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Living with Lethal tight skin contracture syndrome

A rare inherited skin condition with very tight, thin skin, stiff joints, and reduced movement before birth.

Understanding Lethal tight skin contracture syndrome

Lethal tight skin contracture syndrome is a rare inherited skin condition present from birth, with very tight, thin skin.

The skin has erosions and scaling. It comes with typical facial differences, joint contractures (arthrogryposis), reduced movement before birth, and small lungs. It does not involve nerve problems. It may be noticed during pregnancy or in newborns.

Signs & symptoms

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

  • Stiff, tight skin
  • Thickened skin (hyperkeratosis)
  • Joint contractures (arthrogryposis)
  • Reduced fetal movement
  • Small lower jaw (micrognathia)
  • Low-set ears

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, genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
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 Children's Skin Disease Foundation
  • 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 genetic testing help identify the gene involved?
How should skin care be handled?
What genetic counseling is available for future pregnancies?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant, Autosomal Recessive

It is caused by changes in genes. It can be inherited in an autosomal dominant or autosomal recessive way. GARD does not name a gene.

GeneticNeurologicalSkin

Also known as: infantile restrictive dermopathy; lethal hyperkeratosis-contracture syndrome; lethal restrictive dermopathy; lethal tight skin-contracture syndrome; restrictive dermopathy; restrictive dermopathy, lethal

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Lethal tight skin contracture syndromeGARD ID 1516 · 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 tight skin contracture syndrome.

Explore the Lethal tight skin contracture syndrome blog

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Explore actively recruiting Lethal tight skin contracture syndrome studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • 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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