Understanding Jansen Disease: A Rare Genetic Condition
Feb 20, 2024 - 3 min readJansen Disease: An Overview
Jansen disease, also known as metaphyseal chondromatosis with dwarfism, is a rare genetic disorder characterized by skeletal abnormalities, dwarfism, and hearing loss. It is caused by mutations in the PTHR1 gene, which encodes the parathyroid hormone receptor.
Symptoms
The symptoms of Jansen disease can vary depending on the severity of the condition. Some of the most common symptoms include:
- Dwarfism
- Short limbs
- Broad hands and feet
- Bowed legs
- Kyphosis (curvature of the spine)
- Lordosis (curvature of the lower back)
- Scoliosis (curvature of the spine to the side)
- Enlarged joints
- Limited joint mobility
- Hearing loss
- Dental problems
- Intellectual disability
- Eye problems
- Respiratory problems
Causes
Jansen disease is caused by mutations in the PTHR1 gene. The PTHR1 gene encodes the parathyroid hormone receptor, which is a protein that helps to regulate the levels of calcium and phosphate in the body. Mutations in the PTHR1 gene can lead to a decrease in the number of parathyroid hormone receptors, which can result in an increase in the levels of calcium and phosphate in the body. This increase in calcium and phosphate can lead to the development of skeletal abnormalities and other symptoms of Jansen disease.
Diagnosis
Jansen disease is diagnosed based on a physical examination and a review of the patient’s medical history. Blood tests can be used to measure the levels of calcium and phosphate in the body. X-rays can be used to visualize the skeletal abnormalities. Genetic testing can be used to confirm the diagnosis of Jansen disease.
Treatment
There is no cure for Jansen disease, but treatment can help to manage the symptoms of the condition. Treatment may include:
- Surgery to correct skeletal abnormalities
- Physical therapy to improve joint mobility
- Hearing aids to improve hearing
- Dental care to address dental problems
- Medications to manage intellectual disability and other symptoms
Prognosis
The prognosis for Jansen disease can vary depending on the severity of the condition. Some people with Jansen disease may have a relatively normal lifespan, while others may have more severe symptoms that can lead to early death.
Prevention
There is no known way to prevent Jansen disease. However, genetic counseling can help to identify families who are at risk for having a child with Jansen disease.
Additional Information
Prevalence
Jansen disease is a rare condition, affecting about 1 in 100,000 people. It is more common in certain populations, such as the Amish and Mennonite communities.
Inheritance
Jansen disease is inherited in an autosomal recessive manner. This means that both parents must carry a copy of the mutated gene in order for a child to have Jansen disease.
Other Names
Jansen disease is also known by the following names:
- Metaphyseal chondromatosis with dwarfism
- Jansen-type metaphyseal chondromatosis
- Schimke metaphyseal chondromatosis
- Chondrodystrophy with deafness
- Dyschondroplasia with deafness
Support Groups
There are a number of support groups available for people with Jansen disease and their families. These groups can provide information, support, and resources. Some of the most well-known support groups include:
- The Jansen Disease Support Group
- The MAGIC Foundation
- The Little People of America
Research
Researchers are currently working to learn more about Jansen disease and to develop new treatments for the condition. Some of the most promising areas of research include:
- Gene therapy
- Stem cell therapy
- Drug therapy
Conclusion
Jansen disease is a rare genetic disorder that can cause a variety of skeletal abnormalities, dwarfism, and hearing loss. There is no cure for Jansen disease, but treatment can help to manage the symptoms of the condition. Research is ongoing to learn more about Jansen disease and to develop new treatments for the condition.