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.