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Living with Lethal congenital contracture syndrome 2

A rare inherited condition with joint contractures, a small jaw, and loss of nerve cells that control muscles.

Understanding Lethal congenital contracture syndrome 2

Lethal congenital contracture syndrome 2 is a rare inherited condition that causes multiple joint contractures from birth.

Elbows are typically extended and knees flexed. Other features include a small jaw, loss of nerve cells that move muscles, muscle wasting mainly in the legs, and a very full bladder. Some people have a cleft palate, facial weakness, or eye differences.

Signs & symptoms

GARD doesn't list common symptoms. Its summary and uncommon list mention these features:

  • Multiple joint contractures
  • Small lower jaw (micrognathia)
  • Muscle wasting, mainly in the legs
  • Very full, stretched bladder
  • Cleft palate or facial weakness
  • Hole in the heart wall (ventricular septal defect)

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 ERBB3 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
Would ERBB3 gene testing help confirm the diagnosis?
Does my child need heart or bladder checks?
Which therapies might help with movement?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesERBB3

It is caused by changes in the ERBB3 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

Genetic

Also known as: erbb3 lethal congenital contracture syndrome; lccs2; lethal congenital contractural syndrome 2; lethal congenital contracture syndrome caused by mutation in erbb3; lethal congenital contracture syndrome type 2; multiple contracture syndrome israeli-bedouin type

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Lethal congenital contracture syndrome 2GARD ID 9177 · 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

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