Preferred Label : Cutis laxa, autosomal recessive, type ia;
Symbol : ARCL1A;
CISMeF acronym : ARCL1A; ARCL1;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : ARCL1; Cutis laxa, autosomal recessive;
Description : Cutis laxa is a collection of disorders that are typified by loose and/or wrinkled
skin that imparts a prematurely aged appearance. Face, hands, feet, joints, and torso
may be differentially affected. The skin lacks elastic recoil, in marked contrast
to the hyperelasticity apparent in classical Ehlers-Danlos syndrome (see 130000).
These properties are nearly always attributable to loss, fragmentation, or severe
disorganization of dermal elastic fibers (summary by Davidson and Giro, 2002). The
clinical spectrum of autosomal recessive cutis laxa is highly heterogeneous with respect
to organ involvement and severity. Type I autosomal recessive cutis laxa (ARCL1) is
a specific, life-threatening disorder with organ involvement, lung atelectasis and
emphysema, diverticula of the gastrointestinal and genitourinary systems, and vascular
anomalies. Associated cranial anomalies, late closure of the fontanel, joint laxity,
hip dislocation, and inguinal hernia have been observed but are uncommon. Diminution
of elastic fibers throughout the dermis and abnormal elastin components by electron
microscopy are pathognomonic (summary by Morava et al., 2009). Classification of autosomal
recessive cutis laxa is further divided into type II (ARCL2), associated with bone
dystrophy, joint laxity, and developmental delay; and type III (ARCL3), or de Barsy
syndrome, which presents very severe symptoms, with ocular involvement and mental
retardation (summary by Davidson and Giro, 2002). For a phenotypic description and
a discussion of genetic heterogeneity of autosomal dominant cutis laxa, see 123700.
- Genetic Heterogeneity of Autosomal Recessive Cutis Laxa;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the fibulin 5 gene (FBLN5, 604580.0001);
Prefixed ID : #219100;
Origin ID : 219100;
UMLS CUI : C5848058;
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
Not associated HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)
Validated automatic mappings to NTBT