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Acromesomelic dysplasia 3(AMD3)

MedGen UID:
904735
Concept ID:
C4225404
Disease or Syndrome
Synonyms: Acromesomelic dysplasia, Demirhan type; AMD3; Chondrodysplasia acromesomelic with genital anomalies; CHONDRODYSPLASIA, ACROMESOMELIC, WITH OR WITHOUT GENITAL ANOMALIES
 
Gene (location): BMPR1B (4q22.3)
 
Monarch Initiative: MONDO:0012274
OMIM®: 609441

Clinical features

From HPO
Primary amenorrhea
MedGen UID:
115918
Concept ID:
C0232939
Disease or Syndrome
Abnormally late or absent menarche in a female with normal secondary sexual characteristics.
Uterine hypoplasia
MedGen UID:
120575
Concept ID:
C0266399
Congenital Abnormality
Underdevelopment of the uterus.
Clubfoot
MedGen UID:
3130
Concept ID:
C0009081
Congenital Abnormality
Clubfoot is a congenital limb deformity defined as fixation of the foot in cavus, adductus, varus, and equinus (i.e., inclined inwards, axially rotated outwards, and pointing downwards) with concomitant soft tissue abnormalities (Cardy et al., 2007). Clubfoot may occur in isolation or as part of a syndrome (e.g., diastrophic dysplasia, 222600). Clubfoot has been reported with deficiency of long bones and mirror-image polydactyly (Gurnett et al., 2008; Klopocki et al., 2012).
Brachydactyly
MedGen UID:
67454
Concept ID:
C0221357
Congenital Abnormality
Digits that appear disproportionately short compared to the hand/foot. The word brachydactyly is used here to describe a series distinct patterns of shortened digits (brachydactyly types A-E). This is the sense used here.
Limb undergrowth
MedGen UID:
116086
Concept ID:
C0239399
Finding
Limb shortening because of underdevelopment of one or more bones of the extremities.
Short phalanx of finger
MedGen UID:
163753
Concept ID:
C0877165
Finding
Short (hypoplastic) phalanx of finger, affecting one or more phalanges.
Fibular aplasia
MedGen UID:
373034
Concept ID:
C1836186
Finding
Absence of the fibula.
Radial deviation of finger
MedGen UID:
322852
Concept ID:
C1836189
Finding
Bending or curvature of a finger toward the radial side (i.e., towards the thumb). The deviation is at the metacarpal-phalangeal joint, and this finding is distinct from clinodactyly.
Short toe
MedGen UID:
322858
Concept ID:
C1836195
Finding
A toe that appears disproportionately short compared to the foot.
Bilateral talipes equinovarus
MedGen UID:
332956
Concept ID:
C1837835
Congenital Abnormality
Bilateral clubfoot deformity.
Short finger
MedGen UID:
334977
Concept ID:
C1844548
Anatomical Abnormality
Abnormally short finger associated with developmental hypoplasia.
Short 1st metacarpal
MedGen UID:
376561
Concept ID:
C1849311
Finding
A developmental defect characterized by reduced length of the first metacarpal (long bone) of the hand.
Hypoplasia of the ulna
MedGen UID:
395934
Concept ID:
C1860614
Congenital Abnormality
Underdevelopment of the ulna.
Broad foot
MedGen UID:
356187
Concept ID:
C1866241
Finding
A foot for which the measured width is above the 95th centile for age; or, a foot that appears disproportionately wide for its length.
Aplasia of the proximal phalanx of the 2nd finger
MedGen UID:
869844
Concept ID:
C4024275
Finding
Absence of the proximal phalanx of the 2nd finger.
Disproportionate short-limb short stature
MedGen UID:
342370
Concept ID:
C1849937
Finding
A type of disproportionate short stature characterized by a short limbs but an average-sized trunk.
Tarsal synostosis
MedGen UID:
539393
Concept ID:
C0265654
Congenital Abnormality
Synostosis (bony fusion) involving one or more bones of the tarsus (calcaneus, talus, cuboid, navicular, cuneiiform bones).
Carpal synostosis
MedGen UID:
98468
Concept ID:
C0431863
Congenital Abnormality
Synostosis (bony fusion) involving one or more bones of the carpus (scaphoid, lunate, triquetrum, trapezium, trapezoid, capitate, hamate, pisiform).
Delayed skeletal maturation
MedGen UID:
108148
Concept ID:
C0541764
Finding
A decreased rate of skeletal maturation. Delayed skeletal maturation can be diagnosed on the basis of an estimation of the bone age from radiographs of specific bones in the human body.
Short femoral neck
MedGen UID:
373033
Concept ID:
C1836184
Finding
An abnormally short femoral neck (which is the process of bone, connecting the femoral head with the femoral shaft).
Widened proximal tibial metaphyses
MedGen UID:
332148
Concept ID:
C1836187
Finding
Hypergonadotropic hypogonadism
MedGen UID:
184926
Concept ID:
C0948896
Disease or Syndrome
Reduced function of the gonads (testes in males or ovaries in females) associated with excess pituitary gonadotropin secretion and resulting in delayed sexual development and growth delay.
Elevated circulating follicle stimulating hormone level
MedGen UID:
867192
Concept ID:
C4021550
Finding
An elevated concentration of follicle-stimulating hormone in the blood.
Elevated circulating luteinizing hormone level
MedGen UID:
868698
Concept ID:
C4023101
Finding
An elevated concentration of luteinizing hormone in the blood.

Professional guidelines

PubMed

Nayır Büyükşahin H, Emiralioglu N, Simşek Kiper PÖ, Sunman B, Güzelkaş I, Alboğa D, Akgül Erdal M, Boduroglu K, Utine GE, Yalcın E, Doğru D, Kiper N, Ozcelik U
J Sleep Res 2023 Oct;32(5):e13914. Epub 2023 May 1 doi: 10.1111/jsr.13914. PMID: 37128177

Recent clinical studies

Etiology

Nayır Büyükşahin H, Emiralioglu N, Simşek Kiper PÖ, Sunman B, Güzelkaş I, Alboğa D, Akgül Erdal M, Boduroglu K, Utine GE, Yalcın E, Doğru D, Kiper N, Ozcelik U
J Sleep Res 2023 Oct;32(5):e13914. Epub 2023 May 1 doi: 10.1111/jsr.13914. PMID: 37128177
Walczak-Sztulpa J, Wawrocka A, Sikora W, Pawlak M, Bukowska-Olech E, Kopaczewski B, Urzykowska A, Arts HH, Gotz-Więckowska A, Grenda R, Latos-Bieleńska A, Glazar R
Am J Med Genet A 2022 Oct;188(10):3071-3077. Epub 2022 Jul 25 doi: 10.1002/ajmg.a.62903. PMID: 35875935
Handa A, Voss U, Hammarsjö A, Grigelioniene G, Nishimura G
Jpn J Radiol 2020 Mar;38(3):193-206. Epub 2020 Jan 21 doi: 10.1007/s11604-020-00920-w. PMID: 31965514
Ullah A, Umair M, Muhammad D, Bilal M, Lee K, Leal SM, Ahmad W
Ann Hum Genet 2018 May;82(3):129-134. Epub 2018 Jan 10 doi: 10.1111/ahg.12233. PMID: 29322508Free PMC Article
Olney RC, Prickett TC, Espiner EA, Mackenzie WG, Duker AL, Ditro C, Zabel B, Hasegawa T, Kitoh H, Aylsworth AS, Bober MB
J Clin Endocrinol Metab 2015 Feb;100(2):E355-9. Epub 2014 Nov 11 doi: 10.1210/jc.2014-2814. PMID: 25387261

Diagnosis

Nayır Büyükşahin H, Emiralioglu N, Simşek Kiper PÖ, Sunman B, Güzelkaş I, Alboğa D, Akgül Erdal M, Boduroglu K, Utine GE, Yalcın E, Doğru D, Kiper N, Ozcelik U
J Sleep Res 2023 Oct;32(5):e13914. Epub 2023 May 1 doi: 10.1111/jsr.13914. PMID: 37128177
Walczak-Sztulpa J, Wawrocka A, Sikora W, Pawlak M, Bukowska-Olech E, Kopaczewski B, Urzykowska A, Arts HH, Gotz-Więckowska A, Grenda R, Latos-Bieleńska A, Glazar R
Am J Med Genet A 2022 Oct;188(10):3071-3077. Epub 2022 Jul 25 doi: 10.1002/ajmg.a.62903. PMID: 35875935
Li Q, Fan X, Lu W, Sun C, Pei Z, Zhang M, Ni J, Wu J, Yu FX, Luo F
Cells 2022 Apr 8;11(8) doi: 10.3390/cells11081265. PMID: 35455946Free PMC Article
Yuan K, Chen J, Chen Q, Chen H, Zhu J, Fang Y, Wang C
J Pediatr Endocrinol Metab 2022 Feb 23;35(2):185-190. Epub 2021 Sep 27 doi: 10.1515/jpem-2021-0332. PMID: 34565054
Kamil G, Yoon JY, Yoo S, Cheon CK
Orphanet J Rare Dis 2021 Jul 3;16(1):297. doi: 10.1186/s13023-021-01937-8. PMID: 34217350Free PMC Article

Therapy

Yuan K, Chen J, Chen Q, Chen H, Zhu J, Fang Y, Wang C
J Pediatr Endocrinol Metab 2022 Feb 23;35(2):185-190. Epub 2021 Sep 27 doi: 10.1515/jpem-2021-0332. PMID: 34565054
Arya VB, Raj M, Younes M, Chapman S, Irving M, Kapoor RR, Buchanan CR
Horm Res Paediatr 2020;93(5):335-342. Epub 2020 Nov 25 doi: 10.1159/000511874. PMID: 33238275
Geister KA, Brinkmeier ML, Hsieh M, Faust SM, Karolyi IJ, Perosky JE, Kozloff KM, Conti M, Camper SA
Hum Mol Genet 2013 Jan 15;22(2):345-57. Epub 2012 Oct 12 doi: 10.1093/hmg/dds432. PMID: 23065701Free PMC Article

Prognosis

Shirodkar D, Smithson SF, Keen R, Lester T, Banos-Pinero B, Burren CP
BMC Med Genomics 2024 Jun 15;17(1):160. doi: 10.1186/s12920-024-01931-6. PMID: 38879467Free PMC Article
Nayır Büyükşahin H, Emiralioglu N, Simşek Kiper PÖ, Sunman B, Güzelkaş I, Alboğa D, Akgül Erdal M, Boduroglu K, Utine GE, Yalcın E, Doğru D, Kiper N, Ozcelik U
J Sleep Res 2023 Oct;32(5):e13914. Epub 2023 May 1 doi: 10.1111/jsr.13914. PMID: 37128177
Wang W, Song MH, Miura K, Fujiwara M, Nawa N, Ohata Y, Kitaoka T, Kubota T, Namba N, Jin DK, Kim OH, Ozono K, Cho TJ
Am J Med Genet A 2016 Feb;170A(2):426-434. Epub 2015 Nov 14 doi: 10.1002/ajmg.a.37463. PMID: 26567084
Owczarek CM, Treutlein HR, Portbury KJ, Gulluyan LM, Kola I, Hertzog PJ
Cytogenet Cell Genet 2001;92(3-4):196-203. doi: 10.1159/000056902. PMID: 11435687

Clinical prediction guides

Nayır Büyükşahin H, Emiralioglu N, Simşek Kiper PÖ, Sunman B, Güzelkaş I, Alboğa D, Akgül Erdal M, Boduroglu K, Utine GE, Yalcın E, Doğru D, Kiper N, Ozcelik U
J Sleep Res 2023 Oct;32(5):e13914. Epub 2023 May 1 doi: 10.1111/jsr.13914. PMID: 37128177
Li Q, Fan X, Lu W, Sun C, Pei Z, Zhang M, Ni J, Wu J, Yu FX, Luo F
Cells 2022 Apr 8;11(8) doi: 10.3390/cells11081265. PMID: 35455946Free PMC Article
Ullah A, Umair M, Muhammad D, Bilal M, Lee K, Leal SM, Ahmad W
Ann Hum Genet 2018 May;82(3):129-134. Epub 2018 Jan 10 doi: 10.1111/ahg.12233. PMID: 29322508Free PMC Article
Olney RC, Prickett TC, Espiner EA, Mackenzie WG, Duker AL, Ditro C, Zabel B, Hasegawa T, Kitoh H, Aylsworth AS, Bober MB
J Clin Endocrinol Metab 2015 Feb;100(2):E355-9. Epub 2014 Nov 11 doi: 10.1210/jc.2014-2814. PMID: 25387261
Hachiya R, Ohashi Y, Kamei Y, Suganami T, Mochizuki H, Mitsui N, Saitoh M, Sakuragi M, Nishimura G, Ohashi H, Hasegawa T, Ogawa Y
J Clin Endocrinol Metab 2007 Oct;92(10):4009-14. Epub 2007 Jul 24 doi: 10.1210/jc.2007-1101. PMID: 17652215

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