raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1662

Restrictive dermopathy

Synonyms: Lethal hyperkeratosis-contracture syndrome · Lethal restrictive dermopathy · Lethal tight skin-contracture syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive
Age of onset
Antenatal, Neonatal
Status
active

A congenital genodermatosis with skin/mucosae involvement, characterized by very tight and thin skin with erosions and scaling, associated to a typical facial dysmorphism, arthrogryposis multiplex, fetal akinesia or hypokinesia deformation sequence (FADS) and pulmonary hypoplasia without neurological abnormalities.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enRestrictive dermopathyLethal hyperkeratosis-contracture syndrome · Lethal restrictive dermopathy · Lethal tight skin-contracture syndrome
frDermopathie restrictiveDermopathie restrictive létale
deRestriktive DermopathieDermopathie, letale restriktive · Letale Hyperkeratose-Kontrakturen-Syndrom
esDermopatía restrictivaDermopatía restrictiva letal · Síndrome de contracturas-piel tensa letal · Síndrome de hiperqueratosis-contracturas letal
itDermopatia restrittivaDermopatia restrittiva letale · Sindrome contratture-aderenze cutanee · Sindrome contratture-ipercheratosi
nlRestrictieve dermopathieLetaal hyperkeratose - contracturen-syndroom · Letaal strakke huid - contracturen-syndroom · Letale restrictieve dermatopathie
ptDermopatia restritivaDermopatia restritiva letal
plDermopatia restrykcyjnaTight skin contracture syndrome · Letalna dermopatia restrykcyjna · Zespół hiperkeratozy i przykurczy
csRestriktivní dermopatieSyndrom zahrnující hyperkeratózu a kontraktury · Letální restriktivní dermopatie · Syndrom s kontrakturami a napjatou kůží
ukРестриктивна дермопатіяЛетальний гіперкератозно-контрактурний синдром · Летальна рестриктивна дермопатія · Смертельний синдром тугого стиснення шкіри
zh限制性皮肤病致死性皮肤角化过度-挛缩综合征
trKısıtlayıcı dermopatiLetal kısıtlayıcı dermopati · Letal sıkı cilt kontraktür sendromu · Letal hiperkeratoz kontraktür sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM275210Evalidated
OMIM619793BTNTvalidated
ICD-10Q82.8NTBTattributedvalidated
ICD-11EE6YNTBTindexvalidated
MONDO0031213Evalidated
MONDO31213Evalidated
MeSHC536920Evalidated
UMLSC0406585Evalidated
GARD1516Evalidated

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 (4):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
LMNADisease-causing germline mutation(s) inAssessedHGNC:6636ENSG000001607891503301q22lamin A/C18470519[PMID]_19020898[PMID]
ZMPSTE24Disease-causing germline mutation(s) inAssessedHGNC:12877ENSG000000840736064801p34.2zinc metallopeptidase STE2418470519[PMID]_19020898[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families30 casesWorldwideCase(s)ValidatedORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

58 annotations · validated 2017-09-04
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0030053Stiff skin
Very frequent (99-80%)
HP:0025354Abnormal cellular phenotype
HP:0002597Abnormality of the vasculature
HP:0009924Aplasia/Hypoplasia involving the nose
HP:0006710Aplasia/Hypoplasia of the clavicles
HP:0007592Aplasia/Hypoplastia of the eccrine sweat glands
HP:0002804Arthrogryposis multiplex congenita
HP:0001558Decreased fetal movement
HP:0004331Decreased skull ossification
HP:0004334Dermal atrophy
HP:0010648Dermal translucency
HP:0000494Downslanted palpebral fissures
HP:0000621Entropion
HP:0005595Generalized hyperkeratosis
HP:0000962Hyperkeratosis
HP:0000316Hypertelorism
HP:0005253Increased anterioposterior diameter of thorax
HP:0001511Intrauterine growth retardation
HP:0000369Low-set ears
HP:0000347Micrognathia
HP:0002828Multiple joint contractures
HP:0000160Narrow mouth
HP:0000938Osteopenia
HP:0001643Patent ductus arteriosus
HP:0001622Premature birth
HP:0005267Premature delivery because of cervical insufficiency or membrane fragility
HP:0002089Pulmonary hypoplasia
HP:0040189Scaling skin
HP:0012745Short palpebral fissure
HP:0001196Short umbilical cord
HP:0200041Skin erosion
HP:0006266Small placenta
HP:0045075Sparse eyebrow
HP:0008070Sparse hair
HP:0200102Sparse or absent eyelashes
HP:0010219Structural foot deformity
HP:0000176Submucous cleft hard palate
HP:0000506Telecanthus
HP:0012478Temporomandibular joint ankylosis
HP:0006645Thin clavicles
HP:0000883Thin ribs
HP:0004492Widely patent fontanelles and sutures
Occasional (29-5%)
HP:0004970Ascending tubular aorta aneurysm
HP:0001631Atrial septal defect
HP:0100490Camptodactyly of finger
HP:0000453Choanal atresia
HP:0008244Congenital adrenal hypoplasia
HP:0001651Dextrocardia
HP:0000047Hypospadias
HP:0006267Large placenta
HP:0004388Microcolon
HP:0000695Natal tooth
HP:0001561Polyhydramnios
HP:0001799Short nail
HP:0005659Thoracic kyphoscoliosis
HP:0001669Transposition of the great arteries
HP:0000073Ureteral duplication
HP:0000465Webbed neck

Run the differential on the 12 obligate / very frequent terms

Annotation source: 24169522[PMID]_21127399[PMID]_15843403[PMID]_15317753[PMID]_15897383[PMID]_3840649[PMID]_8291564[PMID]

7

Sources for this card