Table 1 Summary of clinical and genetic findings in individuals with CCN2 variants and kyphomelic dysplasia.

From: Biallelic variants in CCN2 underlie an autosomal recessive kyphomelic dysplasia

Family ID

Family 1

Family 2

Subject ID

P1

P2

P3

General characteristics

 Age at last evaluation

15 years

11 years

11 years

 Gender

Male

Female

Female

 Consanguinity

+

+

+

Anthropometry

 Height in cm (SD)

153 cm (−2.03)

118 cm (−3.6)

76 cm (−5.5) at 3.5 years

 Weight in kg (SD)

41 kg (−1.91)

25 kg (−2.18)

14 kg (+0.06) at 3.5 years

 Head circumference in cm (SD)

52.5 cm (−1.61)

50.5 cm (−1.71)

49 cm (−2.94)

Clinical findings

 Short stature

+

+

+

 Microcephaly

–

–

+

 Bitemporal narrowing

+

+

+

 Posteriorly placed ears

+

+

+

 Deviated nasal septum

+

-

+

 Micrognathia

+

+

+

 Retrognathia

+

+

+

 Microstomia

+

+

+

 Cleft palate/ bifid uvula

+

+

+

 Crowded teeth

+

+

+

 Muscle wasting

+

+

+

Skeletal findings

 Scoliosis

+

+

–

 Platyspondyly

+

+

+

 Short and broad pelvis

+

+

–

 Coxa vara

+

+

+

 Epiphyseal dysplasia

+

+

+

 Metaphyseal dysplasia

+

+

+

 Elbow joint dislocation

+

+

+

 Bent radius and ulna

+

+

+

 Limited elbow extension/joint mobility

-

+

+

 Femoral bending (kyphomelia)

+

+

+

 Bowing of tibia and fibula

+

-

+

 Mobile patella

+

–

+

 Windswept deformity

+

–

–

 Genu valgum

–

+

+

 Limited knee flexion

+

+

+

 Bilateral pes planus

+

–

–

 Pes cavus

–

–

+

 Broad great toe

+

+

+

Molecular findings in CCN2

 Nucleotide change (NM_001901.4)

c.443G>A

c.443G>A

c.779_786del

 Amino acid change (NP_001892.2)

p.(Cys148Tyr)

p.(Cys148Tyr)

p.(Pro260LeufsTer7)

 Location

Exon 3

Exon 3

Exon 5

 Zygosity

Homozygous

Homozygous

Homozygous

 Parental status

Heterozygous

Heterozygous

Heterozygous

 Variant effect

Missense

Missense

Frameshift

  1. + Present, − Absent