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Living with Cutis laxa with severe pulmonary, gastrointestinal and urinary anomalies

A rare genetic connective tissue condition with loose skin plus early lung disease and stomach, bowel, and urinary tract problems.

Understanding Cutis laxa with severe pulmonary, gastrointestinal and urinary anomalies

Cutis laxa with severe pulmonary, gastrointestinal and urinary anomalies is a rare genetic connective tissue condition caused by a problem with the elastic tissue in the skin.

It causes saggy, wrinkly skin all over the body. People often have an early-onset form of emphysema, a lung problem that makes it hard to breathe. Problems can also affect the stomach, intestines, bladder, and kidneys, including weak spots in the bladder or intestines and swollen kidneys. The heart and blood vessels can be involved, typically with narrowing of the arteries in the lungs. It starts in newborns.

Signs & symptoms

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

  • Loose, wrinkled skin
  • Early-onset emphysema
  • Hernias
  • Pouches in the bladder wall
  • Feeding difficulties
  • Soft windpipe (tracheomalacia)

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, bone and joint specialists, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in LTBP4 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); Bone and joint specialists (orthopedists or orthopedic surgeons); Digestive system specialists (gastroenterologists); 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 Children's Skin Disease 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
Would LTBP4 gene testing help our family?
How should lung, kidney, and bladder health be monitored?
What help is available for feeding and breathing?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesLTBP4

It is caused by changes in the LTBP4 gene. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticGastrointestinalSkin

Also known as: arcl1c; arcl1c - autosomal recessive cutis laxa type 1c; autosomal recessive cutis laxa type 1c; cutis laxa, autosomal recessive, type ic; urban rifkin davis syndrome; urban-rifkin-davis syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Cutis laxa with severe pulmonary, gastrointestinal and urinary anomaliesGARD ID 17140 · 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 with severe pulmonary, gastrointestinal and urinary anomalies.

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