Chapman, "Pseudoachondroplasia and multiple epiphyseal dysplasia: mutation review, molecular interactions, and genotype to phenotype correlations, " Human Mutation, vol.
Taylor et al., "Pseudoachondroplasia and multiple epiphyseal dysplasia: a 7-year comprehensive analysis of the known disease genes identify novel and recurrent mutations and provides an accurate assessment of their relative contribution, " Human Mutation, vol.
The natural history of
pseudoachondroplasia includes osteoarthritic changes of the extremities and the spine, which are related to abnormal epiphyseal development, along with joint laxity, and may occur in early adult life.
With the aid of an adequate physical examination and history, the diagnosis of pseudoachondroplasia is delineated from other skeletal dysplasias by radiographic findings.
Pseudoachondroplasia appears to develop secondarily to a mutation within the genes encoding for cartilage oligomeric matrix protein (COMP) on chromosome 19 and is most closely related to multiple epiphyseal dysplasia (MED/EDM1), a disorder also characterized by a mutation of the COMP.3 Cartilage oligomeric matrix protein is found in the extracellular matrix of cartilage, tendon, and ligament and, along with type IX collagen, is a key structural component of the cartilage extracellular matrix.
The natural history of pseudoachondroplasia involves progressive degrees of morbidity.
Pseudoachondroplasia is a rare autosomal disorder with relatively frequent sporadic cases.
Mutations of the COMP gene, encoding the cartilage oligomeric mineral protein, cause
pseudoachondroplasia.