Parathyroid hormone-like hormone (PTHLH, MIM 168470) plays an important role in endochondral bone development and prevents chondrocytes from differentiating. Disease-causing variants and haploinsufficiency of PTHLH are known to cause brachydactyly type E and short stature. So far, three large duplications encompassing several genes including PTHLH associating with enchondromatas and acro-osteolysis have been described in the literature. Here, we report on a three-generation pedigree with short humerus, curved radius, and a specific type of severe brachydactyly with features of types E and A1 but without the enchondromatas and the acro-osteolysis. Microarray-based comparative genomic hybridization (array-CGH) revealed a 70-kb duplication on chromosome 12p11.22 encompassing only PTHLH. Our data extend the phenotypic spectrum associated with copy number variations of PTHLH, and this family is to our knowledge the first description harboring a microduplication encompassing only PTHLH. 3 with severely retarded ossification of epiphyses, pelvis, hands, and feet, Jansen metaphyseal chondrodysplasia (MIM 156400) 4 that is caused by constitutively active heterozygous variants and characterized by generalized osteopenia, and lethal Blomstrand chondrodysplasia (BOCD, MIM 215045) 5 that is caused by inactivating loss-of-function variants and characterized by severe defects in endochondral bone formation.Here, we report on a family that presented with autosomal dominant inheritance of short humerus, curved radius, and brachydactyly. 6 Initially, several candidate genes for brachydactyly type A1 (BDA1) including IHH and GDF5 were excluded via Sanger sequencing and a 105K microarray-based comparative genomic hybridization (array-CGH) was normal. Therefore, no molecular diagnosis could be established at the time. 6 To exclude smaller copy number variations we recently performed high-resolution array-CGH (1 M) and identified a 70-kb duplication encompassing only PTHLH. Mouse studies show that overexpression of PTHLH in proliferating chondrocytes results in chondrodysplasia and delayed endochondral bone formation. 7 So far, three larger duplications encompassing a total of 5 to 12 genes have been described at the PTHLH locus. All three duplications are associated with enchondromatas and acro-osteolysis