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Article Abstract

Introduction: X-linked spondyloepiphyseal dysplasia tarda(SEDT) is a type of shorttrunk skeletal dysplasia, occurring in males due to mutation in TRAPPC2 gene.

Case Report: We describe a large Indian family with multiple males affected with X-linked SEDT. The affected individuals presented with disproportionate short stature, short trunk, and barrel-shaped chest. Elder sibs aged 26 years and 31 years had back and hip pain. Premature osteoarthritis was seen requiring hip replacement surgery in one sib. The known pathogenic nonsense mutation c.209G>A (p.W70X) was identified in TRAPPC2 gene. This is the first mutation proven Indian kindred with X-linked SEDT.

Conclusion: Knowledge of molecular basis is essential to provide definitive diagnosis, accurate counseling, and prenatal diagnosis or early postnatal diagnosis for this rare condition.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476708PMC
http://dx.doi.org/10.13107/jocr.2020.v10.i02.1670DOI Listing

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Article Synopsis
  • Spondyloepiphyseal dysplasia tarda (SEDT) is a rare genetic disorder affecting the skeleton, and there's limited information on orthopedic surgeries for affected patients, marking this study as a significant first.
  • A 31-year-old man, previously misdiagnosed with juvenile idiopathic arthritis, was found to have SEDT with severe spinal issues, ultimately undergoing surgery that included laminectomy and spinal decompression, leading to improved mobility one year later.
  • The study emphasizes the importance of early diagnosis and tailored treatment plans for SEDT, advocating for surgical intervention when neurological and joint mobility issues arise.
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