Disease Directory Campomelic Dysplasia
Connective Tissue

Campomelic Dysplasia

Also known as: campomelic syndrome, SOX9 haploinsufficiency, sex reversal campomelic

Prevalence

1 in 40,000–200,000

Onset

Congenital

Type

Genetic — autosomal dominant (almost always de novo)

Gene

SOX9

About Campomelic Dysplasia

Campomelic dysplasia is a severe congenital skeletal dysplasia and disorder of sex development caused by haploinsufficiency of SOX9, a transcription factor critical for chondrogenesis and testicular determination. The hallmark radiographic finding is characteristic anterior bowing (campomelia) of the femora and tibiae, accompanied by a small scapulae, 11 pairs of ribs, clubfeet, and a distinctive flat face with Robin sequence; approximately 75% of 46,XY individuals with campomelic dysplasia have partial or complete sex reversal. The condition is lethal in the majority of affected neonates due to respiratory failure from thoracic hypoplasia and laryngotracheomalacia, though long-term survivors have been reported.

Common Clinical Features

Anterior bowing of femora and tibiae (campomelia) Thoracic hypoplasia and respiratory distress in neonates Laryngotracheomalacia Pierre Robin sequence (micrognathia, glossoptosis, cleft palate) Sex reversal in 46,XY individuals (ambiguous or female-appearing genitalia) Short stature and 11 pairs of ribs Club feet and hypotonia

Clinical Trial Eligibility Tips

What to know before applying to Campomelic Dysplasia trials.

Most interventional trials in campomelic dysplasia focus on surviving infants and children; respiratory status (ventilator dependence or support requirements) is a critical eligibility criterion.

Karyotype and gonadal assessment are important baseline data given the high rate of sex reversal in 46,XY patients — this affects hormonal management and may affect trial stratification.

Molecular confirmation of a pathogenic SOX9 variant (coding or regulatory region) or deletion is required, as campomelia can occur in other skeletal dysplasias and accurate diagnosis is essential.

Patient Resources

Patient Organization

NORD (National Organization for Rare Disorders)

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Orphanet

European reference resource for rare diseases (ORPHA:140)

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NORD

National Organization for Rare Disorders

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Find recruiting Campomelic Dysplasia trials

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