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A rare congenital disorder, this is the non-lethal variant of multiple pterygium syndrome, characterized by orthopedic and craniofacial abnormalities, pterygium and akinethesia. The majority of cases are autosomal dominant.
Features include always present findings: Downslanted palpebral fissures, Camptodactyly, Knee flexion contracture, and Pterygium and others; and very common findings: Short stature, High palate, Arachnodactyly, and Rocker bottom foot. 65 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 6 | Multiple joint contractures, Fused cervical vertebrae, Thoracolumbar scoliosis |
Muscles | 5 | Flexion contracture, Knee flexion contracture, Multiple joint contractures |
Head and neck | 5 | Cleft palate, Weakness of facial musculature, Anterior clefting of vertebral bodies |
Pregnancy and birth | 4 | Hydrops fetalis, Congenital diaphragmatic hernia, Decreased fetal movement |
Arms and legs | 3 | Ulnar deviation of finger, Rocker bottom foot, Camptodactyly of toe |
Eyes | 2 | Bilateral ptosis, Ptosis |
Brain and nerves | 2 | Intellectual disability, Difficulty walking (gait disturbance) |
Lungs and breathing | 2 | Pulmonary hypoplasia, Neonatal respiratory distress |
Growth and development | 1 | Short stature |
Ears | 1 | Conductive hearing impairment |
Age of onset: at birth.
CHRNG encodes cholinergic receptor nicotinic gamma subunit (517 aa). After binding acetylcholine, the AChR responds by an extensive change in conformation that affects all subunits and leads to opening of an ion-conducting channel across the plasma membrane Highest expression in Muscle Skeletal (17.1 TPM) and Testis (0.2 TPM).
Autosomal recessive multiple pterygium syndrome is associated with mutations in the CHRNG gene on chromosome 2.
CHRNG is classified as a druggable target (Druggable Genome, Ion Channel, and Transporter categories) with score 0.7.
Genetic testing for CHRNG is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for autosomal recessive multiple pterygium syndrome has been reported in the published literature.
Phenotype severity distribution: 9 always present features, 4 very common features, 18 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for autosomal recessive multiple pterygium syndrome.
6 publications have been identified in PubMed for autosomal recessive multiple pterygium syndrome. Research spans Case Report / Case Series (40%), Diagnostic / Biomarker (20%), and Review / Meta-Analysis (20%).
Kido J (2026). [PMID: 41826296](https://pubmed.ncbi.nlm.nih.gov/41826296/). *Hum Genome Var*. [Basic Science / Preclinical]
Fabregas A (2026). [PMID: 41774532](https://pubmed.ncbi.nlm.nih.gov/41774532/). *J Pediatr Orthop*. [Review / Meta-Analysis]
Osman N (2025). [PMID: 40524706](https://pubmed.ncbi.nlm.nih.gov/40524706/). *AJOG Glob Rep*. [Diagnostic / Biomarker]
Manjunathan S (2024). [PMID: 38870465](https://pubmed.ncbi.nlm.nih.gov/38870465/). *Neurology*. [Case Report / Case Series]
McNamee L (2024). [PMID: 38924341](https://pubmed.ncbi.nlm.nih.gov/38924341/). *Am J Med Genet A*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 4:53 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center