexible tissue that plays a critical role in the growth and shape of the skeleton. In individuals with this condition, cartilage fails to properly convert into bone during fetal development, leading to shortening of the bones, particularly those in the arms and legs, and abnormalities in the structure of the ribs and spine.
Clinical Features[edit | edit source]
The clinical manifestations of Chondrodysplasia Lethal Recessive are apparent at birth and include severe dwarfism, underdeveloped lungs (pulmonary hypoplasia), and distinctive facial features. The rib cage is often narrow and constricted, which, combined with underdeveloped lungs, can lead to severe respiratory difficulties. Other features may include shortening of the long bones, bowed legs or arms, and underdeveloped fingers and toes.
Diagnosis[edit | edit source]
Diagnosis of Chondrodysplasia Lethal Recessive is typically made based on clinical examination and imaging studies, such as ultrasound during pregnancy or X-ray after birth. Genetic testing can confirm the diagnosis by identifying the specific mutations responsible for the disorder.
Management and Prognosis[edit | edit source]
Management of Chondrodysplasia Lethal Recessive is supportive, focusing on the treatment of symptoms and complications. Due to the severe nature of the skeletal abnormalities and respiratory issues, the prognosis for individuals with this condition is poor, with most affected infants not surviving beyond the neonatal period.
Conclusion[edit | edit source]
Chondrodysplasia Lethal Recessive is a devastating genetic disorder with significant impact on skeletal development. Ongoing research into the genetic causes and mechanisms of chondrodysplasias may provide hope for future treatments or interventions that could improve outcomes for affected individuals.
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Contributors: Prab R. Tumpati, MD