Contributed by: Dr Jai Prakash Soni
Department of Pediatrics, Dr Sampurnanand Medical College (SNMC), Jodhpur, Rajasthan, India
 
  Email: doc_jpsoni@yahoo.com  
  This baby, delivered at 20 weeks of gestation, was noted to have significant dysmorphism with joint contractures. The clinical photographs and whole body skeletal radiographs (anteroposterior and lateral views) are provided. Identify the condition.  
 

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Answer to PhotoQuiz 52
Dyggve-Melchior-Clausen disease (OMIM #223800)
 
Dyggve-Melchior-Clausen (DMC) disease is an autosomal recessive skeletal dysplasia caused by biallelic mutations in the DYM gene (OMIM*607461). It is characterized by disproportionate short stature, microcephaly, facial dysmorphism, psychomotor delay and intellectual disability. Skeletal radiographs in patients with DMC disease show features of spondyloepimetaphyseal dysplasia along with additional typical findings such as small iliac wings with lacy appearance of the iliac crests, platyspondyly with notched end plates, and multicentric ossification of proximal humeral and femoral epiphyses. Smith-McCort dysplasia 1 is an allelic disorder, with similar skeletal findings, but with normal intellect.
 
 
Correct responses were given by:
1. Dr Poonam Singh Gambhir, Vardaan Genetic and Diagnostic Centre, Kanpur
2. Dr Kruti Varshney, Centre for Human Genetics, Bangalore
3. Dr Anupriya Kaur, Postgraduate Institute of Medical Education & Research (PGIMER), Chandigarh
4. Dr Komal Uppal, All India Institute of Medical Sciences (AIIMS), New Delhi
5. Dr Moni T Bhatia, Noble Heart and Superspeciality Hospital, Rohtak
6. Dr Vibha Jain, Anuvanshiki - The Genetic Centre, Ghaziabad
7. Dr SG Vijayasri, Institute of Child Health and Hospital for Children, Chennai
8. Dr Ashka Prajapati, Genetic Care Clinic and CIMS Hospital, Ahmedabad
9. Dr Haseena A, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow
10. Dr Lekshmi S Nair, NIMS Medicity, Neyyatinkara, Kerala
11. Dr Bhawana Aggarwal, All India Institute of Medical Sciences (AIIMS), New Delhi
12. Dr Beena Suresh, Mediscan Systems, Chennai
13. Dr Surya G Krishnan, Indira Gandhi Institute of Child Health, Bangalore
14. Dr Meenakshi Lallar, Prime Prenatal Imaging and Diagnostics, Chandigarh & Medgenome, Bengaluru