Pseudoachondroplasia is an autosomal dominant variant of osteochondroplasia
that results in mild to severe short-limb dwarfism and early-onset of oste
oarthrosis. It has been linked to results from mutations in the gene for ca
rtilage oligomeric matrix protein. We describe a 4-year-old boy with pseudo
achondroplasia who also had prolapse of the mitral valve. To the best of ou
r knowledge, this association has not previously been reported.