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Living with Acromesomelic dysplasia 2B

A rare bone condition, also called Du Pan syndrome, with short or missing calf bones and very short hands and feet.

Understanding Acromesomelic dysplasia 2B

Acromesomelic dysplasia 2B, also called Du Pan syndrome, is a rare bone condition with a normal head and trunk.

People have underdeveloped or missing fibulae (calf bones) and severe differences in the hands and feet. Mental development is normal. GARD lists onset as during pregnancy and as a newborn.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Short or missing calf bones (fibula)
  • Short fingers and toes
  • Short stature
  • Fused wrist or ankle bones
  • Limited joint movement
  • Short or small limbs

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists and genetic specialists.

  3. Consider genetic testing

    Changes in GDF5 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Little People of America may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Expert lists: Little People of America
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Little People of America
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which specialists should care for the limbs and feet?
What mobility aids or surgeries can help?
What does GDF5 genetic testing mean for our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesGDF5

Changes in the GDF5 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: aplasia of fibula co-occurrent with complex brachydactyly; du pan syndrome; fibular aplasia and complex brachydactyly; fibular aplasia-complex brachydactyly syndrome; fibular hypoplasia and complex brachydactyly

Patient organizations

Source: NIH GARD · Acromesomelic dysplasia 2BGARD ID 9879 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Acromesomelic dysplasia 2B.

Explore the Acromesomelic dysplasia 2B blog

Explore research for Acromesomelic dysplasia 2B

Explore actively recruiting Acromesomelic dysplasia 2B studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Acromesomelic dysplasia 2B with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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