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Living with Arachnodactyly-intellectual disability-dysmorphism syndrome

A rare syndrome present from birth with long slender fingers, distinctive facial features, and intellectual disability.

Understanding Arachnodactyly-intellectual disability-dysmorphism syndrome

Arachnodactyly-intellectual disability-dysmorphism syndrome is a rare syndrome with long, slender fingers, distinctive facial features, and moderate to severe intellectual disability.

People have a long, narrow, triangular face, a prominent forehead, wide-set eyes, thin lips, and a tall, slim build with long fingers (a marfanoid look). Other features can include extra thumb bones, hyperextensible joints, and low muscle tone. Seizures and a heart valve leak have been reported in some. GARD notes there have been no further descriptions in the medical literature since 1995.

Signs & symptoms

GARD doesn't list specific symptoms for this condition, but its summary describes these features:

  • Moderate to severe intellectual disability
  • Long, slender fingers (arachnodactyly)
  • Long, narrow, triangular face
  • Wide-set eyes (hypertelorism)
  • Low muscle tone and very flexible joints
  • Seizures in some people

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 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); 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
Should my heart be checked for valve problems?
What support is available for learning and development?
Would a genetics evaluation help?

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 and intellectual disability with facial dysmorphism syndrome; de die-smulders-vles-fryns syndrome; de die, smulders, vles, fryns syndrome; die smulders vles fryns syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Arachnodactyly-intellectual disability-dysmorphism syndromeGARD ID 764 · 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-intellectual disability-dysmorphism syndrome.

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