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Living with Metaphyseal chondrodysplasia, McKusick type

An inherited condition, also called cartilage-hair hypoplasia, with short stature, fine sparse hair, and immune problems.

Understanding Metaphyseal chondrodysplasia, McKusick type

Metaphyseal chondrodysplasia, McKusick type, also called cartilage-hair hypoplasia, is a bone growth disorder with short stature, fine sparse hair, and immune problems.

People have short limbs and short stature from birth. Most are very flexible in some joints but may not fully straighten their elbows. Hair is light, thin, and sparse. The immune problem varies from mild to severe and can lead to repeated infections, especially of the breathing tract. The most severe form is called severe combined immunodeficiency (SCID).

Signs & symptoms

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

  • Short stature and short limbs
  • Fine, sparse, light-colored hair
  • Repeated infections from weak immunity
  • Loose joints
  • Nail and tooth differences
  • Bowed legs

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 allergy and immune system specialists, bone and joint specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RMRP 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

    Immune Deficiency Foundation, Little People of America and National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Bone and joint specialists (orthopedists or orthopedic surgeons); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Immune Deficiency Foundation, Little People of America, National Foundation for Ectodermal Dysplasias
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 Immune Deficiency Foundation 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
Should we have RMRP genetic testing for our family?
How serious is my immune problem and how is it monitored?
Which specialists should follow bones and immunity?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesRMRP

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

GeneticSkin

Also known as: autosomal recessive metaphyseal chondrodysplasia; cartilage hair hypoplasia; cartilage hair syndrome; cartilage-hair hypoplasia; cartilage-hair hypoplasia syndrome; chh

Patient organizations

Source: NIH GARD · Metaphyseal chondrodysplasia, McKusick typeGARD ID 6996 · 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 Metaphyseal chondrodysplasia, McKusick type.

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