We present a previously undescribed skeletal dysplasia characterized b
y mild platyspondyly, small thorax with cupping of the anterior ends o
f the ribs, irregular proximal femoral metaphyses, and lacy appearance
of the iliac wings. Two of the three cases were siblings. Retinitis p
igmentosa and optic atrophy are associated findings. Conclusion We des
cribe a new type of spondylometaphyseal dysplasia (SMD) and propose th
e name axial SMD.