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Living with Autism spectrum disorder - epilepsy - arthrogryposis syndrome

A rare genetic condition with autism, seizures, stiff finger joints, low muscle tone, and developmental delay.

Understanding Autism spectrum disorder - epilepsy - arthrogryposis syndrome

Autism spectrum disorder-epilepsy-arthrogryposis syndrome is a rare genetic condition that affects how the body adds sugar chains to proteins and causes autism, seizures, and joint differences.

It is a congenital disorder of N-linked glycosylation. Features include stiff, bent finger joints, a small lower jaw set back, low muscle tone, and delayed development. Autism features include speech delay and repetitive behaviors. Seizures, a small head, and mild to moderate intellectual disability that becomes clearer with age also occur. It is noticed in newborns and infants.

Signs & symptoms

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

  • Autism spectrum behaviors
  • Mild intellectual disability
  • Knee dislocation
  • Seizures
  • Hip dislocation or dysplasia
  • Hammertoes

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, brain and nervous system specialists, genetic specialists and seizure and epilepsy specialists.

  3. Consider genetic testing

    Changes in SLC35A3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy Foundation
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 Organization for Autism Research and other patient organizations
  • 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 seizure care is right for my child?
What therapies help with speech and social skills?
Would SLC35A3 testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSLC35A3

GARD says changes in the SLC35A3 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalInherited Metabolic

Also known as: arthrogryposis, impaired intellectual development, and seizures; autism spectrum disorder-epilepsy-arthrogryposis syndrome; slc35a3-cdg

Patient organizations

Source: NIH GARD · Autism spectrum disorder - epilepsy - arthrogryposis syndromeGARD ID 17604 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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