Abstract
Achondroplasia (ACH) is a hereditary disorder of dwarfism that is caused by the aberrant
proliferation and differentiation of chondrocyte growth plates. The common findings
of macrocephaly and facial anomalies accompany dwarfism in these patients. Fibroblast growth factor receptor 3 (FGFR3) gene mutations are common causes of achondroplasia. The current study presents a
case of 2-year-old male child patient presenting with phenotypic characteristics of
ACH. The interesting finding of the case is the presence of psychomotor delay that
is not very common in these patients. Clinical exome sequencing analyzing 4.813 disease
causing genes revealed a de novo c.1138G > A mutation within the FGFR3 gene. In conclusion, the mutation confirms the clinical diagnosis of ACH, and it
seems to be causing the psychomotor delay in this patient.
Keywords
achondroplasia - FGFR3 mutations - psychomotor delay