title: Familial multiple epiphyseal dysplasia due to a matrilin-3 mutation: further delineation of the phenotype including 40 years follow-up.
abstract: In this study, we followed-up the family with bilateral hereditary micro-epiphyseal dysplasia (BHMED) originally described by Elsbach [1959: J Bone Joint Surg [Br] 41-B:514-523]. Clinical re-examination of all available family members resulted in further delineation of the clinical and radiological phenotype, which is distinct from common multiple epiphyseal dysplasia (MED). Linkage analysis excluded EDM1, EDM2, and EDM3 as candidate genes. Linkage and mutation analysis of matrilin-3 (MATN-3) revealed a new pathogenic mutation confirming that BHMED is indeed a distinct disease entity among MED and MED-like disorders.
authors.affiliation: Isala Clinics, Location Weezenlanden, Department of Orthopaedic Surgery, Zwolle, The Netherlands.
authors.forename: A K
authors.initials: AK
authors.lastname: Mostert
authors.forename: P F
authors.initials: PF
authors.lastname: Dijkstra
authors.forename: B R H
authors.initials: BR
authors.lastname: Jansen
authors.forename: J R
authors.initials: JR
authors.lastname: van Horn
authors.forename: B
authors.initials: B
authors.lastname: de Graaf
authors.forename: P
authors.initials: P
authors.lastname: Heutink
authors.forename: D
authors.initials: D
authors.lastname: Lindhout
mesh_terms: D000293:Adolescent; D000328:Adult; D000595:Amino Acid Sequence; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D004252:DNA Mutational Analysis; D016326:Extracellular Matrix Proteins / Q000235:genetics*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D064235:Matrilin Proteins; D008875:Middle Aged; D009154:Mutation; D010009:Osteochondrodysplasias / Q000000981:diagnostic imaging / Q000235:genetics*; D010375:Pedigree; D010641:Phenotype; D011859:Radiography; D016415:Sequence Alignment
chemical_list: D016326:Extracellular Matrix Proteins; D064235:Matrilin Proteins