Pediatric endocrinology

Refining the Hypochondroplasia Phenotypic Continuum: Genetic, Endocrine, and Radiological Findings in 23 Patients

Horm Res PaediatrPublished Retrospective cohort study

Authors' conclusion

This study expands the clinical and molecular spectrum of FGFR3-related HCH and underscores its genetic and phenotypic heterogeneity.

Study context

Population
Individuals from 14 families with heterozygous FGFR3 variants confirmed by clinical exome and/or Sanger sequencing; 13 females, 10 males, aged 1.95 to 50.4 years14 families
Participants
23 individuals
Exposure
Pathogenic or likely pathogenic variants vs Variants of uncertain significance or variants with uncertain skeletal relevance
  • Pathogenic or likely pathogenic variantsn = 18
  • Variants of uncertain significance or variants with uncertain skeletal relevancen = 5
Outcome
Clinical, radiological and molecular characteristics
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Disproportionate short stature (patients with available data)

59.1%

Macrocephaly or relative macrocephaly (patients with available data)

40.9%

Distinct FGFR3 variants identified, most commonly p.(Asn540Ser) and p.(Asn540Lys)

8

Craniosynostosis in patient with p.(Asn540Lys)

1

Observational data: associations, not effects.

Original publication

Refining the Hypochondroplasia Phenotypic Continuum: Genetic, Endocrine, and Radiological Findings in 23 Patients. Horm Res Paediatr. Published 11 September 2026. doi:10.1159/hrp/adaag025

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