Metaphyseal chondrodysplasia, Jansen type

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ORPHA:33067OMIM:156400Q78.5
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Overview

Jansen type metaphyseal chondrodysplasia (also called Jansen's metaphyseal chondrodysplasia or Jansen disease) is an extremely rare genetic disorder that affects how bones grow and develop. It belongs to a group of conditions called skeletal dysplasias, which means the bones form and grow in an unusual way. The disease is caused by a change (mutation) in a gene called PTH1R, which controls how the body responds to parathyroid hormone — a hormone that normally helps regulate calcium and phosphate levels in the blood and bones. People with this condition have bones that do not develop properly at the growth plates — the areas near the ends of long bones where new bone tissue is made. This leads to short stature, bowed legs, and joints that look enlarged or knobby. The face may also look different, with a small jaw and wide-set eyes. Interestingly, blood calcium levels are often very high even though parathyroid hormone levels are normal or low, which can cause additional health problems. There is currently no cure for Jansen type metaphyseal chondrodysplasia. Treatment focuses on managing symptoms, especially high calcium levels (hypercalcemia), bone pain, and mobility challenges. A team of specialists including endocrinologists, orthopedic surgeons, and clinical geneticists typically work together to support affected individuals throughout their lives.

Key symptoms:

Very short stature (much shorter than average height)Bowed legs and armsEnlarged, knobby-looking jointsHigh calcium levels in the blood (hypercalcemia)Low phosphate levels in the bloodBone pain or tendernessWaddling walk or difficulty walkingDistinctive facial features such as wide-set eyes, a small jaw, and a high foreheadHearing loss in some casesKidney stones (from high calcium levels)Muscle weaknessDental problems including delayed or abnormal tooth developmentShortened fingers and toes

Clinical phenotype terms (25)— hover any for plain English
Sclerosis of skull baseHP:0002694Thin bony cortexHP:0002753HydroxyprolinuriaHP:0003080Disproportionate short-limb short statureHP:0008873Thin ribsHP:0000883
Inheritance

Autosomal dominant

Passed on from just one parent; each child has about a 50% chance of inheriting it

Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Metaphyseal chondrodysplasia, Jansen type.

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No actively recruiting trials found for Metaphyseal chondrodysplasia, Jansen type at this time.

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No specialists are currently listed for Metaphyseal chondrodysplasia, Jansen type.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Metaphyseal chondrodysplasia, Jansen type.

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Community

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Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

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Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.What calcium level is safe for my child, and how often should we check it?,Are there any medications or supplements (like vitamin D or calcium) that we should avoid?,Does my child need orthopedic surgery now, or can we wait and monitor?,What signs should prompt us to go to the emergency room?,Should other family members be tested for the PTH1R gene mutation?,Are there any clinical trials or research studies we could participate in?,What support services or patient organizations can help our family?

Common questions about Metaphyseal chondrodysplasia, Jansen type

What is Metaphyseal chondrodysplasia, Jansen type?

Jansen type metaphyseal chondrodysplasia (also called Jansen's metaphyseal chondrodysplasia or Jansen disease) is an extremely rare genetic disorder that affects how bones grow and develop. It belongs to a group of conditions called skeletal dysplasias, which means the bones form and grow in an unusual way. The disease is caused by a change (mutation) in a gene called PTH1R, which controls how the body responds to parathyroid hormone — a hormone that normally helps regulate calcium and phosphate levels in the blood and bones. People with this condition have bones that do not develop properly

How is Metaphyseal chondrodysplasia, Jansen type inherited?

Metaphyseal chondrodysplasia, Jansen type follows a autosomal dominant inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Metaphyseal chondrodysplasia, Jansen type typically begin?

Typical onset of Metaphyseal chondrodysplasia, Jansen type is neonatal. Age of onset can vary across affected individuals.