We have investigated a mother and son of South African Xhosa stock who
presented with short-trunk dwarfism and kyphoscoliosis. Radiographs s
how the marked platyspondyly and vertebral irregularity characteristic
of Brachylaena. Our patients provide further evidence for the existen
ce of an autosomal dominant form and supports the theory of heterogene
ity in this rare group of genetic skeletal disorders. Molecular invest
igations in this South African family are currently underway but at pr
esent the basic defect of brachyolmia remains unknown. (C) 1994 Wiley-
Liss, Inc.