Contributed by: Dr Shubha Phadke
Department of Medical Genetics, Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Lucknow, India
 
  Email: shubharaophadke@gmail.com  
  This 12-year-old male child, of normal height and intellect, was referred for evaluation of painless hard swellings on the limbs, especially near the joints. His skeletal radiographs are provided. Identify the condition.  
 

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Answer to PhotoQuiz 54
Schmid-type metaphyseal chondrodysplasia (OMIM #156500)
 
Schmid-type metaphyseal chondrodysplasia (SMCD) is an autosomal dominant skeletal dysplasia, characterized by short stature that usually develops by around two years of age, short limbs, genu varum deformity, and a waddling gait. The radiographic features include metaphyseal changes at the ends of the long bones including splaying, flaring, and cupping; shortening of the tubular bones; and anterior cuppingand splaying of the ribs. Platyspondyly and vertebral end-plate irregularities are less commonly seen with SCMD. It is caused by heterozygous variants in the COL10A1 gene (OMIM*120110).
 
 
Correct responses were given by:
1. Dr Aradhana Dwivedi, Army Hospital Research & Referral, New Delhi
2. Dr Mallikarjun R Patil, Bangalore
3. Dr Vinu N, Centre for Human Genetics, Bangalore