raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:321

Multiple osteochondromas

Synonyms: Bessel-Hagen disease · Multiple cartilaginous exostoses

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Childhood
Status
active

A primary bone disorder characterized by development of two or more cartilage capped bony outgrowths (osteochondromas) at the surface of the bones.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMultiple osteochondromasBessel-Hagen disease · Multiple cartilaginous exostoses
frMaladie des exostoses multiplesMaladie de Bessel-Hagen · Ostéochondromes multiples
deOsteochondrome, multipleBessel-Hagen-Krankheit · Multiple kartilaginären Exostosen
esOsteocondromas múltiplesEnfermedad de Bessel-Hagen · Exostosis cartilaginosa múltiple
itOsteocondromi multipliEXT1/EXT2-CDG · Esostosi cartilaginee multiple · Malattia di Bessel-Hagen
nlMultipele osteochondromenMeervoudige kraakbeenexostosen · Ziekte van Bessel-Hagen
ptOsteocondromas múltiplosExostoses cartilagíneas múltiplas
plMnogie kostniakochrzęstniakiChoroba Bessela i Hagena · Mnogie wyrośla chrzęstne
csMnohočetná osteochondromatózaBessel-Hagenova nemoc · EXT1/EXT2-CDG · Mnohočetné kartilaginózní exostózy
ukМножинні остеохондромиХвороба Бесселя-Хагена · Множинні хрящові екзостози
zh多发性骨软骨瘤多发性软骨外生骨疣
trÇoklu osteokondromBessel-Hagen hastalığı · çoklu kıkırdak ekzostozlar

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM133700Evalidated
OMIM133701BTNTvalidated
OMIM600209BTNTvalidated
ICD-10Q78.6Especificvalidated
ICD-11LD24.20Especificvalidated
MONDO0005508Evalidated
MONDO5508Evalidated
UMLSC0206641Evalidated
GARD7035Evalidated

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

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (5):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
EXT2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:3513ENSG0000015134860821011p11.2exostosin glycosyltransferase 220301413[PMID]
EXT1Disease-causing germline mutation(s) inAssessedHGNC:3512ENSG000001821976081778q24.11exostosin glycosyltransferase 120301413[PMID]
5

Prevalence and incidence

5 records
TypeClassValueAreaQualificationValidationSource
Point prevalence>1 / 1000100 / 100 000Specific populationValue and classValidated13754517[PMID]
Point prevalence1-9 / 1 000 0000.9 / 100 000United KingdomValue and classValidated6417335[PMID]
Point prevalence1-9 / 100 0001.35 / 100 000NetherlandsValue and classValidated1856833[PMID]
Point prevalence1-9 / 100 0003 / 100 000EuropeValue and classValidatedEuropean Medicines Agency 2018[OTHER]
Point prevalence1-9 / 100 0002 / 100 000United StatesValue and classValidated8027127[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.

6

HPO phenotypes

56 annotations · validated 2021-09-24
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0030431Osteochondroma
Frequent (79-30%)
HP:0003330Abnormal bone structure
HP:0002763Abnormal cartilage morphology
HP:0040069Abnormal lower limb bone morphology
HP:0002823Abnormality of femur morphology
HP:0002815Abnormality of the knee
HP:0003959Deformed forearm bones
HP:0004302Functional motor deficit
HP:0001376Limitation of joint mobility
HP:0012531Pain
HP:0004322Short stature
Occasional (29-5%)
HP:0002991Abnormal fibula morphology
HP:0005922Abnormal hand morphology
HP:0040071Abnormal morphology of ulna
HP:0002992Abnormality of tibia morphology
HP:0001369Arthritis
HP:0100555Asymmetric growth
HP:0006487Bowing of the long bones
HP:0025232Bursitis
HP:0002673Coxa valga
HP:0003977Deformed radius
HP:0030883Femoroacetabular impingement
HP:0009821Forearm undergrowth
HP:0002857Genu valgum
HP:0009826Limb undergrowth
HP:0010501Limitation of knee mobility
HP:0008800Limited hip movement
HP:0100559Lower limb asymmetry
HP:0003016Metaphyseal widening
HP:0003326Myalgia
HP:0003026Short long bone
HP:0006385Short lower limbs
HP:0010049Short metacarpal
HP:0003474Somatic sensory dysfunction
HP:0032510Tendon pain
Very rare (<4-1%)
HP:0001191Abnormal carpal morphology
HP:0040163Abnormal pelvis bone morphology
HP:0001850Abnormality of the tarsal bones
HP:0020110Bone fracture
HP:0002318Cervical myelopathy
HP:0100749Chest pain
HP:0006765Chondrosarcoma
HP:0002015Dysphagia
HP:0012151Hemothorax
HP:0005214Intestinal obstruction
HP:0003406Peripheral nerve compression
HP:0002107Pneumothorax
HP:0031625Pseudoaneurysm
HP:0000896Rib exostoses
HP:0000918Scapular exostoses
HP:0002176Spinal cord compression
HP:0008443Spinal deformities
HP:0003396Syringomyelia
HP:0004684Talipes valgus
HP:0002144Tethered cord
HP:0000016Urinary retention

Run the differential on the 1 obligate / very frequent terms

Annotation source: 32253147[PMID]_20301413[PMID]

7

Sources for this card