Living in a rural community in the Blue Ridge Mountains of North Carolina, Lora Vance – a mother of nine – always knew she wanted a big family. So, when she was pregnant with her eighth child and all the prenatal appointments went well, Lora was excited to give her children a new sibling.

In December 2015, she gave birth to a healthy boy named Benjamin. 但, 就在分娩几小时后, her world was turned upside down when the medical team at her hospital noticed differences in Benjamin’s body proportions.

“My heart sank when I realized something might be wrong,” Lora recalls.

Because no one at the hospital had experience with dwarfism, Lora was referred for further examination to the nearest healthcare team with relevant experience – almost 100 miles away in Winston-Salem. 还在从分娩中恢复, Lora hit the road with her husband and newborn to visit the hospital, where Benjamin received X-rays and was then referred to a geneticist for genomic testing. More than two months later, Benjamin finally received a diagnosis of hypochondroplasia.

Hypochondroplasia is a genetic condition caused by a mutation in the fibroblast growth factor receptor 3 (FGFR3) gene that impairs bone growth. 与软骨发育不全, the most common form of skeletal dysplasia leading to disproportionate short stature, people with hypochondroplasia typically present with less severe short stature and milder disproportionality.

“I was in shock after hearing about Benjamin’s diagnosis, and I immediately began searching online to learn about this condition that I had never heard of before,劳拉回忆道. “这真的是一把双刃剑. 而我得到了一些答案, it mostly made me fearful about what Benjamin would have to go through and stole my joy from what was supposed to be a very happy time for our family.”

介于两者之间

One of the first thoughts on Lora’s mind was how society would treat her son, and whether he would have a hard time growing up differently in their small town.

“We’ve dealt with mean comments from other kids, but what hurt the most was the reaction of adults,劳拉说. “这些人年纪大了，知道该怎么办, but who still don’t make the effort to accept our son for who he is and educate their children to do so the same.”

Even within the dwarfism community, it’s been difficult for Benjamin to feel fully accepted. Because the features of hypochondroplasia are often less pronounced than other genetic growth-related conditions, Benjamin is considerably taller than the children he has met at gatherings with other members of the dwarfism community. 结果是, he was cast into an “in between” space that further isolated him from the support of peers, even though he has experienced similar struggles, 包括慢性疼痛, cognitive difficulties and everyday challenges such as finding proper clothing and shoes.

对未来的希望

While there are currently no approved medicines for people with hypochondroplasia, new research and clinical trials are looking for ways to improve outcomes for people like Benjamin. In the meantime, families like the Vances continue to persevere. Benjamin enjoys a life that is typical for an 8-year-old boy living in the countryside. He spends his free time playing outdoors on his family’s farm – fishing, 抓龙虾, 还追着山羊和鸡跑. He is also pursuing education both through homeschooling and outside classes.

Lora feels grateful for her family and the support system it has provided to Benjamin. 展望未来, she is determined to advocate for Benjamin’s acceptance, both in the family’s hometown and in society at large.

“He’s beginning to have more questions about his condition, and I want him to feel just as confident in life as his other siblings,她说。. “对我来说, a big part of that is helping make others aware of hypochondroplasia and the importance of finding common ground with people no matter how they look.”