Thanatophoric dysplasia

Definition

This is the most common lethal skeletal dysplasia, usually fatal in the perinatal period. There are two types: Type 1 presents with curved femurs, with about 90 percent of cases caused by the p.Arg248Cys and p.Tyr373Cys variants; Type 2 presents with straight femurs and a cloverleaf skull deformity, with a single variant (p.Lys650Glu) found in all cases. Both types result from ligand-independent, gain-of-function activation of FGFR3; most infants die in the perinatal period from respiratory failure due to a narrow chest.

Gene/region examined

FGFR3 - Exon 10, Exon 15

Method

Sequence analysis

Accepted sample types

EDTA blood, AF, CVS

Inheritance

Inherited in an autosomal dominant manner; in the large majority of cases the FGFR3 variant is de novo.

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