Brachyolmia Type 4 with Mild Epiphyseal and Metaphyseal Changes, also known as spondyloepimetaphyseal dysplasia, pakistani type, is related to brachyolmia type 1, hobaek type and coxa vara. An important gene associated with Brachyolmia Type 4 with Mild Epiphyseal and Metaphyseal Changes is PAPSS2 (3'-Phosphoadenosine 5'-Phosphosulfate Synthase 2). Affiliated tissues include bone, and related phenotypes are short stature and acne