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Living with Autosomal recessive spondylometaphyseal dysplasia, Megarbane type

A rare inherited bone condition with short height that starts before birth, with a short neck and small chest.

Understanding Autosomal recessive spondylometaphyseal dysplasia, Megarbane type

Autosomal recessive spondylometaphyseal dysplasia, Megarbane type, is a rare bone condition that affects growth before and after birth.

Growth is slower than usual before birth. People have short height with short upper arms and legs, facial differences, a short neck, and a small chest. Low muscle tone, an enlarged heart, and global developmental delay have also been reported. X-rays show several bone differences.

Signs & symptoms

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

  • Slow growth before and after birth
  • Narrow chest and short ribs
  • Severely flattened spine bones (platyspondyly)
  • Short long bones
  • Small size for gestational age
  • Delayed bone maturation

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 PAM16 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
Can genetic testing for the PAM16 gene confirm the diagnosis?
Should my child's heart be checked?
Which therapies can support growth and development?

Quick facts

Symptoms usually startduring Pregnancy
InheritanceAutosomal Recessive
GenesPAM16

It is caused by changes in the PAM16 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: autosomal recessive spondylometaphyseal dysplasia, mégarbané type; pam16 spondylodysplastic dysplasia; spondylodysplastic dysplasia caused by mutation in pam16; spondylometaphyseal dysplasia, megarbane-dagher-melike type; spondylometaphyseal dysplasia, megarbane-dagher-melki type

Patient organizations

Source: NIH GARD · Autosomal recessive spondylometaphyseal dysplasia, Megarbane typeGARD ID 17667 · 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 Autosomal recessive spondylometaphyseal dysplasia, Megarbane type.

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