Congenital ichthyosis-microcephalus-tetraplegia syndrome

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ORPHA:2271Q87.8
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Overview

Congenital ichthyosis-microcephalus-tetraplegia syndrome is an extremely rare condition that affects the skin, brain, and movement from birth. The name describes its three main features: 'congenital ichthyosis' means the skin is thick, dry, and scaly at birth; 'microcephalus' means the head is smaller than normal because the brain did not fully develop; and 'tetraplegia' means all four limbs are paralyzed or severely weakened. This condition is sometimes referred to by its Orphanet code ORPHA:2271. Because it is so rare, only a very small number of cases have ever been reported in medical literature. The syndrome affects multiple body systems at once. The skin problems can cause discomfort, increase the risk of infection, and require daily care. The small head size reflects reduced brain development, which typically leads to intellectual disability and developmental delays. The paralysis of all four limbs means most affected individuals need full-time support for daily activities like eating, bathing, and moving around. There is currently no cure for this condition. Treatment focuses on managing symptoms — keeping the skin moisturized and protected, preventing complications from immobility such as pressure sores and respiratory infections, and providing supportive therapies like physical therapy and occupational therapy. A team of specialists is usually needed to address the many different aspects of this complex condition.

Also known as:

Key symptoms:

Thick, dry, scaly skin present from birth (ichthyosis)Abnormally small head size (microcephaly)Paralysis or severe weakness in all four limbs (tetraplegia)Intellectual disabilityDelayed or absent developmental milestonesStiff or spastic musclesDifficulty swallowing or feedingIncreased risk of skin infections due to skin barrier problemsBreathing difficulties related to muscle weakness

Clinical phenotype terms (8)— hover any for plain English
TetraplegiaHP:0002445Pain insensitivityHP:0007021
Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Congenital ichthyosis-microcephalus-tetraplegia syndrome.

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No actively recruiting trials found for Congenital ichthyosis-microcephalus-tetraplegia syndrome at this time.

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No specialists are currently listed for Congenital ichthyosis-microcephalus-tetraplegia syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Congenital ichthyosis-microcephalus-tetraplegia syndrome.

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Community

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Caregiver Resources

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Questions for your doctor

Bring these to your next appointment

  • Q1.What genetic tests should we do to find the cause of this condition in our child?,What specialists should be part of our care team, and how often should we see each one?,What is the best daily skin care routine for our child's ichthyosis?,How can we reduce the risk of respiratory infections and other serious complications?,Are there any clinical trials or research studies we should know about?,What support services and therapies are available to help our child develop as much as possible?,What should we watch for at home that would mean we need to go to the emergency room?

Common questions about Congenital ichthyosis-microcephalus-tetraplegia syndrome

What is Congenital ichthyosis-microcephalus-tetraplegia syndrome?

Congenital ichthyosis-microcephalus-tetraplegia syndrome is an extremely rare condition that affects the skin, brain, and movement from birth. The name describes its three main features: 'congenital ichthyosis' means the skin is thick, dry, and scaly at birth; 'microcephalus' means the head is smaller than normal because the brain did not fully develop; and 'tetraplegia' means all four limbs are paralyzed or severely weakened. This condition is sometimes referred to by its Orphanet code ORPHA:2271. Because it is so rare, only a very small number of cases have ever been reported in medical lite

How is Congenital ichthyosis-microcephalus-tetraplegia syndrome inherited?

Congenital ichthyosis-microcephalus-tetraplegia syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Congenital ichthyosis-microcephalus-tetraplegia syndrome typically begin?

Typical onset of Congenital ichthyosis-microcephalus-tetraplegia syndrome is neonatal. Age of onset can vary across affected individuals.