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Living with Larsen-like syndrome, B3GAT3 type

A rare genetic bone condition with loose, dislocated joints, short height, foot differences, and heart differences.

Understanding Larsen-like syndrome, B3GAT3 type

Larsen-like syndrome, B3GAT3 type, is a rare genetic bone condition with joint looseness, dislocations, and short stature.

People may have contractures, clubfeet, broad finger and toe tips, a short neck, and distinctive facial features. Various heart differences can occur. In severe disease, there can be multiple fractures, thin bones, and blue-tinted whites of the eyes. Other reported features include scoliosis, fused forearm bones, mild developmental delay, and eye conditions such as glaucoma. It is noticed in newborns and infants.

Signs & symptoms

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

  • Loose, dislocated joints
  • Short stature
  • Clubfeet and flat feet
  • Fused forearm bones
  • Early closing of skull bones (craniosynostosis)
  • Low muscle tone and delayed motor skills

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, genetic specialists and heart and blood vessel specialists.

  3. Consider genetic testing

    Changes in B3GAT3 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); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
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 for the B3GAT3 gene confirm the diagnosis?
Should my child's heart and eyes be checked?
How can we protect bones and joints from fractures and dislocations?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesB3GAT3

Changes in the B3GAT3 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticInherited Metabolic

Also known as: larsen syndrome, autosomal recessive; multiple joint dislocations-short stature-craniofacial dysmorphism-congenital heart defects syndrome; multiple joint dislocations, short stature, and craniofacial dysmorphism with or without congenital heart defects; multiple joint dislocations, short stature, craniofacial dysmorphism, with or without congenital heart defects

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Larsen-like syndrome, B3GAT3 typeGARD ID 17308 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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