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Living with Greenberg dysplasia

A severe bone condition that affects the developing baby before birth, with a distinctive moth-eaten look of the bones on X-ray and swelling of the body.

Understanding Greenberg dysplasia

Greenberg dysplasia, or HEM skeletal dysplasia, is a severe condition with specific bone differences in the developing fetus.

The bones don't develop properly and look spotted or "moth-eaten" on X-ray, with abnormal calcium deposits. The arm and leg bones are extremely short and the vertebrae are flat (platyspondyly). Short ribs and extra fingers may occur. Affected babies also have widespread swelling from fluid buildup (hydrops fetalis). The name stands for hydrops, ectopic calcification, moth-eaten skeletal dysplasia.

Signs & symptoms

Symptoms vary. GARD lists these among the most common:

  • Moth-eaten bone look on X-ray
  • Abnormal calcium deposits in bone
  • Extremely short arm and leg bones
  • Flattened vertebrae (platyspondyly)
  • Short ribs and extra fingers
  • Swelling from fluid buildup (hydrops fetalis)

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 LBR 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
Can genetic testing confirm a change in the LBR gene?
What is the chance of this happening again in a future pregnancy?
Which specialists can support our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesLBR

Changes in the LBR gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticInherited Metabolic

Also known as: chondrodystrophy, hydropic and prenatally lethal type; grbgd; hem dysplasia; hem skeletal dysplasia; hydrops-ectopic calcification-motheaten syndrome; moth-eaten skeletal dysplasia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Greenberg dysplasiaGARD ID 8754 · 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 Greenberg dysplasia.

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Explore research for Greenberg dysplasia

Explore actively recruiting Greenberg dysplasia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Greenberg dysplasia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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