figure a

The painting entitled “Aragonese Dwarf” is an oil on canvas realized in 1825 by the Spanish neoclassical painter Vicente López y Portaña (Valencia, 1772–Madrid, 1850).

The subject of the picture presents with disproportionate short-trunk dwarfing condition, relative macrocephaly and flat face. The limbs are short with hands and feet average-sized.

These phenotypic aspects lead to the diagnosis of Spondyloepiphyseal Dysplasia Congenita (SEDC), a rare inherited autosomal dominant disorder, with a prevalence of approximately 1 per 100,000 live births [1]. The disease, which belongs to the group of type II collagenopathy, results from mutations in type II collagen gene (COL2A1, MIM 183900) [2].

The picture, exposed at Harvard Fogg Art Museum, Cambridge, Massachusetts, can be considered an effective artistic representation of the pathology.