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Understanding

Hypochondroplasia

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Comprehensive information, compassionate support, and a caring community for individuals with Hypochondroplasia, their families, and medical professionals.

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WHAT’S Hypochondroplasia?

Hypochondroplasia (HCH) is a genetic condition that affects how bones develop and grow. It belongs to a group of conditions called skeletal dysplasias, which are disorders that affect bone and cartilage development. Hypochondroplasia is the mildest of the FGFR3-associated skeletal dysplasias and is caused by missense mutations in fibroblast growth factor receptor 3 (FGFR3), with the majority of cases resulting from a heterozygous p.Asn540Lys gain-of-function mutation.
Short stature:

Adults usually reach 4'3" to 4'10" (130-147 cm)

Enlarged head:

Medical term is macrocephaly

Shortened fingers:

Known as brachydactyly

Key Characteristics

People with hypochondroplasia typically have:

Limited elbow movement:

Reduced range of motion at the elbows

Curved lower back:

Called lumbar lordosis

Bowed legs:

Medical term is genu varum

The Genetics Behind Hypochondroplasia

FGFR3 gene

Hypochondroplasia is caused by changes (mutations) in the provides instructions for making a protein called fibroblast growth factor receptor 3. This protein plays a crucial role in bone development, particularly in controlling how cartilage turns into bone during growth.

How Mutations Cause Problems

The mutations in FGFR3 cause a gain-of-function effect, meaning the protein becomes overactive. This overactivity interferes with normal bone development, leading to the characteristic features of hypochondroplasia.

Common Mutations

The majority of hypochondroplasia cases result from a specific mutation called p.Asn540Lys. However, researchers have identified several other mutations that can cause the condition.

Inheritance Pattern

Hypochondroplasia follows an autosomal dominant inheritance pattern. This means:

  1. Only one copy of the mutated gene is needed to cause the condition
  2. If one parent has hypochondroplasia, each child has a 50% chance of inheriting it
  3. However, about 70% of cases are “de novo” (new mutations) occurring in families with no previous history
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