Caring for someone with this diagnosis? Eleplan keeps diagnoses, medications, documents and every specialist in one plan.
Start free with EleplanMultiple pterygium-malignant hyperthermia syndrome
ORPHA:2215Malformation syndrome
Also called Froster-Iskenius-Waterson-Hall syndrome · Malignant hyperthermia-arthrogryposis-torticollis syndrome
What it is
An extremely rare arthrogryposis syndrome, described in only two pairs of siblings from two unrelated families to date, and characterized by the association of arthrogryposis, congenital torticollis, dysmorphic facial features (i.e. asymmetry of the face, myopathic facial movements, ptosis, posteriorly rotated ears, cleft palate), progressive scoliosis and episodes of malignant hyperthermia. There have been no further descriptions in the literature since 1988.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Malformation syndrome
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%
17- Abnormality of the mandible
- Arthrogryposis multiplex congenita
- Camptodactyly of finger
- Congenital muscular torticollis
- Facial asymmetry
- Long philtrum
- Mask-like facies
- Metatarsus adductus
- Plagiocephaly
- Posteriorly rotated ears
- Prominent metopic ridge
- Scoliosis
- Skeletal muscle atrophy
- Talipes equinovarus
- Tapered finger
- Ulnar deviation of finger
- Webbed neck
Common30–79%
22- Abnormal aldolase level
- Abnormal circulating creatine kinase concentration
- Abnormal lactate dehydrogenase activity
- Amniotic constriction ring
- Arachnodactyly
- Cleft palate
- Conductive hearing impairment
- Cryptorchidism
- Downslanted palpebral fissures
- Downturned corners of mouth
- Hypernasal speech
- Hypotelorism
- Long palm
- Malignant hyperthermia
- Narrow mouth
- Pectus excavatum
- Prominence of the zygomatic bone
- Prominent nasal bridge
- Ptosis
- Severe short stature
- Small scrotum
- Wide intermamillary distance
Sometimes5–29%
24- Abnormal rib morphology
- Advanced eruption of teeth
- Broad alveolar ridges
- Capillary hemangioma
- Dolichocephaly
- Dyspnea
- Exaggerated cupid's bow
- Fingernail dysplasia
and 16 more in this range
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.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Benefit programs to look at
Programs whose eligibility touches the same ICD-10 categories. Eligibility is decided by the administering agency, never by this page.
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.
Powered by Eleplan
A rare diagnosis is just the start. Eleplan keeps the whole care plan in one place.
Diagnoses, medications, documents, appointments, and the whole care team — organized and always in sync, so you are not retelling the same story to every new specialist. With Ellie, your AI care assistant, on top of it. Free to start.