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Living with Complex lethal osteochondrodysplasia

A rare genetic bone condition affecting skeleton development before birth, with very low bone density and many fractures.

Understanding Complex lethal osteochondrodysplasia

Complex lethal osteochondrodysplasia is a rare genetic bone condition with low bone density that is seen during pregnancy.

The whole skeleton is severely under-mineralized, with a barrel-shaped chest, short ribs and multiple fractures of the ribs and long bones before birth. Fluid build-up in the belly and around the lungs and enlarged brain spaces can occur. Differences in the brain, lungs and kidneys have also been linked.

Signs & symptoms

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

  • Multiple rib fractures
  • Very low bone density
  • Fluid in the abdomen (ascites)
  • Fluid around the lungs (pleural effusion)
  • Cleft palate
  • Small head and flat face

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 TAPT1 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
Should we have genetic testing for the TAPT1 gene?
What are the chances for future pregnancies?
Where can we find support for our family?

Quick facts

Symptoms usually startduring Pregnancy
InheritanceAutosomal Recessive
GenesTAPT1

Changes in the TAPT1 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

Genetic

Also known as: complex lethal osteochondrodysplasia symoens barnes gistelinck type; complex lethal osteochondrodysplasia, symoens-barnes-gistelinck type; osteochondrodysplasia, complex lethal, symoens-barnes-gistelinck type

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Complex lethal osteochondrodysplasiaGARD ID 17807 · 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 Complex lethal osteochondrodysplasia.

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