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Living with Adams-Oliver syndrome

A rare condition present at birth with patches of missing skin, usually on the scalp, and differences in the hands and feet.

Understanding Adams-Oliver syndrome

Adams-Oliver syndrome is a rare condition present at birth, with missing patches of skin and limb differences.

Most people have aplasia cutis congenita, which means areas of missing skin, usually on the top of the head. The hands and feet are often affected, such as fused, short, or missing fingers or toes and abnormal nails. Some people have blood vessel problems, heart defects, or neurological problems such as developmental delay.

Signs & symptoms

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

  • Patches of missing skin at birth (aplasia cutis congenita)
  • Short or missing fingers or toes
  • Fused fingers (syndactyly)
  • Net-like pattern on the skin (cutis marmorata)
  • Poor weight gain (failure to thrive)
  • Eye problems, such as cataract or small eyes

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, brain and nervous system specialists, eye disease 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); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); 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 FACES: The National Craniofacial Association and other patient organizations
  • 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 genes are involved in my family's case, and is testing available?
Should heart and blood vessel checks be part of care?
How should the skin and scalp areas be cared for?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant, Autosomal Recessive

Changes in genes cause this condition. It can be inherited in an autosomal dominant way (one changed copy from a parent) or an autosomal recessive way (a changed copy from each parent).

GeneticNeurologicalSkin

Also known as: adams oliver syndrome; aos; congenital absence of skin on scalp with limb-reduction anomaly; congenital scalp defects with distal limb anomalies; congenital scalp defects with distal limb reduction anomalies; limb, scalp and skull defects

Patient organizations

Source: NIH GARD · Adams-Oliver syndromeGARD ID 5739 · 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 Adams-Oliver syndrome.

Explore the Adams-Oliver syndrome blog

Explore research for Adams-Oliver syndrome

Explore actively recruiting Adams-Oliver syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Adams-Oliver syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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