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CHONDRODYSTROPHIA CALCIFICANS CONGENITA

CHONDRODYSTROPHIA CALCIFICANS CONGENITA
CHONDRODYSPLASIA PUNCTATA, RHIZOMELIC TYPE
215100
OMIM = Online Mendelian Inheritance of Men
177
Peroxisomal targeting signal 2 receptor
6q23.3
Q77.3
rare (>200 cases)
autosomal recessive
mutation in the PEX7 gene
poor prognosis
Laboratory findings    Alkyl-dihydroxyacetone-phosphate synthase ()
    Alkyl-dihydroxyacetone-phosphate synthase dec (fibroblasts)
    Dihydroxyacetone-phosphate acyltransferase (DHAPAT) dec (fibroblasts)
    Phytanic acid inc (plasma)
    Phytanic acid oxidation ()
Symptoms  femora, shortened
   cataract
   congenital heart defect
   contractures, joints
   dysmorphism
   epilepsy
   growth retardation, poor growth
   hearing defect, deafness
   ichthyosis
   infections (respiratory tract/system)
   infections (severe or recurrent)
   intellectual disability/intellectual developmental disorder
   metaphyseal dysplasia
   shortening of long bones
   skeletal changes, skeletal abnormalities
   spastic diplegia/quadriplegia/tetraplegia
    alopecia
    humeri, shortened
    limb abnormalities, limb deformities
    lymyphedema
    mental retardation
    microcephaly (<2 SD for age)
    onset, infancy
    onset, neonatal
    optic atrophy
    Plasmalogens, biosynthesis
    punctate calcifications
    seizures
    short stature
    X-ray, abnormalities