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A rare autosomal recessive acromesomelic dysplasia characterized by severe dwarfism (adult height >120 cm), both axial and appendicular involvement (shortening of the middle and distal segments of limbs and vertebral shortening), and with normal facial appearance and intelligence. It is a less severe form than acromesomelic dysplasia, Grebe type and acromesomelic dysplasia, Hunter-Thomson type.
Features include always present findings: Disproportionate short-limb short stature, Short phalanx of finger, and Short toe; and common findings: Prominent forehead, Ovoid vertebral bodies, Joint hypermobility, and Acromesomelia and others. 41 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 13 | Excessive inward curve of the lower back (lumbar hyperlordosis), Lower thoracic kyphosis, Ovoid vertebral bodies |
NPR2 encodes natriuretic peptide receptor 2 (1,047 aa). Receptor for the C-type natriuretic peptide NPPC/CNP hormone. Has guanylate cyclase activity upon binding of its ligand. May play a role in the regulation of skeletal growth Highest expression in Cervix Ectocervix (78.3 TPM) and Artery Aorta (67.0 TPM).
Acromesomelic dysplasia 1, Maroteaux type is associated with mutations in the NPR2 gene on chromosome 9.
NPR2 is classified as a druggable target (Druggable Genome and Kinase categories) with score 5.8.
Genetic testing for NPR2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 3 always present features, 18 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for acromesomelic dysplasia 1, Maroteaux type.
3 publications have been identified in PubMed for acromesomelic dysplasia 1, Maroteaux type. Research spans Case Report / Case Series (100%).
Chang J (2025). [PMID: 41109857](https://pubmed.ncbi.nlm.nih.gov/41109857/). *Journal of clinical orthodontics : JCO*. [Case Report / Case Series]
Dong Y (2025). [PMID: 40551241](https://pubmed.ncbi.nlm.nih.gov/40551241/). *Italian journal of pediatrics*. [Case Report / Case Series]
Abdelrazek IM (2024). [PMID: 39441036](https://pubmed.ncbi.nlm.nih.gov/39441036/). *Molecular genetics & genomic medicine*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 1:13 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about acromesomelic dysplasia 1, Maroteaux type
Arms and legs | 6 | Redundant skin on fingers, Cone-shaped epiphyses of the phalanges of the hand, Disproportionate short-limb short stature |
Skin | 2 | Redundant skin on fingers, Short nail |
Growth and development | 2 | Disproportionate short-limb short stature, Disproportionate short stature |
Brain and nerves | 2 | Intellectual disability, Depressed nasal bridge |