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Living with Alacrima, achalasia, and intellectual disability syndrome

A rare inherited condition with little or no tear production, trouble moving food to the stomach, and intellectual disability.

Understanding Alacrima, achalasia, and intellectual disability syndrome

Alacrima, achalasia, and intellectual disability syndrome is a rare condition that begins at birth or before age 2.

It can cause the eyes to make few or no tears, achalasia (trouble moving food from the swallowing tube into the stomach), and slower intellectual development. People may also have low muscle tone, trouble walking, pupils of different sizes, or vision or hearing problems.

Signs & symptoms

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

  • No tears (alacrima)
  • Trouble moving food into the stomach (achalasia)
  • Delayed speech and language
  • Low muscle tone (hypotonia)
  • Developmental delay
  • Hearing problems

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

  4. Connect with expert centers

    CDG CARE may keep lists of experts for this condition.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Expert lists: CDG CARE
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 CDG CARE
  • 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
Is genetic testing available for our family?
How can dry eyes be protected and treated?
Which specialists, such as a stomach and swallowing doctor, should we see?

Quick facts

InheritanceAutosomal Recessive

GARD says parents pass this condition down through their genes. A child inherits a changed copy of a gene from each parent (autosomal recessive).

Also known as: alacrima, achalasia, and impaired intellectual development syndrome; intellectual disability, alacrima, achalasia syndrome

Patient organizations

  • CDG CAREAlacrima, achalasia, and intellectual disability syndrome · United States
Source: NIH GARD · Alacrima, achalasia, and intellectual disability syndromeGARD ID 12404 · 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 Alacrima, achalasia, and intellectual disability syndrome.

Explore the Alacrima, achalasia, and intellectual disability syndrome blog

Explore research for Alacrima, achalasia, and intellectual disability syndrome

Explore actively recruiting Alacrima, achalasia, and intellectual disability syndrome studies with HealthSpark.

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Find actively recruiting studies for Alacrima, achalasia, and intellectual disability 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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