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Living with Acheiropodia

A very rare condition present from birth in which the hands and feet are missing on both sides.

Understanding Acheiropodia

Acheiropodia is a very rare condition with congenital absence of the hands and feet on both sides.

People are born with absence of the ends of the upper arm bones and midsection of the shin bones, and lack of development of the forearm bones, the fibula, and all bones of the hands and feet. It appears to affect only the extremities, with no other signs reported. GARD lists onset as during pregnancy and as a newborn.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Absent hands
  • Missing forearm bones (radius and ulna)
  • Missing calf bone (fibula)
  • Short upper arm bone (humerus)
  • Upper limb shortening (phocomelia)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists and genetic specialists.

  3. Consider genetic testing

    Changes in LMBR1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What prosthetic and mobility options are available?
Which therapists can help with daily skills?
Should family members have LMBR1 genetic counseling?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesLMBR1

Changes in the LMBR1 gene cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: acheiropody; acheiropody, brazilian type; achp; agenesis of hands and feet; horn-kolb syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · AcheiropodiaGARD ID 376 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Acheiropodia.

Explore the Acheiropodia blog

Explore research for Acheiropodia

Explore actively recruiting Acheiropodia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Acheiropodia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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