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Living with Fatal infantile hypertonic myofibrillar myopathy

A rare genetic muscle disease in infants with stiff muscles, weakness and trouble breathing, with normal thinking.

Understanding Fatal infantile hypertonic myofibrillar myopathy

Fatal infantile hypertonic myofibrillar myopathy is a rare genetic skeletal muscle disease that starts in infancy.

It causes muscle stiffness and rigidity, weakness, and trouble breathing, while thinking skills stay normal. Symptoms begin after a short period of normal infant development. Breathing problems worsen over time. Blood tests show a lasting high level of creatine kinase.

Signs & symptoms

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

  • Stiff muscles (hypertonia)
  • Muscle weakness
  • Trouble breathing (respiratory insufficiency)
  • Pauses in breathing (apnea)
  • High creatine kinase in the blood

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 brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in CRYAB 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
Brain and nervous system specialists (neurologists); 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 CRYAB gene?
What breathing support options are available?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesCRYAB

Changes in the CRYAB gene cause it. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: alpha-b crystalin-related fatal infantile hypertonic myofibrillar myopathy; mfm, fatal infantile hypertonic, alpha-b crystallin-related; mfm2b; myopathy, myofibrillar, 2b, infantile-onset

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Fatal infantile hypertonic myofibrillar myopathyGARD ID 17296 · 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 Fatal infantile hypertonic myofibrillar myopathy.

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