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There was also marked resolution of several significant early radiographic features. The patients attained adult heights of 152, 138, and 148 cm. Two patients had chronic serous otitis media requiring tympanostomy tubes during childhood. One patient suffered persisting back pain related to spinal stenosis and required lumbar laminectomy at the age of 26 years. One patient had hip dysplasia requiring orthopedic surgical intervention. All patients had recurrent patella dislocation. Sterol and very long chain fatty acid profiles, FISH analysis for <jats:italic>SHOX<\/jats:italic> gene deletions, blood lymphocyte karyotype, and phytanic acid levels were normal in those tested, and no mutations in arylsulfatase D and E genes were detected. These data suggest that the longterm clinical and functional prognosis in this condition appears to be better than that expected based on initial clinical and radiological findings. \u00a9 2003 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ajmg.a.20383","type":"journal-article","created":{"date-parts":[[2003,12,25]],"date-time":"2003-12-25T09:00:29Z","timestamp":1072342829000},"page":"148-157","source":"Crossref","is-referenced-by-count":10,"title":["Longterm follow\u2010up in chondrodysplasia punctata, tibia\u2013metacarpal type, demonstrating natural history"],"prefix":"10.1002","volume":"124A","author":[{"given":"Ravi","family":"Savarirayan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Boyle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Masel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John G.","family":"Rogers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie J.","family":"Sheffield","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,6,24]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"280","article-title":"Chondroangiopathia calcarea or punctata","volume":"9","author":"Asanti R","year":"1963","journal-title":"Ann Paediatr Fenn"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00225079"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.1320410406"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00442333"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01464311"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1006\/mgme.1999.2935"},{"key":"e_1_2_7_8_1","first-page":"980","article-title":"Use of filtered pipette tips to elute DNA from agarose gels","volume":"18","author":"Dean AD","year":"1995","journal-title":"BioTechniques"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0092-8674(95)90367-4"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-8628(19960823)64:3<493::AID-AJMG9>3.0.CO;2-Q"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0730-725X(90)90144-Q"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.10828"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1148\/57.4.547"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198507183130322"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2000.19.10.719"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0009-8981(95)06038-4"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-8628(19990319)83:3<213::AID-AJMG15>3.0.CO;2-C"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/1096-8628(20010215)99:1<63::AID-AJMG1117>3.0.CO;2-9"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/1096-8628(20010122)98:3<250::AID-AJMG1087>3.0.CO;2-Y"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0004.1975.tb00330.x"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-67-793-97"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1996.08050350.x"},{"key":"e_1_2_7_23_1","first-page":"297","article-title":"Stippled epiphyses in the newborn and in infants","volume":"37","author":"Mosekilde E","year":"1952","journal-title":"Acta Radiol [Diagn] (Stockh)"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/0888-7543(89)90129-8"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/00008480-199912000-00017"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.1320370208"},{"key":"e_1_2_7_27_1","first-page":"135","article-title":"Mesomelic dysplasia. 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