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Living with Chondrodysplasia punctata 2 X-linked dominant

A genetic condition mostly in females that affects bones, skin, hair, and eyes, with spotted bone changes seen on X-ray in infancy.

Understanding Chondrodysplasia punctata 2 X-linked dominant

Chondrodysplasia punctata 2 X-linked dominant is a disorder with bone, skin, and eye differences that occurs almost only in females.

Almost everyone has stippling (a spotted look on X-rays) near the ends of bones and in cartilage. It shows in infancy and fades in early childhood. Other features include uneven shortening of upper arm and thigh bones, a curved spine, and short stature. Babies are born with dry, scaly skin in a line or swirl pattern that fades, and most have cataracts from birth or early childhood. GARD lists onset during pregnancy, at birth, and in infancy.

Signs & symptoms

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

  • Spotted bone changes on X-ray (epiphyseal stippling)
  • Dry, scaly skin (ichthyosis)
  • Clouded eye lens (cataract)
  • Short stature
  • Arms or legs of different lengths or widths
  • Flat nasal bridge and uneven facial shape

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, eye disease specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in EBP 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 Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Little People of America, Foundation for Ichthyosis and Related Skin Types
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
Can EBP genetic testing confirm the diagnosis?
How often should the eyes be checked for cataracts and vision?
Will the spine and limb differences need orthopedic care?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceX-Linked
GenesEBP

GARD says changes in the EBP gene cause this condition. It is X-linked dominant, meaning the gene is on the X chromosome.

GeneticSkinInherited Metabolic

Also known as: cdpx2; cdpxd; chondrodysplasia punctata 2, x-linked dominant; chondrodysplasia punctata caused by mutation in ebp; chondrodysplasia punctata, conradi-hunermann type; chondrodysplasia punctata, conradi-hünermann type

Patient organizations

Source: NIH GARD · Chondrodysplasia punctata 2 X-linked dominantGARD ID 6189 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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