Spondyloepiphyseal dysplasia tarda

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Spondyloepiphyseal Dysplasia Tarda
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Synonyms
Pronounce N/A
Specialty Orthopedics, Genetics
Symptoms Short stature, spinal deformities, joint pain
Complications Arthritis, Scoliosis, Osteoarthritis
Onset Childhood or adolescence
Duration Lifelong
Types
Causes Genetic mutations (X-linked recessive)
Risks N/A
Diagnosis Clinical examination, genetic testing, X-rays
Differential diagnosis Spondyloepiphyseal dysplasia congenita, Achondroplasia, Osteogenesis imperfecta
Prevention
Treatment Symptomatic (physical therapy, orthopedic interventions)
Medication
Prognosis Variable
Frequency Rare
Deaths


Spondyloepiphyseal Dysplasia Tarda (SED tarda) is a rare genetic disorder characterized by short stature, spinal deformities, and problems with the ends of bones that develop from growth plates (epiphyses). It primarily affects males and usually becomes apparent in late childhood or adolescence.

Symptoms and Signs[edit | edit source]

Individuals with Spondyloepiphyseal Dysplasia Tarda often present with a short trunk, short stature, and muscle weakness. Spinal abnormalities such as scoliosis (curvature of the spine) and lordosis (excessive inward curvature of the spine) are common. Joint pain and early onset osteoarthritis can occur due to abnormal development of the epiphyses. Some individuals may also experience vision and hearing problems.

Causes[edit | edit source]

SED tarda is most commonly inherited in an X-linked recessive pattern, which means the condition is caused by mutations in a gene on the X chromosome. The responsible gene is often the TRAPPC2 gene. Because males have only one X chromosome, a single altered copy of the gene in each cell is sufficient to cause the disorder. Females, having two X chromosomes, are typically carriers and usually do not show symptoms.

Diagnosis[edit | edit source]

Diagnosis of Spondyloepiphyseal Dysplasia Tarda involves a thorough clinical examination, family history, and radiographic findings. X-rays can reveal characteristic skeletal abnormalities, particularly in the spine and long bones. Genetic testing can confirm a diagnosis by identifying a mutation in the TRAPPC2 gene.

Treatment[edit | edit source]

There is no cure for Spondyloepiphyseal Dysplasia Tarda, and treatment focuses on managing symptoms and improving quality of life. Physical therapy may help strengthen muscles and improve mobility. Orthopedic interventions, such as surgery, may be necessary to correct skeletal deformities and alleviate pain. Regular monitoring for complications like scoliosis and joint problems is important.

Prognosis[edit | edit source]

The prognosis for individuals with Spondyloepiphyseal Dysplasia Tarda varies. While the condition does not typically affect life expectancy, it can significantly impact quality of life through chronic pain and mobility issues. Early intervention and supportive care can help manage symptoms and reduce the risk of complications.

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Contributors: Prab R. Tumpati, MD