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Living with Multiple pterygium-malignant hyperthermia syndrome

An extremely rare condition with stiff joints from birth, facial differences, a curved spine, and a risk of high fever episodes.

Understanding Multiple pterygium-malignant hyperthermia syndrome

Multiple pterygium-malignant hyperthermia syndrome is an extremely rare condition with stiff, bent joints from birth and episodes of dangerous high fever.

This condition has been described in only two pairs of siblings from two unrelated families. It involves joints that are fixed in bent positions (arthrogryposis), a tilted neck, facial differences, and a curved spine that gets worse over time. People can have episodes of malignant hyperthermia (a sudden, severe rise in body temperature). Symptoms start at birth.

Signs & symptoms

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

  • Joints fixed in bent positions (arthrogryposis)
  • Cleft palate
  • Drooping eyelid (ptosis)
  • Club feet
  • Hearing loss (conductive)
  • Face that is not the same on both sides

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, brain and nervous system specialists, ear, nose, and throat specialists and genetic specialists.

  3. Ask which tests can help

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

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial Foundation
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 Malignant Hyperthermia Association of the United States and other patient organizations
  • 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 specialists should follow my child's joints and spine?
What should we tell doctors about the risk of malignant hyperthermia?
Is genetic testing available for our family?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition. A child inherits a changed copy of a gene from each parent (autosomal recessive).

GeneticNeurological

Also known as: contractures, congenital, torticollis, and malignant hyperthermia; froster-iskenius-waterson-hall syndrome; malignant hyperthermia arthrogryposis torticollis; malignant hyperthermia-arthrogryposis-torticollis syndrome

Patient organizations

Source: NIH GARD · Multiple pterygium-malignant hyperthermia syndromeGARD ID 3361 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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