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Living with Arthrogryposis-hyperkeratosis syndrome, lethal form

A very rare condition present from birth with stiff joints and thickened skin, reported in infants.

Understanding Arthrogryposis-hyperkeratosis syndrome, lethal form

Arthrogryposis-hyperkeratosis syndrome is a very rare type of arthrogryposis with stiff, bent joints and thickened skin.

Joints of the large joints, fingers, and toes are fixed in a bent position (contractures), and the skin is thickened (hyperkeratosis). Babies are born early and have a reduced or absent sensory response. GARD notes there have been no further descriptions in the medical literature since 1993.

Signs & symptoms

GARD doesn't list specific symptoms for this condition, but its summary describes these features:

  • Bent, stiff joints (contractures)
  • Thickened skin (hyperkeratosis)
  • Born early (prematurity)
  • Reduced or absent sensory response

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

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
Which specialists should be involved in care?
Would genetic testing help our family?
What support services are available for our family?

Quick facts

Symptoms usually startNewborn

GARD says changes in genes (also called variants) cause this syndrome but doesn't list a specific gene or inheritance pattern.

Genetic

Also known as: arthrogryposis hyperkeratosis syndrome lethal form; arthrogryposis with hyperkeratosis; johnston aarons schelley syndrome; johnston-aarons-schelley syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Arthrogryposis-hyperkeratosis syndrome, lethal formGARD ID 3053 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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