Compound heterozygous or homozygous mutations in the RMRP gene have been found in three types of related diseases, anauxetic dysplasia (AD), cartilage hair hypoplasia (CHH), and metaphyseal dysplasia without hypotrichosis (MDWH), which are collectively referred to as cartilage hair hypoplasia-anauxetic dysplasia spectrum disorders (Ridanpää et al. 2001; Bonafé et al. 2002; Thiel et al. 2005; Makitie and Vakkilainen 2012). This evidence concerns the gene RMRP and metaphyseal dysplasia without hypotrichosis.