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Pacman dysplasia is characterized by epiphyseal stippling and osteoclastic overactivity. It has been described in less than 10 patients but may be underdiagnosed. It is characterized radiographically by severe stippling of the lower spine and long bones, and periosteal cloaking. Patients also have short metacarpals. The syndrome may be inherited as an autosomal recessive trait. This disorder should be included in the differential diagnosis of mucolipidosis type II. In order to make a definitive diagnosis, lysosomal storage should be investigated by electron microscopy, or enzyme assays should be performed. Familial recurrence can be easily detected by prenatal ultrasonography. This skeletal dysplasia is lethal.
Features include: Bowing of the long bones, Lethal skeletal dysplasia, and Epiphyseal stippling.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 2 | Bowing of the long bones, Lethal skeletal dysplasia |
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for pacman dysplasia.
5 publications have been identified in PubMed for pacman dysplasia. Research spans Review / Meta-Analysis (60%), Clinical Trial Publication (20%), and Epidemiology / Natural History (20%).
Goel PK (2026). [PMID: 42019820](https://pubmed.ncbi.nlm.nih.gov/42019820/). *Indian Heart J*. [Review / Meta-Analysis]
Pradhan A (2025). [PMID: 40863366](https://pubmed.ncbi.nlm.nih.gov/40863366/). *Journal of cardiovascular development and disease*. [Clinical Trial Publication]
Longo C (2024). [PMID: 39535426](https://pubmed.ncbi.nlm.nih.gov/39535426/). *Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology*. [Epidemiology / Natural History]
Seo Y (2024). [PMID: 38689093](https://pubmed.ncbi.nlm.nih.gov/38689093/). *Experimental & molecular medicine*. [Review / Meta-Analysis]
Barbieri L (2024). [PMID: 39150672](https://pubmed.ncbi.nlm.nih.gov/39150672/). *Current atherosclerosis reports*. [Review / Meta-Analysis]
Data assembled from 5 of 12 sources · Last updated Sep 18, 2026, 6:03 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center