Chondrodysplasia, enchondromas and a chest deformity causing severe pulmonary morbidity in a boy with a <i>PTHLH</i> duplication: A case report.

Tacke, Carline E; Terheggen-Lagro, Suzanne W J; Boot, Annemieke M; Plomp, Astrid S; Polstra, Abeltje M; van Rijn, Rick R; Struijs, Peter A A; van den Berg, Henk et al. · Bone Rep · 2021

case_report · Level V

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Abstract

Parathyroid hormone-like hormone (PTHLH) plays an important role in bone formation. Several skeletal dysplasias have been described that are associated with disruption of PTHLH functioning. Here we report on a new patient with a 898 Kb duplication on chromosome 12p11.22 including the <i>PTHLH</i> gene. The boy has multiple skeletal abnormalities including chondrodysplasia, lesions radiographically resembling enchondromas and posterior rib deformities leading to a severe chest deformity. Severe pulmonary symptoms were thought to be caused by limited mobility and secondary sputum evacuation problems due to the chest deformity. Imaging studies during follow-up revealed progression of the number of skeletal lesions over time. This case extends the phenotypic spectrum associated with copy number variation of <i>PTHLH</i>.