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Living with Thanatophoric dysplasia type 1

A severe skeletal condition present at birth with short, bowed limbs, short ribs, and a larger head.

Understanding Thanatophoric dysplasia type 1

Thanatophoric dysplasia type 1 is a form of thanatophoric dysplasia with short, bowed thigh bones, short ribs, and flattened spine bones.

Limbs start growing more slowly during pregnancy. A fetal MRI can show differences in the temporal lobes of the brain and a narrow opening at the base of the skull (foramen magnum). After birth, features include a large head, a large soft spot, a prominent forehead, a flat midface, bulging eyes, and a low nasal bridge.

Signs & symptoms

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

  • Bowed thigh bones (femoral bowing)
  • Short ribs and flattened spine bones (platyspondyly)
  • Underdeveloped lungs
  • Larger than usual head (macrocephaly)
  • Prominent forehead (frontal bossing) and flat face
  • Bulging eyes (proptosis)

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 FGFR3 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

    World Craniofacial Foundation 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: World Craniofacial Foundation
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 World Craniofacial 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
Can genetic testing of the FGFR3 gene confirm this type?
What can fetal imaging tell us about the skull and brain?
Which specialists should be part of our care team?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant
GenesFGFR3

This condition is caused by changes in the FGFR3 gene. It is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

Genetic

Also known as: lethal short-limbed platyspondylic dwarfism, san diego type; platyspondylic lethal skeletal dysplasia, san diego type; td1; thanatophoric dwarfism type 1; thanatophoric dysplasia type i; thanatophoric dysplasia, type 1

Patient organizations

Source: NIH GARD · Thanatophoric dysplasia type 1GARD ID 9295 · 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 Thanatophoric dysplasia type 1.

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