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Living with Camptodactyly-arthropathy-coxa vara-pericarditis syndrome

A rare genetic joint condition with bent fingers, joint disease, hip changes, and sometimes fluid around the heart or lungs.

Understanding Camptodactyly-arthropathy-coxa vara-pericarditis syndrome

Camptodactyly-arthropathy-coxa vara-pericarditis syndrome (CACP) is a rare condition that causes joint differences.

The name lists the main symptoms: bent fingers (camptodactyly), joint disease (arthropathy), and changes in the hip joint with shorter legs and a possible limp (coxa vara). Some people have extra cells in the joint lining or fluid around the heart or lungs. It can be mistaken for juvenile idiopathic arthritis at first. It starts from birth to childhood.

Signs & symptoms

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

  • Permanently bent fingers and toes (camptodactyly)
  • Joint disease in several joints (arthropathy)
  • Hip changes (coxa vara)
  • Wrist swelling
  • Thin bones (osteoporosis)
  • Fluid around the heart or lungs

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 autoimmune and inflammatory disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in PRG4 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
autoimmune and inflammatory disease specialists (rheumatologists); 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 CACP Research Foundation
  • 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
Can PRG4 gene testing confirm CACP instead of juvenile arthritis?
Which heart and lung checks are needed?
Which specialists (joint, heart) should be on our team?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Recessive
GenesPRG4

Changes in the PRG4 gene cause this condition. This gene makes a protein that lubricates the joints. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: arthropathy camptodactyly syndrome; arthropathy-camptodactyly syndrome; cacp; cacp (camptodactyly, arthropathy, coxa-vara, pericarditis) syndrome; cacp syndrome; camptodactyly-arthropathy-coxa-vara-pericarditis syndrome

Patient organizations

Source: NIH GARD · Camptodactyly-arthropathy-coxa vara-pericarditis syndromeGARD ID 306 · 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 Camptodactyly-arthropathy-coxa vara-pericarditis syndrome.

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