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Clinical features include short stature, joint contractures, spinal deformities, and cleft palate. <jats:italic><jats:styled-content style=\"fixed-case\">SLC26A2<\/jats:styled-content><\/jats:italic> mutations also result in other skeletal dysplasias, including the milder recessive multiple epiphyseal dysplasia (<jats:styled-content style=\"fixed-case\">rMED<\/jats:styled-content>). <jats:styled-content style=\"fixed-case\">DTD<\/jats:styled-content> is overrepresented in Finland and we speculated that this may have influenced the prevalence and spectrum of <jats:italic><jats:styled-content style=\"fixed-case\">SLC26A2<\/jats:styled-content><\/jats:italic>\u2010related skeletal conditions also in Sweden. We reviewed the patient registry at Department of Clinical Genetics, Karolinska University Hospital, Stockholm to identify subjects with <jats:italic><jats:styled-content style=\"fixed-case\">SLC26A2<\/jats:styled-content><\/jats:italic> mutations. Seven patients from six families were identified; clinical data were available for six patients. All but one patient had one or two copies of the Finnish <jats:italic><jats:styled-content style=\"fixed-case\">SLC26A2<\/jats:styled-content><\/jats:italic> founder mutation <jats:styled-content style=\"fixed-case\">IVS1<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">2T<\/jats:styled-content>&gt;C. <jats:styled-content style=\"fixed-case\">Arg279Trp<\/jats:styled-content> mutation was present in compound heterozygous form in five patients with phenotypes consistent with <jats:styled-content style=\"fixed-case\">rMED<\/jats:styled-content>. Their heights ranged from \u22122.6 to \u22121.4 standard deviation units below normal mean and radiographic features included generalised epiphyseal dysplasia and double\u2010layered patellae. Two <jats:styled-content style=\"fixed-case\">rMED<\/jats:styled-content> patients had hypoplastic <jats:styled-content style=\"fixed-case\">C2<\/jats:styled-content> and cervical kyphosis, a severe manifestation previously described only in <jats:styled-content style=\"fixed-case\">DTD<\/jats:styled-content>. Our study confirms a high prevalence of <jats:styled-content style=\"fixed-case\">rMED<\/jats:styled-content> in Sweden and expands the phenotypic manifestations of <jats:styled-content style=\"fixed-case\">rMED<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/cge.12371","type":"journal-article","created":{"date-parts":[[2014,3,5]],"date-time":"2014-03-05T12:56:41Z","timestamp":1394024201000},"page":"273-278","source":"Crossref","is-referenced-by-count":12,"title":["<i><scp>SLC26A2<\/scp><\/i> disease spectrum in Sweden\u00a0\u2013\u00a0high frequency of recessive multiple epiphyseal dysplasia (<scp>rMED<\/scp>)"],"prefix":"10.1111","volume":"87","author":[{"given":"O.","family":"M\u00e4kitie","sequence":"first","affiliation":[{"name":"Department of Molecular Medicine and Surgery Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Clinical Genetics Karolinska University Hospital  Stockholm Sweden"},{"name":"Folkh\u00e4lsan Institute of Genetics  Helsinki 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