raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2697

Arthrogryposis-renal dysfunction-cholestasis syndrome

Synonyms: ARC syndrome

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

A rare, multisystem disorder, characterized by neurogenic arthrogryposis multiplex congenita, renal tubular dysfunction and neonatal cholestasis with low serum gamma-glutamyl transferase activity.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enArthrogryposis-renal dysfunction-cholestasis syndromeARC syndrome
frSyndrome d'arthrogrypose-insuffisance rénale-cholestaseSyndrome ARC
deArthrogrypose-Nierenfunktionsstörung-Cholestase-SyndromARC-Syndrom
esSíndrome de artrogriposis-disfunción renal-colestasisSíndrome ARC
itArtrogriposi - disfunzione renale - colestasiSindrome ARC
nlArtrogrypose - nierfunctiestoornis - cholestase-syndroomARC-syndroom
ptSíndrome de artrogripose-disfunção renal-colestaseSíndrome ARC
plArtrogrypoza - dysfunkcja nerek - cholestazaZespół ARC
csSyndrom zahrnující artrogrypózu, renální dysfunkci a cholestázuARC syndrom
ukСиндром артрогрипозу- ниркової дисфункції - холестазуСиндром ARC
zh关节挛缩-肾功能不全-胆汁淤积综合征ARC 综合征
trArtrogripozisi-böbrek fonksiyon bozukluğu-kolestaz sendromuARC sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM208085BTNTvalidated
OMIM613404BTNTvalidated
ICD-10Q89.7NTBTattributedvalidated
ICD-115C58.0YNTBTindexvalidated
MONDO0017123Evalidated
MeSHC535382Evalidated
UMLSC4551984Evalidated
GARD794Evalidated

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.

Codes that Orphanet moved or referred to this one:

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
VIPAS39Disease-causing germline mutation(s) inAssessedHGNC:20347ENSG0000015144561340114q24.3VPS33B interacting protein, apical-basolateral polarity regulator, spe-39 homolog25239142[PMID]
VPS33BDisease-causing germline mutation(s) inAssessedHGNC:12712ENSG0000018405660855215q26.1VPS33B late endosome and lysosome associated25239142[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families100 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

32 annotations · validated 2025-03-11
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002804Arthrogryposis multiplex congenita
HP:0001531Failure to thrive in infancy
Frequent (79-30%)
HP:0012483Abnormal alpha granules
HP:0030402Abnormal platelet aggregation
HP:0011873Abnormal platelet count
HP:0007370Aplasia/Hypoplasia of the corpus callosum
HP:0002028Chronic diarrhea
HP:0008780Congenital bilateral hip dislocation
HP:0002908Conjugated hyperbilirubinemia
HP:0002240Hepatomegaly
HP:0000962Hyperkeratosis
HP:0008064Ichthyosis
HP:0001249Intellectual disability
HP:0006566Neonatal cholestatic liver disease
HP:0002719Recurrent infections
HP:0001994Renal Fanconi syndrome
HP:0000124Renal tubular dysfunction
Occasional (29-5%)
HP:0000973Cutis laxa
HP:0001558Decreased fetal movement
HP:0000365Hearing impairment
HP:0000821Hypothyroidism
HP:0001252Hypotonia
HP:0005248Intrahepatic biliary atresia
HP:0000369Low-set ears
HP:0000252Microcephaly
HP:0000121Nephrocalcinosis
HP:0009806Nephrogenic diabetes insipidus
HP:0001562Oligohydramnios
HP:0000938Osteopenia
HP:0002756Pathologic fracture
HP:0003202Skeletal muscle atrophy
Excluded (0%)
HP:0030948Elevated gamma-glutamyltransferase level

Run the differential on the 2 obligate / very frequent terms

Annotation source: 39736737[PMID]_26914089[PMID]_25239142[PMID]_20224444[PMID]

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Sources for this card