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Osteoglophonic dysplasia is a rare disorder affecting bone development. It results in significant craniofacial deformities, dwarfism, and other distinctive characteristics. The name "osteoglophonic" describes the bones, which have unique hollowed-out regions ("holes") visible on x-rays.
A common feature of osteoglophonic dysplasia is craniosynostosis, the premature joining of certain skull bones. This can lead to a head shape that appears tall ("tower-shaped skull"). In some cases, a milder form of a more severe deformity known as a "cloverleaf skull" may be present. Facial features often include a prominent forehead (frontal bossing), widely spaced eyes (hypertelorism), a flattened nasal bridge and midface (midface hypoplasia), an enlarged tongue (macroglossia), a protruding jaw (prognathism), and a short neck. Individuals with this condition often lack visible teeth due to their failure to erupt from the jaw (clinical anodontia). Additionally, the gums are frequently overgrown (hypertrophic gingiva).
Infants with osteoglophonic dysplasia often struggle to thrive, exhibiting poor weight gain and growth. Affected individuals also have short, curved limbs and are short in stature. Flat feet and short, broad hands and fingers are also common.
The lifespan of individuals with osteoglophonic dysplasia varies depending on the severity of their craniofacial abnormalities. Severe deformities that impact the airways, mouth, and teeth can lead to breathing difficulties and problems with feeding and drinking. Importantly, despite the skull abnormalities, cognitive function is typically normal in individuals with this disorder.
Osteoglophonic dysplasia follows an autosomal dominant inheritance pattern. This means that only one copy of the mutated gene is required to cause the condition. Most cases occur due to new, spontaneous mutations in the responsible gene, with no prior family history. However, some individuals inherit the mutated gene from a parent who also has the condition.
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