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Living with Arachnodactyly-abnormal ossification-intellectual disability syndrome

A rare syndrome present from birth with long slender fingers, skull and face differences, low muscle tone, and developmental delay.

Understanding Arachnodactyly-abnormal ossification-intellectual disability syndrome

Arachnodactyly-abnormal ossification-intellectual disability syndrome is a rare syndrome present from birth with long, slender fingers and toes, skull and face differences, and intellectual disability.

Features include differences in how the skull bones form, a prominent forehead, shallow eye sockets that make the eyes look bulging, a small lower jaw, and a flat midface. Babies often have feeding difficulties and low muscle tone. Development is delayed, leading to intellectual disability. It is noticed in newborns and infants.

Signs & symptoms

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

  • Long, slender fingers and toes (arachnodactyly)
  • Low muscle tone in infancy (floppy infant)
  • Feeding difficulties
  • Delayed development and intellectual disability
  • Prominent forehead and small lower jaw
  • Skull sutures that close late

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 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
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 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 feeding support does my baby need?
Which therapies help with low muscle tone and development?
Would genetic testing help find the cause?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD says changes in genes (also called variants) cause this syndrome but doesn't list a specific gene or inheritance pattern.

GeneticNeurological

Also known as: arachnodactyly with abnormal ossification and intellectual disability syndrome; kosztolanyi syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Arachnodactyly-abnormal ossification-intellectual disability syndromeGARD ID 381 · 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 Arachnodactyly-abnormal ossification-intellectual disability syndrome.

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