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Living with Atelosteogenesis type II

A severe genetic bone and cartilage condition present from birth with very short limbs, a narrow chest, and cleft palate.

Understanding Atelosteogenesis type II

Atelosteogenesis type II is a severe disorder of cartilage and bone development.

Babies have very short arms and legs, a narrow chest, and a round, prominent belly. Other features include cleft palate, distinctive facial features, clubfoot, and thumbs that stick out (hitchhiker thumbs). It is similar to diastrophic dysplasia but is typically more severe. GARD notes some infants have been helped with intensive medical support.

Signs & symptoms

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

  • Very short upper arms and legs
  • Narrow chest
  • Cleft palate
  • Clubfoot
  • Hitchhiker thumbs
  • Underdeveloped lungs

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, brain and nervous system specialists, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in SLC26A2 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 and World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: Little People of America, World Craniofacial Foundation
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 and other patient organizations
  • 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
What breathing support and specialists are available?
Would SLC26A2 testing help explain the chance for future pregnancies?
How is this different from diastrophic dysplasia?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSLC26A2

GARD says changes in the SLC26A2 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: ao2; aoii; atelosteogenesis de la chapelle type; atelosteogenesis type 2; neonatal osseous dysplasia 1; neonatal osseous dysplasia i

Patient organizations

Source: NIH GARD · Atelosteogenesis type IIGARD ID 8329 · 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 Atelosteogenesis type II.

Explore the Atelosteogenesis type II blog

Explore research for Atelosteogenesis type II

Explore actively recruiting Atelosteogenesis type II studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Atelosteogenesis type II 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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