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Multiple epiphyseal dysplasia

Reviewed November 2014

What is multiple epiphyseal dysplasia?

Multiple epiphyseal dysplasia is a disorder of cartilage and bone development primarily affecting the ends of the long bones in the arms and legs (epiphyses). There are two types of multiple epiphyseal dysplasia, which can be distinguished by their pattern of inheritance. Both the dominant and recessive types have relatively mild signs and symptoms, including joint pain that most commonly affects the hips and knees, early-onset arthritis, and a waddling walk. Although some people with multiple epiphyseal dysplasia have mild short stature as adults, most are of normal height. The majority of individuals are diagnosed during childhood; however, some mild cases may not be diagnosed until adulthood.

Recessive multiple epiphyseal dysplasia is distinguished from the dominant type by malformations of the hands, feet, and knees and abnormal curvature of the spine (scoliosis). About 50 percent of individuals with recessive multiple epiphyseal dysplasia are born with at least one abnormal feature, including an inward- and upward-turning foot (clubfoot), an opening in the roof of the mouth (cleft palate), an unusual curving of the fingers or toes (clinodactyly), or ear swelling. An abnormality of the kneecap called a double-layered patella is also relatively common.

How common is multiple epiphyseal dysplasia?

The incidence of dominant multiple epiphyseal dysplasia is estimated to be at least 1 in 10,000 newborns. The incidence of recessive multiple epiphyseal dysplasia is unknown. Both forms of this disorder may actually be more common because some people with mild symptoms are never diagnosed.

What genes are related to multiple epiphyseal dysplasia?

Mutations in the COMP, COL9A1, COL9A2, COL9A3, or MATN3 gene can cause dominant multiple epiphyseal dysplasia. These genes provide instructions for making proteins that are found in the spaces between cartilage-forming cells (chondrocytes). These proteins interact with each other and play an important role in cartilage and bone formation. 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.

The majority of individuals with dominant multiple epiphyseal dysplasia have mutations in the COMP gene. About 10 percent of affected individuals have mutations in the MATN3 gene. Mutations in the COMP or MATN3 gene prevent the release of the proteins produced from these genes into the spaces between the chondrocytes. The absence of these proteins leads to the formation of abnormal cartilage, which can cause the skeletal problems characteristic of dominant multiple epiphyseal dysplasia.

The COL9A1, COL9A2, and COL9A3 genes provide instructions for making a protein called type IX collagen. Collagens are a family of proteins that strengthen and support connective tissues, such as skin, bone, cartilage, tendons, and ligaments. Mutations in the COL9A1, COL9A2, or COL9A3 gene are found in less than five percent of individuals with dominant multiple epiphyseal dysplasia. It is not known how mutations in these genes cause the signs and symptoms of this disorder. Research suggests that mutations in these genes may cause type IX collagen to accumulate inside the cell or interact abnormally with other cartilage components.

Some people with dominant multiple epiphyseal dysplasia do not have a mutation in the COMP, COL9A1, COL9A2, COL9A3, or MATN3 gene. In these cases, the cause of the condition is unknown.

Mutations in the SLC26A2 gene cause recessive multiple epiphyseal dysplasia. This gene provides instructions for making a protein that is essential for the normal development of cartilage and for its conversion to bone. Mutations in the SLC26A2 gene alter the structure of developing cartilage, preventing bones from forming properly and resulting in the skeletal problems characteristic of recessive multiple epiphyseal dysplasia.

Related Gene(s)

Changes in these genes are associated with multiple epiphyseal dysplasia.

  • COL9A1
  • COL9A2
  • COL9A3
  • COMP
  • MATN3
  • SLC26A2

How do people inherit multiple epiphyseal dysplasia?

Multiple epiphyseal dysplasia can have different inheritance patterns.

This condition can be inherited in an autosomal dominant pattern, which means one copy of the altered gene in each cell is sufficient to cause the disorder. In some cases, an affected person inherits the mutation from one affected parent. Other cases may result from new mutations in the gene. These cases occur in people with no history of the disorder in their family.

Multiple epiphyseal dysplasia can also be inherited in an autosomal recessive pattern, which means both copies of the gene in each cell have mutations. Most often, the parents of an individual with an autosomal recessive condition each carry one copy of the mutated gene, but do not show signs and symptoms of the condition.

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

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

  • Cedars-Sinai Medical Center (http://www.cedars-sinai.edu/Patients/Health-Conditions/Skeletal-Dysplasia.aspx)
  • Gene Review: Multiple Epiphyseal Dysplasia, Dominant (http://www.ncbi.nlm.nih.gov/books/NBK1123)
  • Gene Review: Multiple Epiphyseal Dysplasia, Recessive (http://www.ncbi.nlm.nih.gov/books/NBK1306)
  • Genetic Testing Registry: Multiple epiphyseal dysplasia 1 (http://www.ncbi.nlm.nih.gov/gtr/conditions/C1838280)
  • Genetic Testing Registry: Multiple epiphyseal dysplasia 2 (http://www.ncbi.nlm.nih.gov/gtr/conditions/C1838429)
  • Genetic Testing Registry: Multiple epiphyseal dysplasia 3 (http://www.ncbi.nlm.nih.gov/gtr/conditions/C1832998)
  • Genetic Testing Registry: Multiple epiphyseal dysplasia 4 (http://www.ncbi.nlm.nih.gov/gtr/conditions/C1847593)
  • Genetic Testing Registry: Multiple epiphyseal dysplasia 5 (http://www.ncbi.nlm.nih.gov/gtr/conditions/C1846843)
  • Genetic Testing Registry: Multiple epiphyseal dysplasia 6 (http://www.ncbi.nlm.nih.gov/gtr/conditions/CN071420)

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

You may find the following resources about multiple epiphyseal 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 multiple epiphyseal dysplasia?

  • EDM1
  • EDM2
  • EDM3
  • EDM4
  • EDM5
  • epiphyseal dysplasia, Fairbank type
  • epiphyseal dysplasia, multiple, 1
  • epiphyseal dysplasia, multiple, 2
  • epiphyseal dysplasia, multiple, 3
  • epiphyseal dysplasia, multiple, 4
  • epiphyseal dysplasia, multiple, 5
  • epiphyseal dysplasia, Ribbing type
  • MED
  • multiple epiphyseal dysplasia, autosomal dominant
  • multiple epiphyseal dysplasia, autosomal recessive
  • rMED

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 multiple epiphyseal dysplasia?

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

What glossary definitions help with understanding multiple epiphyseal dysplasia?

arthritis ; autosomal ; autosomal dominant ; autosomal recessive ; bone formation ; cartilage ; cell ; cleft palate ; clinodactyly ; clubfoot ; collagen ; dysplasia ; gene ; incidence ; inheritance ; inherited ; joint ; mutation ; palate ; patella ; pattern of inheritance ; protein ; recessive ; scoliosis ; short stature ; stature ; 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

  • Ballhausen D, Bonafé L, Terhal P, Unger SL, Bellus G, Classen M, Hamel BC, Spranger J, Zabel B, Cohn DH, Cole WG, Hecht JT, Superti-Furga A. Recessive multiple epiphyseal dysplasia (rMED): phenotype delineation in eighteen homozygotes for DTDST mutation R279W. J Med Genet. 2003 Jan;40(1):65-71. (http://www.ncbi.nlm.nih.gov/pubmed/12525546?dopt=Abstract)
  • Briggs MD, Chapman KL. Pseudoachondroplasia and multiple epiphyseal dysplasia: mutation review, molecular interactions, and genotype to phenotype correlations. Hum Mutat. 2002 May;19(5):465-78. Review. (http://www.ncbi.nlm.nih.gov/pubmed/11968079?dopt=Abstract)
  • Gene Review: Multiple Epiphyseal Dysplasia, Dominant (http://www.ncbi.nlm.nih.gov/books/NBK1123)
  • Gene Review: Multiple Epiphyseal Dysplasia, Recessive (http://www.ncbi.nlm.nih.gov/books/NBK1306)
  • Jackson GC, Marcus-Soekarman D, Stolte-Dijkstra I, Verrips A, Taylor JA, Briggs MD. Type IX collagen gene mutations can result in multiple epiphyseal dysplasia that is associated with osteochondritis dissecans and a mild myopathy. Am J Med Genet A. 2010 Apr;152A(4):863-9. doi: 10.1002/ajmg.a.33240. (http://www.ncbi.nlm.nih.gov/pubmed/20358595?dopt=Abstract)
  • Lachman RS, Krakow D, Cohn DH, Rimoin DL. MED, COMP, multilayered and NEIN: an overview of multiple epiphyseal dysplasia. Pediatr Radiol. 2005 Feb;35(2):116-23. Epub 2004 Oct 21. Review. (http://www.ncbi.nlm.nih.gov/pubmed/15503005?dopt=Abstract)
  • Rossi A, Superti-Furga A. Mutations in the diastrophic dysplasia sulfate transporter (DTDST) gene (SLC26A2): 22 novel mutations, mutation review, associated skeletal phenotypes, and diagnostic relevance. Hum Mutat. 2001 Mar;17(3):159-71. Erratum in: Hum Mutat 2001;18(1):82. (http://www.ncbi.nlm.nih.gov/pubmed/11241838?dopt=Abstract)
  • Seo SG, Song HR, Kim HW, Yoo WJ, Shim JS, Chung CY, Park MS, Oh CW, Jeong C, Song KS, Kim OH, Park SS, Choi IH, Cho TJ. Comparison of orthopaedic manifestations of multiple epiphyseal dysplasia caused by MATN3 versus COMP mutations: a case control study. BMC Musculoskelet Disord. 2014 Mar 15;15:84. doi: 10.1186/1471-2474-15-84. (http://www.ncbi.nlm.nih.gov/pubmed/24629099?dopt=Abstract)
  • Superti-Furga A, Neumann L, Riebel T, Eich G, Steinmann B, Spranger J, Kunze J. Recessively inherited multiple epiphyseal dysplasia with normal stature, club foot, and double layered patella caused by a DTDST mutation. J Med Genet. 1999 Aug;36(8):621-4. (http://www.ncbi.nlm.nih.gov/pubmed/10465113?dopt=Abstract)
  • Unger S, Hecht JT. Pseudoachondroplasia and multiple epiphyseal dysplasia: New etiologic developments. Am J Med Genet. 2001 Winter;106(4):244-50. Review. (http://www.ncbi.nlm.nih.gov/pubmed/11891674?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: November 2014
Published: December 22, 2014