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Living with Pacman dysplasia

A very rare bone condition seen before birth, with speckled bone changes, weak bones, and bowed, shortened limbs.

Understanding Pacman dysplasia

Pacman dysplasia is a very rare bone condition that shows up before birth or in newborns.

It affects how bones form and break down. Imaging shows speckled spots in the ends of bones, spine, and ankle bones, along with very thin, weak bones. The long bones are bowed and shortened, and the spine bones have clefts. Tests show normal activity of certain enzymes, and bone samples show extra bone breakdown.

Signs & symptoms

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

  • Speckled spots at the ends of bones (epiphyseal stippling)
  • Bowed long bones
  • Cleft spine bones (coronal cleft vertebrae)
  • Bow-legged look (genu varum)
  • Closely spaced eyes (hypotelorism)
  • A heart channel that stays open (patent ductus arteriosus)

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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 do the bone findings on imaging mean for care?
Would genetic testing help our family understand the chance of this happening again?
Which specialists should be involved in care for a baby with a bone condition?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive

Changes in the genes (also called variants) cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: epiphyseal stippling syndrome-osteoclastic hyperplasia syndrome; epiphyseal stippling with osteoclastic hyperplasia; epiphyseal stippling with osteoclastic hyperplasia syndrome; epiphyseal stippling-osteoclastic hyperplasia syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Pacman dysplasiaGARD ID 4189 · 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 Pacman dysplasia.

Explore the Pacman dysplasia blog

Explore research for Pacman dysplasia

Explore actively recruiting Pacman dysplasia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Pacman dysplasia 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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