raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:90349

Autosomal recessive cutis laxa type 1

Synonyms: ARCL1 · Autosomal recessive cutis laxa with severe systemic involvement · Autosomal recessive cutis laxa, pulmonary emphysema type

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

A generalized connective tissue disorder characterized by the association of wrinkled, redundant and sagging inelastic skin with severe systemic manifestations (lung atelectesias and emphysema, vascular anomalies, and gastrointestinal and genitourinary tract diverticuli).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive cutis laxa type 1ARCL1 · Autosomal recessive cutis laxa with severe systemic involvement · Autosomal recessive cutis laxa, pulmonary emphysema type
frCutis laxa autosomique récessive type 1ARCL1 · Cutis laxa autosomique récessive avec atteinte systémique sévère · Cutis laxa autosomique récessive type emphysème pulmonaire
deCutis laxa, autosomal-rezessive, Typ 1ARCL1 · Cutis laxa, autosomal-rezessive, Lungenemphysem Typ · Cutis laxa, autosomal-rezessive, mit schwerer systemischer Beteiligung
esCutis laxa autosómica recesiva tipo 1ARCL1 · Cutis laxa autosómica recesiva con afectación sistémica grave · Cutis laxa autosómica recesiva tipo enfisema pulmonar
itCutis laxa autosomica recessiva, tipo 1ARCL1 · Cutis laxa autosomica recessiva con coinvolgimento sistemico · Cutis laxa autosomica recessiva, tipo enfisema polmonare
nlAutosomaal recessieve cutis laxa type 1ARCL1 · Autosomaal recessieve cutis laxa met ernstige systemische betrokkenheid · Autosomaal recessieve cutis laxa, pulmonaal emfyseem-type
ptCutis laxa autossómica recessiva tipo 1
plAutosomalna recesywna skóra wiotka typu 1Autosomalna recesywna skóra wiotka with severe systemic involvement · ARCL1 · Autosomalna recesywna skóra wiotka z rozedmą płuc
csAutozomálně recesivní cutis laxa, typ 1ARCL1 · Autozomálně recesivní cutis laxa s těžkým systémovým postižením · Autozomálně recesivní cutis laxa, typ plicní emfyzém
ukАутосомно-рецесивний синдром cutis laxa, тип 1ARCL1 · Аутосомно-рецесивний cutis laxa з тяжким системним ураженням · Аутосомно-рецесивний cutis laxa, тип легеневої емфіземи
zh常染色体隐性遗传皮肤松弛症1型常染色体隐性遗传皮肤松弛症伴严重系统性受累
trOtozomal resesif kutis laksa tip 1ARCL1 · Otozomal çekinik kutis laksa, pulmoner amfizem tipi · Ağır sistemik tutulumlu otozomal çekinik kutis laksa

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM219100BTNTvalidated
OMIM614437BTNTvalidated
OMIM619446BTNTvalidated
ICD-10Q82.8NTBTattributedvalidated
ICD-11LD28.2NTBTindexvalidated
MONDO0019572Evalidated
MeSHC562628Evalidated
UMLSC0268351Evalidated
GARD8480Evalidated

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 (2):

No children.

4

Genes

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
EFEMP2Disease-causing germline mutation(s) inAssessedHGNC:3219ENSG0000017263860463311q13.1EGF-like fibulin extracellular matrix protein 216685658[PMID]_19664000[PMID]
FBLN5Disease-causing germline mutation(s) inAssessedHGNC:3602ENSG0000014009260458014q32.12fibulin 522829427[PMID]
LTBP1Disease-causing germline mutation(s) inAssessedHGNC:6714ENSG000000493231503902p22.3latent transforming growth factor beta binding protein 133991472[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families60 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

37 annotations · validated 2024-07-09
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0000973Cutis laxa
Very frequent (99-80%)
HP:0010750Dermatochalasis
HP:0002097Emphysema
HP:0025167Fragmented elastic fibers in the dermis
HP:0100679Lack of skin elasticity
HP:0001582Redundant skin
Frequent (79-30%)
HP:0030680Abnormal cardiovascular system morphology
HP:0001999Abnormal facial shape
HP:0011004Abnormal systemic arterial morphology
HP:0004426Abnormality of the cheek
HP:0000271Abnormality of the face
HP:0045027Abnormality of the thoracic cavity
HP:0001635Congestive heart failure
HP:0100790Hernia
HP:0000023Inguinal hernia
HP:0001511Intrauterine growth retardation
HP:0001382Joint hypermobility
HP:0032153Joint subluxation
HP:0001270Motor delay
HP:0002756Pathologic fracture
HP:0004969Peripheral pulmonary artery stenosis
HP:0002107Pneumothorax
HP:0002093Respiratory insufficiency
Occasional (29-5%)
HP:0030872Abnormal cardiac ventricular function
HP:0000929Abnormal skull morphology
HP:0002617Dilatation
HP:0006698Dilatation of the ventricular cavity
HP:0002827Hip dislocation
HP:0012619Multiple bladder diverticula
HP:0012330Pyelonephritis
HP:0002021Pyloric stenosis
HP:0006532Recurrent pneumonia
HP:0000010Recurrent urinary tract infections
HP:0002256Small bowel diverticula
HP:0004381Supravalvular aortic stenosis
HP:0008722Urethral diverticulum
HP:0000076Vesicoureteral reflux

Run the differential on the 6 obligate / very frequent terms

Annotation source: 20301756[PMID]_30422539[PMID]_19401719[PMID]

7

Sources for this card