We report a case of progressive osseous heteroplasia in a female infant who
had progressive ossification of the skin and deep connective tissues. Isol
ated dermal ossification is present in her father and younger sister sugges
ting an autosomal dominant mode of inheritance with variable expressivity o
r possible somatic mosaicism, This report of a family with progressive osse
ous heteroplasia contributes to the understanding of this uncommon genetic
disorder, which must be distinguished from fibrodysplasia ossificans progre
ssiva and Albright's hereditary osteodystrophy. The paucity of familial cas
es of progressive osseous heteroplasia currently limits the use of a genome
-wide linkage analysis, but linkage exclusion analysis with promising candi
date genes is a possibility.