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A rare skeletal disorder characterized by dwarfism, severe craniofacial abnormalities and multiple unerupted teeth.
Features include always present findings: Severe short stature, Craniosynostosis, and Malar flattening; and very common findings: Midface retrusion and Growth delay. 57 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 6 | Short foot, Camptodactyly of finger, Hypoplastic toenails |
FGFR1 encodes fibroblast growth factor receptor 1 (822 aa). Tyrosine-protein kinase that acts as a cell-surface receptor for fibroblast growth factors and plays an essential role in the regulation of embryonic development, cell proliferation, differentiation and migration. Highest expression in Artery Aorta (144.8 TPM) and Ovary (142.9 TPM).
Osteoglophonic dysplasia has limited evidence linking it to mutations in the FGFR1 gene on chromosome 8.
The FGFR1 protein participates in p-8Y- FGFR1 R576W, p-8Y-FGFR1 N546K, and p-8Y-FGFR1 K656E pathways.
FGFR1 is classified as a druggable target (Clinically Actionable, Drug Resistance, Druggable Genome, Kinase, and Tyrosine Kinase categories) with score 1.1.
Osteoglophonic dysplasia (OGD) should be suspected in probands with the following clinical, imaging, and laboratory findings:
Clinical findings
• Craniofacial
Multisuture craniosynostosis (including cloverleaf skull)
Prominent forehead
No approved treatments are currently available for osteoglophonic dysplasia. The disease remains an area of unmet medical need.
No clinical practice guidelines for osteoglophonic dysplasia (OGD) have been published.
To establish the extent of disease and needs in an individual diagnosed with OGD, the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended.
To monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations, the evaluations summarized in are recommended. Table 7. Osteoglophonic Dysplasia: Recommended Surveillance
No clinical trials have been registered for osteoglophonic dysplasia.
6 publications have been identified in PubMed for osteoglophonic dysplasia. Research spans Review / Meta-Analysis (50%), Case Report / Case Series (33%), and Gene Therapy / Novel Therapeutics (17%).
Ascone G (2025). [PMID: 41473314](https://pubmed.ncbi.nlm.nih.gov/41473314/). *bioRxiv*. [Gene Therapy / Novel Therapeutics]
Park YA (2025). [PMID: 41445556](https://pubmed.ncbi.nlm.nih.gov/41445556/). *JBMR Plus*. [Review / Meta-Analysis]
Hartley IR (2025). [PMID: 39755803](https://pubmed.ncbi.nlm.nih.gov/39755803/). *Calcif Tissue Int*. [Review / Meta-Analysis]
Othman AA (2025). [PMID: 40260920](https://pubmed.ncbi.nlm.nih.gov/40260920/). *Am J Med Genet A*. [Case Report / Case Series]
Szoszkiewicz A (2025). [PMID: 40428317](https://pubmed.ncbi.nlm.nih.gov/40428317/). *Genes (Basel)*. [Review / Meta-Analysis]
Data assembled from 8 of 12 sources · Last updated Sep 18, 2026, 3:42 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Head and neck
4 |
Hypoplasia of the maxilla, High palate, Craniosynostosis |
Growth and development | 3 | Severe short stature, Failure to thrive, Growth delay |
Bones and joints | 3 | Increased susceptibility to fractures, Mild bone density loss (osteopenia), Bowing of the long bones |
Brain and nerves | 2 | Delayed speech and language development, Depressed nasal bridge |
Lungs and breathing | 1 | Respiratory distress |
Osteoglophonic dysplasia (OGD) is a skeletal dysplasia characterized by multisuture craniosynostosis (including premature fusion of the coronal, sagittal, lambdoid, and metopic sutures), distinctive craniofacial features, unerupted teeth, profound short stature, and multiple cystic bone lesions consistent with non-ossifying fibromas. To date, 24 individuals with OGD from 19 families have been reported and/or identified; of these, 14 individuals have had molecular genetic testing with a pathogenic variant identified in FGFR1 . The remaining ten individuals did not have molecular testing. The following description of the phenotypic features associated with this condition is based on these reports. Table 2. Osteoglophonic Dysplasia: Frequency of Select Features
Feature | Proportion of Persons w/Feature | Comment |
|---|---|---|
Non-ossifying fibromas | 21/24 | Proximal distal femur, distal tibia fibula, iliac bones, proximal humerus, distal radius ulna |
Unerupted teeth | 20/24 | — |
Short stature | 18/24 | — |
Multisuture craniosynostosis | 17/24 | Premature fusion of the coronal, sagittal, lambdoid, metopic sutures |
Platyspondyly | 10/24 | — |
Hypophosphatemia | 4/24 | Mediated by FGF23, a phosphaturic factor |
Giant cell granuloma of the jaw | 3/24 | — |
Increased body temperature | 2/24 | Associated with excessive sweating increased sensitivity to heat |
Overlapping toes | 2/24 | 3rd overlapping or underriding 2nd 4th |
Pyloric stenosis | 2/24 | — |
Inguinal hernia | 2/24 | — |
Choanal atresia/narrowing | 2/24 | ; ; ; ; ; ; ; ; ; ; ; ; A Othman, H Babcock, and C Ferreira, personal observations Skeletal. |
Source: GeneReviews — "Osteoglophonic Dysplasia"
No genotype-phenotype correlations have been identified.
Source: GeneReviews — "Osteoglophonic Dysplasia"
Proptosis
Widely spaced eyes
Low-set ears
Midface retrusion
Short nose
Anteverted nares
Prognathism
High palate
Failure of tooth eruption
Gingival overgrowth
• Skeletal
Short stature
Rhizomelic limb shortening
Short, broad hands and feet
Genu varum
Overlapping toes
Pathologic fractures
• Other
Poor weight gain
Increased body temperature
Increased sensitivity to heat
Excessive sweating
Nasal obstruction
Short neck
Inguinal hernia
Developmental delay (primarily speech delay)
Imaging findings (See .)
Source: GeneReviews — "Osteoglophonic Dysplasia"
Table 4.
Genes of Interest in the Differential Diagnosis of Osteoglophonic Dysplasia
Gene | Disorder | MOI | Clinical Features of Disorder
Overlapping w/OGD | Distinguishing from OGD
FGFR2 (FGFR1)1 | Pfeiffer syndrome (See FGFR Craniosynostosis Syndromes Overview.) | AD | • Multisuture craniosynostosis
Moderate-to-severe midface retrusion
Proptosis
Airway obstruction
| • Dental crowding
Less pronounced short stature
Broad thumbs great toes
Medially deviated thumbs great toes
CHL
| Apert syndrome | AD | • Multisuture craniosynostosis
Moderate-to-severe midface retrusion
Proptosis
Dental anomalies
Airway obstruction
| • Soft tissue bony syndactyly ± polydactyly of fingers toes
Synonychia
Cleft palate
CHL
Source: GeneReviews — "Osteoglophonic Dysplasia"
Genetic testing for FGFR1 is available. Testing is considered research-grade for diagnosis.
Osteoglophonic Dysplasia: Recommended Evaluations Following Initial Diagnosis
System/Concern | Evaluation | Comment
| • Referral to orthopedist
Spine long bone radiographs to detect platyspondyly non-ossifying fibromas
|
| Assess growth parameters. |
| • Assess for developmental disabilities incl speech swallowing eval.
Refer to early intervention services.
Consider referral to neurodevelopmental specialist.
|
| Clinical assessment of face, head shape, fontanelles, suture ridging | Assessing severity of maxillary hypoplasia is important to determine risk for airway compromise.
Head CT w/3D reconstruction to delineate suture involvement guide preoperative planning | In those w/clinical manifestations of craniosynostosis
ENT | • Assess for airway symptoms (snoring, stridor, apnea, respiratory distress).
Consider consultation w/otolaryngologist sleep medicine specialist to identify quantify degree of sleep apnea.
|
| Measure phosphate FGF23 concentrations. | To assess for serum FGF23 hypophosphatemia
| Clinical assessment for hernia |
| By genetics professionals1 | To inform affect...
Source: GeneReviews — "Osteoglophonic Dysplasia"
Individuals with OGD may require sports restrictions for activities that carry a potential for head or neck injury. Individuals with severe proptosis need to wear protective eyewear during activities with risk of eye injury (e.g., ball sports).
Source: GeneReviews — "Osteoglophonic Dysplasia"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Osteoglophonic Dysplasia"
View trials for osteoglophonic dysplasia
Evaluation |
|---|
Frequency |
|---|
Ocular | Assessment for incomplete eyelid closure | At each visit |
Dental Issues | Eval by craniofacial orthodontist | When secondary teeth erupt |
Sleep apnea | Clinical eval for symptoms of sleep apnea | At each visit Polysomnography |
Hypophosphatemia | Assessment of serum phosphate serum FGF23 | Frequency per endocrinologist |
Temperature instability | Monitor body temperature | Following sedation for procedures FGF23 = fibroblast growth factor 23 |
Source: GeneReviews — "Osteoglophonic Dysplasia"
Phenotype severity distribution: 3 always present features, 2 very common features, 12 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).