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Living with Pseudoachondroplastic spondyloepiphyseal dysplasia syndrome

An inherited bone growth condition with short stature, short limbs, and joint pain, with normal face, head, and intelligence.

Understanding Pseudoachondroplastic spondyloepiphyseal dysplasia syndrome

Pseudoachondroplastic spondyloepiphyseal dysplasia syndrome, or pseudoachondroplasia, is an inherited disorder of bone growth.

All people with it have short stature. Children are not unusually short at birth, but by age 2 growth falls below the standard growth curve. Other features include short arms and legs, a waddling walk, joint pain in childhood that can lead to osteoarthritis, very flexible joints in the hands, knees, and ankles, and limited motion at the elbows and hips. Face, head size, and intelligence are normal.

Signs & symptoms

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

  • Short stature with short arms and legs
  • Joint pain that can lead to osteoarthritis
  • Very flexible joints (joint hypermobility)
  • Flattened spine bones (platyspondyly)
  • Short fingers and toes
  • Waddling walk

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 COMP 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 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
Would genetic testing for the COMP gene help our family?
How should joint pain and leg alignment be monitored?
Which specialists, such as an orthopedic doctor, should we see?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesCOMP

This condition is caused by changes in the COMP gene. It is autosomal dominant, meaning one changed copy of the gene is enough.

Genetic

Also known as: psach; pseudoachondroplasia; pseudoachondroplastic dysplasia; pseudoachondroplastic spondyloepiphyseal dysplasia; sed syndrome; spondyloepiphyseal dysplasia, pseudoachondroplastic

Patient organizations

Source: NIH GARD · Pseudoachondroplastic spondyloepiphyseal dysplasia syndromeGARD ID 4540 · 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 Pseudoachondroplastic spondyloepiphyseal dysplasia syndrome.

Explore the Pseudoachondroplastic spondyloepiphyseal dysplasia syndrome blog

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