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Genetics Home Reference: your guide to understanding genetic conditions
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Czech dysplasia

Reviewed July 2008

What is Czech dysplasia?

Czech dysplasia is an inherited condition that affects joint function and bone development. People with this condition have joint pain (osteoarthritis) that begins in adolescence or early adulthood. The joint pain mainly affects the hips, knees, shoulders, and spine and may impair mobility. People with Czech dysplasia often have shortened bones in their third and fourth toes, which make their first two toes appear unusually long. Affected individuals may have flattened bones of the spine (platyspondyly) or an abnormal spinal curvature, such as a rounded upper back that also curves to the side (kyphoscoliosis). Some people with Czech dysplasia have progressive hearing loss.

How common is Czech dysplasia?

The prevalence of Czech dysplasia is unknown; at least 11 families have been affected. Most of these families reside in the Czech Republic.

What genes are related to Czech dysplasia?

Czech dysplasia is caused by a particular mutation in the COL2A1 gene. The COL2A1 gene provides instructions for making a protein that forms type II collagen. This type of collagen is found mostly in the clear gel that fills the eyeball (the vitreous) and in cartilage. Cartilage is a tough, flexible tissue that makes up much of the skeleton during early development. Most cartilage is later converted to bone, except for the cartilage that continues to cover and protect the ends of bones and is present in the nose and external ears. Type II collagen is essential for the normal development of bones and other connective tissues that form the body's supportive framework. Mutations in the COL2A1 gene interfere with the assembly of type II collagen molecules, which prevents bones and other connective tissues from developing properly.

Related Gene(s)

Changes in this gene are associated with Czech dysplasia.

  • COL2A1

How do people inherit Czech dysplasia?

Czech dysplasia is inherited in an autosomal dominant pattern, which means one copy of the altered COL2A1 gene in each cell is sufficient to cause the disorder.

All known individuals with Czech dysplasia inherited the mutation from a parent with the condition.

Where can I find information about diagnosis or management of Czech dysplasia?

These resources address the diagnosis or management of Czech dysplasia and may include treatment providers.

  • Genetic Testing Registry: Czech dysplasia metatarsal type (http://www.ncbi.nlm.nih.gov/gtr/conditions/C1836683)

You might also find information on the diagnosis or management of Czech dysplasia in Educational resources (http://www.ghr.nlm.nih.gov/condition/czech-dysplasia/show/Educational+resources) and Patient support (http://www.ghr.nlm.nih.gov/condition/czech-dysplasia/show/Patient+support).

General information about the diagnosis (http://ghr.nlm.nih.gov/handbook/consult/diagnosis) and management (http://ghr.nlm.nih.gov/handbook/consult/treatment) of genetic conditions is available in the Handbook. Read more about genetic testing (http://ghr.nlm.nih.gov/handbook/testing), particularly the difference between clinical tests and research tests (http://ghr.nlm.nih.gov/handbook/testing/researchtesting).

To locate a healthcare provider, see How can I find a genetics professional in my area? (http://ghr.nlm.nih.gov/handbook/consult/findingprofessional) in the Handbook.

Where can I find additional information about Czech dysplasia?

You may find the following resources about Czech dysplasia helpful. These materials are written for the general public.

You may also be interested in these resources, which are designed for healthcare professionals and researchers.

What other names do people use for Czech dysplasia?

  • Czech dysplasia, metatarsal type
  • progressive pseudorheumatoid dysplasia with hypoplastic toes
  • spondyloarthropathy with short third and fourth toes

For more information about naming genetic conditions, see the Genetics Home Reference Condition Naming Guidelines (http://ghr.nlm.nih.gov/ConditionNameGuide) and How are genetic conditions and genes named? (http://ghr.nlm.nih.gov/handbook/mutationsanddisorders/naming) in the Handbook.

What if I still have specific questions about Czech dysplasia?

Ask the Genetic and Rare Diseases Information Center (http://rarediseases.info.nih.gov/GARD/).

What glossary definitions help with understanding Czech dysplasia?

autosomal ; autosomal dominant ; cartilage ; cell ; collagen ; dysplasia ; gene ; inherited ; joint ; kyphoscoliosis ; mutation ; prevalence ; protein ; tissue

You may find definitions for these and many other terms in the Genetics Home Reference Glossary (http://www.ghr.nlm.nih.gov/glossary).

References

  • Hoornaert KP, Marik I, Kozlowski K, Cole T, Le Merrer M, Leroy JG, Coucke PJ, Sillence D, Mortier GR. Czech dysplasia metatarsal type: another type II collagen disorder. Eur J Hum Genet. 2007 Dec;15(12):1269-75. Epub 2007 Aug 29. (http://www.ncbi.nlm.nih.gov/pubmed/17726487?dopt=Abstract)
  • Kozlowski K, Marik I, Marikova O, Zemkova D, Kuklik M. Czech dysplasia metatarsal type. Am J Med Genet A. 2004 Aug 15;129A(1):87-91. (http://www.ncbi.nlm.nih.gov/pubmed/15266623?dopt=Abstract)
  • Marik I, Marikova O, Zemkova D, Kuklik M, Kozlowski K. Dominantly inherited progressive pseudorheumatoid dysplasia with hypoplastic toes. Skeletal Radiol. 2004 Mar;33(3):157-64. Epub 2004 Jan 17. (http://www.ncbi.nlm.nih.gov/pubmed/14730409?dopt=Abstract)
  • Tzschach A, Tinschert S, Kaminsky E, Lusga E, Mundlos S, Graul-Neumann LM. Czech dysplasia: report of a large family and further delineation of the phenotype. Am J Med Genet A. 2008 Jul 15;146A(14):1859-64. doi: 10.1002/ajmg.a.32389. (http://www.ncbi.nlm.nih.gov/pubmed/18553548?dopt=Abstract)

 

The resources on this site should not be used as a substitute for professional medical care or advice. Users seeking information about a personal genetic disease, syndrome, or condition should consult with a qualified healthcare professional. See How can I find a genetics professional in my area? (http://ghr.nlm.nih.gov/handbook/consult/findingprofessional) in the Handbook.

 
Reviewed: July 2008
Published: August 25, 2014