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Living with Lethal multiple pterygium syndrome

A very rare inherited condition affecting the skin, muscles, and bones, with skin webbing and stiff joints that begins before birth.

Understanding Lethal multiple pterygium syndrome

Lethal multiple pterygium syndrome (LMPS) is a very rare genetic condition that affects the skin, muscles, and skeleton.

It is marked by minor facial differences, slow growth before birth, spine differences, joint contractures, and webbing of the skin (pterygia) at the neck, elbows, backs of the knees, armpits, and fingers. It is noticed during pregnancy.

Signs & symptoms

GARD doesn't list a symptom list for this condition. Its summary describes these features:

  • Webbing of the skin (pterygia)
  • Joint contractures
  • Spine differences
  • Slow growth before birth
  • Minor facial differences
  • Bone fusions and dislocated joints

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

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
Which of the CHRNG, CHRNA1, or CHRND genes is involved in our case?
What can prenatal ultrasound show for this condition?
What genetic counseling is available for future pregnancies?

Quick facts

Symptoms usually startduring Pregnancy
InheritanceAutosomal Recessive, X-Linked

Changes in the CHRNG, CHRNA1, and CHRND genes have been found to cause it. Both autosomal recessive and X-linked inheritance have been proposed.

Genetic

Also known as: autosomal recessive lethal multiple pterygium syndrome; lmps

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Lethal multiple pterygium syndromeGARD ID 3834 · 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 Lethal multiple pterygium syndrome.

Explore the Lethal multiple pterygium syndrome blog

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  • Eligibility is confirmed by the study team

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