raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1486

Lethal congenital contracture syndrome type 1

Synonyms: Herva disease · LCCS1 · Multiple contracture syndrome, Finnish type

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal, Neonatal
Status
active

Lethal congenital contracture syndrome type 1 is a rare, genetic arthrogryposis syndrome characterized by total fetal akinesia (detectable since the 13th week of gestation) accompanied by hydrops, micrognathia, pulmonary hypoplasia, pterygia and multiple joint contractures (usually flexion contractures in the elbows and extension in the knees), leading invariably to death before the 32nd week of gestation. Lack of anterior horn motoneurons, severe atrophy of the ventral spinal cord and severe skeletal muscle hypoplasia are characteristic neuropathological findings, with no evidence of other organ structural anomalies.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLethal congenital contracture syndrome type 1Herva disease · LCCS1 · Multiple contracture syndrome, Finnish type
frSyndrome des contractures congénitales létales type 1LCCS1 · Maladie de Herva · Syndrome des contractures multiples type finlandais
deSyndrom der kongenitalen letalen Kontrakturen Typ 1Herva-Krankheit · LCCS1 · Syndrom der multiplen Kontrakturen, finnischer Typ
esSíndrome de contracturas congénitas letales tipo 1Enfermedad de Herva · LCCS1 · Síndrome de contracturas múltiples tipo finlandés
itSindrome da contratture congenite letali, tipo 1LCCS1 · Malattia di Herva · Sindrome da contratture multiple, tipo finlandese
nlLetale congenitale contracturen-syndroom type 1LCCS1 · Meervoudige contracturen-syndroom, Fins type · Ziekte van Herva
ptSíndrome de contraturas congénitas letais tipo 1Doença de Herva · Síndrome de artrogripose congénita letal · Síndrome de artrogripose múltipla tipo filandês
plLetalny zespół wrodzonych przykurczów stawowych typu 1Choroba Herva · LCCS1 · Zespół mnogich przykurczów, typu fińskiego
csVrozený letální syndrom kontraktur, typ 1Nemoc Hervaové · LCCS1 · Syndrom mnohočetných kontraktur, finský typ
ukЛетальний синдром вродженої контрактури, тип 1Хвороба Герва · LCCS1 · Синдром множинних контрактур, фінський тип
zh致死性先天性关节挛缩综合征1型多发性挛缩综合征,芬兰型
trLetal Doğumsal kontraktür sendromu tip 1LCCS1 · Herva hastalığı · çoklu kontraktür sendromu, Fin tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM253310Evalidated
ICD-10Q68.8NTBTattributedvalidated
ICD-11LD26.4YNTBTindexvalidated
MONDO0009670Evalidated
MeSHC537194Evalidated
UMLSC1854664Evalidated
GARD3227Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (6):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GLE1Disease-causing germline mutation(s) inAssessedHGNC:4315ENSG000001193926033719q34.11GLE1 RNA export mediator18204449[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—FinlandClass onlyValidated32670090[PMID]_ORPHANET
Prevalence at birth1-9 / 100 0003.96 / 100 000FinlandValue and classValidated16892327[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

18 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003272Abnormality of the hip bone
HP:0000316Hypertelorism
HP:0000347Micrognathia
HP:0002089Pulmonary hypoplasia
HP:0004322Short stature
HP:0003202Skeletal muscle atrophy
Frequent (79-30%)
HP:0003103Abnormal cortical bone morphology
HP:0000772Abnormal rib morphology
HP:0009811Abnormality of the elbow
HP:0009775Amniotic constriction ring
HP:0001376Limitation of joint mobility
HP:0001561Polyhydramnios
HP:0000358Posteriorly rotated ears
HP:0002757Recurrent fractures
HP:0000470Short neck
HP:0003100Slender long bone
HP:0000465Webbed neck
Occasional (29-5%)
HP:0003312Abnormal form of the vertebral bodies

Run the differential on the 6 obligate / very frequent terms

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Sources for this card