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Living with Acrofacial dysostosis, Palagonia type

A rare condition with short height, mild jaw and hand differences, and missing teeth, with normal intelligence.

Understanding Acrofacial dysostosis, Palagonia type

Acrofacial dysostosis, Palagonia type, is a rare condition with mild differences in the face and hands.

People have normal intelligence and short stature. Mild differences include underdeveloped cheekbones, a small jaw, and webbing and shortening of the fingers. Missing teeth and a patch of missing scalp skin with twisted hair may occur, and some have a cleft lip on one side. GARD notes there have been no further reports in the medical literature since 1997. GARD lists onset as the newborn and infant period.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Short stature
  • Small lower jaw (micrognathia)
  • Missing teeth (oligodontia)
  • Webbed fingers
  • Short fourth hand bone
  • Sparse lateral eyebrows

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which dental care helps with missing teeth?
Does the cleft lip need treatment?
Should we have genetic counseling about inheritance?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD says changes in genes (also called variants) cause this condition. It doesn't list a specific gene.

Genetic

Also known as: acrofacial dysostosis palagonia type; acrofacial dysostosis, patagonia type; afd- palagonia type; palagonia form of afd; palagonia type of acrofacial dysostosis

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Acrofacial dysostosis, Palagonia typeGARD ID 499 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Acrofacial dysostosis, Palagonia type.

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