TY - CHAP M1 - Book, Section TI - Achondrogenesis A1 - Bianchi, Diana W. A1 - Crombleholme, Timothy M. A1 - D'Alton, Mary E. A1 - Malone, Fergal D. PY - 2015 T2 - Fetology: Diagnosis and Management of the Fetal Patient, 2e AB - Key PointsSecond most common lethal short-limb dysplasia.Incidence is 1/40,000 to 1/50,000 livebirths.Characterized by severe micromelia, lack of vertebral ossification, and a large head with relatively normal ossification of the calvarium; also associated with polyhydramnios, cystic hygroma, and hydrops fetalis.Type I (20% of cases) is more severe and is inherited as an autosomal recessive. Type IB is caused by a mutation in the diastrophic dysplasia sulfate transporter (DTDST) gene.Type II (80% of cases) is caused by mutations in the COL2A1 gene, which results in significantly decreased type II collagen. Type II is usually a de novo dominant mutation, with rare reports of recurrence due to germline mosaicism.Increased incidence of prematurity and stillbirth. Condition is lethal in perinatal period. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - obgyn.mhmedical.com/content.aspx?aid=1106400262 ER -