Achondroplasia / Hypochondroplasia

Definition

Achondroplasia is the most common cause of disproportionate short stature; it presents with shortened limbs, an enlarged head and characteristic facial features. Hypochondroplasia is a similar but milder form. Both result from gain-of-function mutations in the FGFR3 gene that keep the receptor constantly active and excessively suppress chondrocyte proliferation; FGFR3 variants form a severity spectrum running from hypochondroplasia to achondroplasia to SADDAN to thanatophoric dysplasia.

Gene/region analyzed

FGFR3 - Exon 9, FGFR3 - Exon 10, FGFR3 - Exon 13, FGFR3 - Exon 15

Method

Sequence analysis

Accepted sample types

EDTA blood, AF, CVS

Inheritance

Inherited in an autosomal dominant manner; about 80% of cases result from a de novo mutation and 20% are inherited from an affected parent. An affected individual has a 50% risk of passing it on to each child.

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