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Acheiropodia is an extremely rare developmental disorder characterized by bilateral, congenital and complete amputation of the distal extremities (amputation of distal epiphysis of the humerus, distal portion of the tibial diaphysis, aplasia of the radius, ulna, fibula) and aplasia of hands and feet (aplasia of carpal, metacarpal, tarsal, metatarsal and phalangeal bones). Rarely, an ectopic bone can be found at the distal end of the humerus. No other systemic manifestations have been reported and the disorder follows an autosomal recessive pattern of inheritance.
Features include very common findings: Absent forearm, Peromelia, Aplasia of the ulna, and Fibular aplasia and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 4 | Carpal bone aplasia, Aplasia of the tarsal bones, Aplasia of metacarpal bones |
LMBR1 encodes limb development membrane protein 1 (490 aa). Putative membrane receptor Highest expression in Adrenal Gland (16.9 TPM) and Testis (14.8 TPM).
Acheiropody is associated with mutations in the LMBR1 gene on chromosome 7.
LMBR1 is classified as a druggable target with score 0.0.
Genetic testing for LMBR1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 15 very common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 6:53 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about acheiropody
4 |
Absent hand, Absent toe, Lower limb peromelia |