Table 4.

Genes of Interest in the Differential Diagnosis of Osteoglophonic Dysplasia

GeneDisorderMOIClinical Features of Disorder
Overlapping w/OGDDistinguishing from OGD
FGFR2 (FGFR11Pfeiffer syndrome (See FGFR Craniosynostosis Syndromes Overview.)AD
  • Multisuture craniosynostosis
  • Moderate-to-severe midface retrusion
  • Proptosis
  • Airway obstruction
  • Dental crowding
  • Less pronounced short stature
  • Broad thumbs & great toes
  • Medially deviated thumbs & great toes
  • CHL
FGFR2 Apert syndrome AD
  • Multisuture craniosynostosis
  • Moderate-to-severe midface retrusion
  • Proptosis
  • Dental anomalies
  • Airway obstruction
  • Soft tissue & bony syndactyly ± polydactyly of fingers & toes
  • Synonychia
  • Cleft palate
  • CHL
Crouzon syndrome (See FGFR Craniosynostosis Syndromes Overview.)AD
  • Multisuture craniosynostosis
  • Moderate-to-severe midface retrusion
  • Proptosis
  • Airway obstruction
  • CHL & SNHL
  • Normal hands & feet
Jackson-Weiss syndrome (See FGFR Craniosynostosis Syndromes Overview.)AD
  • Multisuture craniosynostosis
  • Proptosis
  • Airway obstruction
  • Broad & medially deviated great toes
  • 2/3 toe syndactyly
NF1 Neurofibromatosis 1 AD
  • Non-ossifying fibromas
  • Pseudoarthrosis
  • Giant cell granulomas of the jaw
  • Intellectual & learning disabilities
  • Café au lait macules
  • Above average head circumference for age
  • Optic glioma
  • Neurofibroma

AD = autosomal dominant; CHL = conductive hearing loss; MOI = mode of inheritance; OGD = osteoglophonic dysplasia; SNHL = sensorineural hearing loss

1.

FGFR2 pathogenic variants are identified in >95% of individuals with Pfeiffer syndrome and FGFR1 pathogenic variants are identified in <5% of individuals with Pfeiffer syndrome. An FGFR3 pathogenic variant was identified in one individual with Pfeiffer syndrome (see FGFR Craniosynostosis Syndromes Overview).

From: Osteoglophonic Dysplasia

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