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Winchester Syndrome

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Atlas of Genetic Diagnosis and Counseling

Abstract

Winchester syndrome was one of the first recognized autosomal-recessive, multicentric forms of the disorder. It was originally described nearly 50 years ago in two sisters with severe skeletal and joint deformities. Their unaffected, healthy parents were first cousins (Winchester et al. 1969). The children suffered from progressive bilateral and symmetric osteolysis of the carpals and tarsals, interphalangeal joint erosions mimicking juvenile idiopathic arthritis, generalized osteoporosis, and eventual loss of function of the larger joints, including the shoulder, elbow, hip, and knee joints.

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References

  • Al Aqeel, A., Sewairi, W. A., Edress, B., et al. (2000). Inherited multicentric osteolysis with arthritis: a variant resembling Torg syndrome in a Saudi family. American Journal of Medical Genetics, 93, 11–18.

    Article  CAS  PubMed  Google Scholar 

  • Al Kaissi, A., Scholl-Buergbi, S., Biedemann, R., et al. (2011). The diagnosis and management of patients with idiopathic osteolysis. Pediatric Rheumatology, 9, 31–39.

    Article  PubMed  PubMed Central  Google Scholar 

  • Al-Aqeel, A. I. (2005). Al-Aqeel Sewairi syndrome, a new autosomal recessive disorder with multicentric osteolysis, nodulosis and arthropathy: the first genetic defect of matrix metalloproteinase 2 gene. Saudi Medical Journal, 26, 24–30.

    PubMed  Google Scholar 

  • Evans, B. R., Mosig, R. A., Lobl, M., et al. (2012). Mutation of membrane type-1 metalloproteinase, MT1-MMP, causes the multicentric osteolysis and Arthritis Disease Winchester Syndrome. American Journal of Human Genetics, 91, 572–576.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Grover, S., Crewal, R. S., Verma, R., et al. (2009). Winchester syndrome: A case report. International Journal of Dermatology, 48, 176–177.

    Article  Google Scholar 

  • Hardegger, F., Simpson, L. A., & Segmueller, G. (1985). The syndrome of idiopathic osteolysis: Classification, review, and case report. Journal of Bone and Joint Surgery (British), 67-B, 88–93.

    Google Scholar 

  • Lee, S.-J., Whitewood, C., & Murray, K. J. (2010). Inherited multicentric osteolysis: Case report of three siblings treated with bisphosphonate. Pediatric Rheumatology, 8, 12–20.

    Article  PubMed  PubMed Central  Google Scholar 

  • Martignetti, J. A., Aqeel, A. A., Sewairi, W. A., et al. (2001). Mutation of the matrix metalloproteinase 2 gene (MMP2) causes a multicentric osteolysis and arthritis syndrome. Nature Genetics, 28, 261–265.

    Article  CAS  PubMed  Google Scholar 

  • Mosig, R. A., Dowling, O., DiFeo, A., et al. (2007). Loss of MMP-2 disrupts skeletal and craniofacial development and results in decreased bone mineralization, joint erosion and defects in osteoblast and osteoclast growth. Human Molecular Genetics, 16, 1113–1123.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Mosig, R. A., Dowling, O., & Martignetti, J. A. (2008). Human MMP-2 deficiency: The multicentric osteolysis with nodulosis and arthritis (MONA) and Winchester Syndromes. In C. J. Epstein, R. P. Erickson, & A. Wynshaw-Boris (Eds.), Inborn errors of development: The molecular basis of clinical disorders of morphogenesis (2nd ed., pp. 1453–1461). New York: Oxford University Press.

    Google Scholar 

  • Phadke, S. R., Ramirez, M., DiFeo, A., et al. (2007). Torg-Winchester syndrome: Lack of efficacy of pamidronate therapy. Clinical Dysmorphology, 15, 95–100.

    Article  Google Scholar 

  • Rouzier, C., Vanatka, R., Bannwarth, S., et al. (2006). A novel homozygous MMP2 mutation in a family with Winchester syndrome. Clinical Genetics, 69, 271–276.

    Article  CAS  PubMed  Google Scholar 

  • Spranger, J. W., Brill, P. W., & Poznanski, A. K. (2002). Bone dysplasias: An atlas of genetic disorders of skeletal development (2nd ed., Vol. xvii). Oxford/New York: Oxford University Pres. 613pp.

    Google Scholar 

  • Torg, J. S., DiGeorge, A. M., Kirkpatrick, J. A., Jr., et al. (1969). Hereditary multicentric osteolysis with recessive transmission: A new syndrome. Journal of Pediatrics, 75, 243–252.

    Article  CAS  PubMed  Google Scholar 

  • Vanatka, R., Rouzier, C., lambert, J. C., et al. (2011). Winchester syndrome; the progression of radiological findings over a 23-year period. Skeletal Radiology, 40, 347–351.

    Article  PubMed  Google Scholar 

  • Velayuthan, S., Gates, P., Chen, H., & Raman, V. (2014). All that hurts is not arthritis. In Poster presentation at the Southern Regional Meeting, 20–24 Feb, New Orleans.

    Google Scholar 

  • Winchester, P., Grossman, H., Lim, W. N., & Danes, B. S. (1969). A new acid mucopolysaccharidosis with skeletal deformities simulating rheumatoid arthritis. American Journal of Roentgenology, Radium Therapy and Nuclear Medicine, 106, 121–128.

    Article  CAS  Google Scholar 

  • Winter, R. M. (1989). Winchester’s syndrome. Journal of Medical Genetics, 26, 772–775.

    Google Scholar 

  • Zankl, A., Bonafe, L., Calcaterra, V., et al. (2005). Winchester syndrome caused by a homozygous mutation affecting the active site of matrix metalloproteinase 2. Clinical Genetics, 67, 261–266.

    Article  CAS  PubMed  Google Scholar 

  • Zankl, A., Pachman, L., Poznanski, A., et al. (2007). Torg syndrome is caused by inactivating mutations in MMP2 and is allelic to NAO and Winchester syndrome. Journal of Bone Mineral Research, 22, 329–333.

    Article  CAS  PubMed  Google Scholar 

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Chen, H. (2017). Winchester Syndrome. In: Atlas of Genetic Diagnosis and Counseling. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2401-1_271

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  • DOI: https://doi.org/10.1007/978-1-4939-2401-1_271

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2400-4

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