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Distal arthrogryposis type 4 is an inherited developmental defect syndrome characterized by multiple congenital contractures of limbs, without primary neurologic and/or muscle disease that affects limb function, and a mild to severe scoliosis. Intelligence is normal.
Features include: 2-5 finger cutaneous syndactyly, Low posterior hairline, Deviation of the 2nd toe, and Severe intellectual disability and 20 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 5 | 2-5 finger cutaneous syndactyly, Deviation of the 2nd toe, Fibular deviation of toes |
Biomarker and diagnostic research for arthrogryposis-severe scoliosis syndrome has been reported in the published literature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for arthrogryposis-severe scoliosis syndrome.
215 publications have been identified in PubMed for arthrogryposis-severe scoliosis syndrome. Kisho has analyzed 7 by research type. Research spans Case Report / Case Series (29%), Epidemiology / Natural History (29%), and Diagnostic / Biomarker (14%).
Kido J (2026). [PMID: 41826296](https://pubmed.ncbi.nlm.nih.gov/41826296/). *Hum Genome Var*. [Basic Science / Preclinical]
Smith-Voudouris J (2026). [PMID: 41520309](https://pubmed.ncbi.nlm.nih.gov/41520309/). *Spine Deform*. [Epidemiology / Natural History]
Charng WL (2025). [PMID: 40306904](https://pubmed.ncbi.nlm.nih.gov/40306904/). *J Med Genet*. [Epidemiology / Natural History]
Natera-de Benito D (2024). [PMID: 38833907](https://pubmed.ncbi.nlm.nih.gov/38833907/). *Pediatr Neurol*. [Case Report / Case Series]
Niehues T (2024). [PMID: 39381601](https://pubmed.ncbi.nlm.nih.gov/39381601/). *Allergol Select*. [Diagnostic / Biomarker]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 5:37 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
4 |
Mild bone density loss (osteopenia), Sideways curvature of the spine (scoliosis), Excessive outward curvature of the upper spine (kyphosis) |
Brain and nerves | 2 | Severe intellectual disability, Depressed nasal bridge |
Eyes | 2 | Nystagmus, Horizontal nystagmus |
Muscles | 1 | Distal arthrogryposis |
Age of onset: at birth.
Yelkur P (2024). [PMID: 38983978](https://pubmed.ncbi.nlm.nih.gov/38983978/). *Cureus*. [Case Report / Case Series]
Percy AK (2024). [PMID: 39251501](https://pubmed.ncbi.nlm.nih.gov/39251501/). *CNS Drugs*. [Review / Meta-Analysis]