Mj. Osullivan et al., MORPHOLOGIC OBSERVATIONS IN A CASE OF LETHAL VARIANT (TYPE-I) METATROPIC DYSPLASIA WITH ATYPICAL FEATURES - MORPHOLOGY OF LETHAL METATROPICDYSPLASIA, PEDIATRIC AND DEVELOPMENTAL PATHOLOGY, 1(5), 1998, pp. 405-412
Metatropic dysplasia accounts for approximately 5% of cases recorded b
y the International Skeletal Dysplasia Registry, with a single recorde
d lethal case. Four forms of the disease are currently recognized: typ
e I, lethal autosomal recessive form; type II, nonlethal autosomal rec
essive form with survival to childhood; type III, autosomal dominant f
orm with typical features, and type IV, a mild form with uncertain inh
eritance. The literature contains few well-documented reports of the h
istopathologic findings in metatropic dysplasia. In this report, we pr
esent the radiologic and histopathologic features in a case of type I
metatropic dysplasia, with the unusual features of a persistent tail,
unique lung dysmorphology, and thyroidal agenesis.