Progressive Pseudorheumatoid Dysplasia

Alternative Names

  • PPRD
  • PPD
  • Arthropathy, Progressive Pseudorheumatoid, of Childhood
  • PPAC
  • Progressive Pseudorheumatoid Arthropathy of Childhood
  • Spondyloepiphyseal Dysplasia Tarda with Progressive Arthropathy
  • SEDT-PA
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WHO-ICD-10 version:2010

Congenital malformations, deformations and chromosomal abnormalities

Congenital malformations and deformations of the musculoskeletal system

OMIM Number

208230

Mode of Inheritance

Autosomal recessive

Gene Map Locus

6q21

Description

Progressive pseudorheumatoid dysplasia (PPRD) is an autosomal recessive condition characterized by generalized bone-cartilage dysplasia, progressive arthropathy, pseudo-rheumatoid arthritis, and platyspondyly. It is regarded as a subtype of spondyloepiphyseal dysplasia (SED) and is caused by mutations in the CCN6 gene. PPRD has an early age of onset, with most affected children presenting with disease features by the age of 8-years. The major presenting features include difficulty in walking, muscle weakness, pain, arthropathy, and skeletal deformities.

Epidemiology in the Arab World

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Other Reports

Jordan

El-Shanti et al. (1997) described a consanguineous Jordanian family with at least six members from two generations affected with progressive pseudorheumatoid arthropathy of childhood (PPAC). Homozygosity mapping using DNA pooling approach performed by El-Shanti et al. (1998) showed linkage in a 20 cM region on the long arm of chromosome 6. However, no mutations were identified on examining the COL10A1 gene present in this region as a candidate gene.

Hurvitz et al. (1999) used a positional candidate approach and identified WISP3 as the gene responsible for progressive pseudorheumatoid arthropathy of childhood (PPAC) in a set of PPAC patients, which included three unrelated Jordanians and two unrelated patients of Saudi Arabian origin.

Kuwait

Al-Awadi et al. (1984) reported an Arab family with multiple members affected with progressive pseudorheumatoid arthropathy of childhood (PPAC). Eight patients identified were all born to consanguineous parents, and were related through a common ancestor, indicating the autosomal recessive nature of the disease.

Morocco

Bennani et al. (2007) reported a 4-year-old girl with progressive pseudorheumatoid dysplasia. Two similarly affected family members, a brother and a paternal uncle, were also identified and diagnosed with progressive pseudorheumatoid dysplasia during this study.

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