raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1952

Epiphyseal stippling-osteoclastic hyperplasia syndrome

Synonyms: Pacman dysplasia

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal, Neonatal
Status
active

A rare primary bone dysplasia characterized by extensive epiphyseal, tarsal, spinal, and sometimes metacarpal and/or phalangeal stippling, severe generalized osteopenia, vertebral clefting, platyspondyly, bowing and shortening of the long bones, and variable periosteal cloaking. Laboratory analysis of lysosomal enzymes reveals normal activity. Histopathology shows numerous giant, multinucleated osteoclasts lining Howship lacunae, consistent with increased bone resorption. The condition manifests prenatally and is presumably lethal in the perinatal period.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enEpiphyseal stippling-osteoclastic hyperplasia syndromePacman dysplasia
frSyndrome épiphyses ponctuées-hyperplasie ostéoclastiqueDysplasie de Pacman
deEpiphysäre Tüpfelung-osteoklastische Hyperplasie-SyndromPacman-Dysplasie
esSíndrome de epífisis punteada-hiperplasia osteoclásticaDisplasia de Pacman
itSindrome delle epifisi punteggiate-iperplasia osteoclasticaDisplasia di Pacman
nlEpifysaire stippeling - osteoclastische hyperplasie-syndroomPacman-dysplasie
ptSíndrome de epífises ponteadas-hiperplasia osteoclásticaDisplasia Pacman
plDysplazja PacmanaZespół kropkowatych nasad - hiperplazja osteoklastyczna
csPacman dysplázieSyndrom zahrnující epifyzární tečkování a osteoklastickou hyperplázii
ukСиндром епіфізарної смугасто-остеокластичної гіперплазіїДисплазія Пакмана
zhPacman发育不良点彩性骨骺综合征-破骨细胞增生综合征
trPacman displazisiEpifizyal benekleme sendromu-osteoklastik hiperplazi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM167220Evalidated
ICD-10Q77.8NTBTattributedvalidated
ICD-11FB86.2NTBTindexvalidated
MONDO0008175Evalidated
MeSHC538095Evalidated
UMLSC1833676Evalidated
GARD4189Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated12709756[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_12709756[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

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HPO phenotypes

10 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0011849Abnormal bone ossification
HP:0002683Abnormality of the calvaria
HP:0006487Bowing of the long bones
HP:0003417Coronal cleft vertebrae
HP:0010655Epiphyseal stippling
HP:0002970Genu varum
HP:0000601Hypotelorism
HP:0005716Lethal skeletal dysplasia
HP:0001643Patent ductus arteriosus
HP:0100670Rough bone trabeculation

Run the differential on the 10 obligate / very frequent terms

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Sources for this card