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Living with Arts syndrome

An X-linked genetic condition causing hearing loss, low muscle tone, vision loss, and developmental delay, mostly in boys.

Understanding Arts syndrome

Arts syndrome is an X-linked genetic condition that causes serious nerve and hearing problems, mainly in males.

Boys have profound hearing loss from birth, low muscle tone, poor coordination, developmental delay, and intellectual disability. In early childhood they develop vision loss from optic nerve damage, and numbness and weakness in the limbs (peripheral neuropathy). They often have repeated infections, especially in the airways. Females are typically much milder, and may only have hearing loss that starts in adulthood.

Signs & symptoms

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

  • Profound hearing loss from birth
  • Low muscle tone
  • Poor coordination (ataxia)
  • Vision loss from optic nerve damage
  • Developmental delay and intellectual disability
  • Nerve damage in the limbs (peripheral neuropathy)

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, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in PRPS1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    National Ataxia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: National Ataxia Foundation
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 National Ataxia Foundation
  • 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 hearing support, such as hearing devices, can help?
How can we reduce and treat repeated infections?
Would PRPS1 testing help female relatives who may carry it?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesPRPS1

GARD says changes in the PRPS1 gene cause this condition. It is X-linked, meaning the gene is on the X chromosome.

GeneticNeurologicalInherited Metabolic

Also known as: arts; arts syndrome and phosphoribosylpyrophosphate synthetase superactivity; arts syndrome, x-linked recessive; fatal x-linked ataxia with deafness and loss of vision; lethal ataxia with deafness and optic atrophy; lethal ataxia with hearing loss and optic atrophy

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Arts syndromeGARD ID 8756 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

Explore research for Arts syndrome

Explore actively recruiting Arts syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Arts 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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