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Living with Aphalangy-syndactyly-microcephaly syndrome

An extremely rare syndrome present from birth with finger and toe differences, a smaller head, and mild intellectual disability.

Understanding Aphalangy-syndactyly-microcephaly syndrome

Aphalangy-syndactyly-microcephaly syndrome is an extremely rare condition that affects the fingers and toes, head size, and learning.

People have missing outer finger and toe bones and fused fingers or toes (syndactyly). There can also be an extra metatarsal (foot bone), a smaller head (microcephaly), and mild intellectual disability. It is seen during pregnancy and in newborns.

Signs & symptoms

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

  • Smaller-than-average head (microcephaly)
  • Fused toes (syndactyly)
  • Small or missing outer finger and toe bones
  • Small or absent nails
  • Short stature
  • Split foot

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
What therapies could help with hand and foot function?
How can we support learning needs?
Would genetic testing help other family members?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this syndrome. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

Genetic

Also known as: aphalangia, partial, with syndactyly and duplication of metatarsal type 4

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Aphalangy-syndactyly-microcephaly syndromeGARD ID 748 · 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 Aphalangy-syndactyly-microcephaly syndrome.

Explore the Aphalangy-syndactyly-microcephaly syndrome blog

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