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Living with Cutis laxa, autosomal recessive, type 1B

A rare genetic connective tissue condition with loose skin, lung and heart problems, and fragile blood vessels.

Understanding Cutis laxa, autosomal recessive, type 1B

Cutis laxa, autosomal recessive, type 1B (ARCL1B) is a rare genetic connective tissue disorder with loose skin and symptoms in other parts of the body.

Babies may have fractures during birth, long thin fingers (arachnodactyly), and flexible joints. Other symptoms include emphysema and trouble getting oxygen in and carbon dioxide out because of heart and lung problems. The condition may also cause fragile blood vessels. These symptoms are all related to changes in how elastic fiber is formed.

Signs & symptoms

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

  • Loose skin
  • Emphysema
  • Twisted or bulging arteries (aneurysms)
  • High blood pressure in the lungs
  • Hernias
  • Very flexible joints

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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
Would EFEMP2 gene testing help our family?
How often should the heart, aorta, and lungs be checked?
What breathing support might be needed?

Quick facts

InheritanceAutosomal Recessive

It is caused by changes in the EFEMP2 gene. It is autosomal recessive, meaning two changed copies of the gene, one from each parent, are needed to cause it.

Also known as: arcl1b; cutis laxa, autosomal recessive, type ib

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Cutis laxa, autosomal recessive, type 1BGARD ID 15804 · 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 Cutis laxa, autosomal recessive, type 1B.

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