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Start free with EleplanMicrophthalmia-microtia-fetal akinesia syndrome
ORPHA:2547Malformation syndrome
Also called Thomas-Jewett-Raines syndrome
What it is
A rare lethal multiple congenital anomalies/dysmorphic syndrome characterized by the association of fetal akinesia sequence, bilateral microphthalmia, microtia, and persistent truncus arteriosus. Additional dysmorphic features include prominent forehead, small nose, micrognathia, as well as camptodactyly and symphalangism. Contractures of large joints and micropenis have also been reported.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Antenatal, Neonatal
- Classified as
- Malformation syndrome
Recorded for the broader condition
- Inheritance
- Autosomal dominant, Autosomal recessive, Not applicable, X-linked recessiveArthrogryposis multiplex congenita
Orphanet records these for the broader condition rather than for this specific form. They are a starting point, not a figure for this subtype — subtypes often differ, and some are defined by being rarer than the condition they sit under.
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
8Common30–79%
7- Abnormality of the bladder
- Abnormality of the upper urinary tract
- Duodenal stenosis
- Hydroureter
- Hypoplasia of penis
- Polyhydramnios
- Symphalangism affecting the phalanges of the hand
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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