raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:763

Pycnodysostosis

Synonyms: Pyknodysostosis

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Adult, Childhood, Infancy
Status
active

Pycnodysostosis is a genetic lysosomal disease characterized by osteosclerosis of the skeleton, short stature and brittle bones.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPycnodysostosisPyknodysostosis
frPycnodysostose
dePyknodysostose
esPicnodisostosis
itPicnodisostosi
nlPycnodysostose= en
ptPicnodisostose
plPyknodyzostoza= en
csPyknodysostóza= en
ukПікнодизостозПікнодизостоз
zh致密性成骨不全症致密性成骨不全症
trPiknodizostozPiknodiyostoz

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM265800Evalidated
ICD-10Q78.8NTBTattributedvalidated
ICD-115C56.YNTBTindexvalidated
MONDO0009940Evalidated
MeSHD058631Evalidated
UMLSC0238402Evalidated
GARD4611Evalidated
MedDRA10082973Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CTSKDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:2536ENSG000001433876011051q21.3cathepsin K21569238[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.13 / 100 000WorldwideValue and classNot yet validated21569238[PMID]
Point prevalence1-9 / 1 000 000—EuropeClass onlyValidated[EXPERT]

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

66 annotations · validated 2021-10-11
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001156Brachydactyly
HP:0030353Decreased serum insulin-like growth factor 1
HP:0005906Delayed pneumatization of the mastoid process
HP:0008873Disproportionate short-limb short stature
HP:0002007Frontal bossing
HP:0011001Increased bone mineral density
HP:0005446Obtuse angle of mandible
HP:0009839Osteolytic defects of the distal phalanges of the hand
HP:0004474Persistent open anterior fontanelle
Frequent (79-30%)
HP:0001597Abnormal nail morphology
HP:0000164Abnormality of the dentition
HP:0000592Blue sclerae
HP:0012532Chronic pain
HP:0000444Convex nasal ridge
HP:0000824Decreased response to growth hormone stimulation test
HP:0000270Delayed cranial suture closure
HP:0005789Generalized osteosclerosis
HP:0000327Hypoplasia of the maxilla
HP:0002659Increased susceptibility to fractures
HP:0001511Intrauterine growth retardation
HP:0000347Micrognathia
HP:0011800Midface retrusion
HP:0008598Mild conductive hearing impairment
HP:0002870Obstructive sleep apnea
HP:0000448Prominent nose
HP:0000520Proptosis
HP:0009381Short finger
HP:0001773Short foot
HP:0200055Small hand
Occasional (29-5%)
HP:0000889Abnormality of the clavicle
HP:0010884Acromelia
HP:0000670Carious teeth
HP:0000696Delayed eruption of permanent teeth
HP:0000680Delayed eruption of primary teeth
HP:0000689Dental malocclusion
HP:0006297Enamel hypoplasia
HP:0000218High palate
HP:0000668Hypodontia
HP:0002866Hypoplastic iliac wing
HP:0001601Laryngomalacia
HP:0100559Lower limb asymmetry
HP:0003027Mesomelia
HP:0011342Mild global developmental delay
HP:0002164Nail dysplasia
HP:0025502Overweight
HP:0006335Persistence of primary teeth
HP:0008905Rhizomelia
HP:0001807Ridged nail
HP:0002650Scoliosis
HP:0003302Spondylolisthesis
HP:0003304Spondylolysis
HP:0010307Stridor
HP:0002645Wormian bones
Very rare (<4-1%)
HP:0000539Abnormality of refraction
HP:0000707Abnormality of the nervous system
HP:0007266Cerebral dysmyelination
HP:0002308Chiari malformation
HP:0004440Coronal craniosynostosis
HP:0001433Hepatosplenomegaly
HP:0003307Hyperlordosis
HP:0002516Increased intracranial pressure
HP:0001382Joint hypermobility
HP:0002808Kyphosis
HP:0000774Narrow chest
HP:0000486Strabismus
HP:0002493Upper motor neuron dysfunction

Run the differential on the 9 obligate / very frequent terms

Annotation source: 33151655[PMID]

7

Sources for this card