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Living with Atypical hypotonia-cystinuria syndrome

A rare inherited syndrome with low muscle tone, poor feeding, slow growth, kidney stones risk from cystinuria, and mild to moderate intellectual disability.

Understanding Atypical hypotonia-cystinuria syndrome

Atypical hypotonia-cystinuria syndrome is a form of hypotonia-cystinuria syndrome that also includes mild to moderate intellectual disability.

The classic form includes cystinuria type 1 (a condition in which cystine passes into the urine), generalized low muscle tone (hypotonia), poor feeding, slow growth, and minor facial differences. It is noticed in newborns and infants.

Signs & symptoms

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

  • Low muscle tone (hypotonia)
  • Cystine in the urine (cystinuria)
  • Poor feeding
  • Slow growth
  • Mild to moderate intellectual disability
  • Minor facial differences

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 genetic specialists and kidney specialists.

  3. Ask which tests can help

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

  4. Connect with expert centers

    United Mitochondrial Disease Foundation and MitoAction may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Expert lists: United Mitochondrial Disease Foundation, MitoAction
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 Chromosome Disorder Outreach and other patient organizations
  • 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 child need?
How should the kidneys and urine be monitored?
Which therapies help with low muscle tone and development?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive, Mitochondrial

GARD says changes in genes (also called variants) cause this condition. It lists autosomal recessive and mitochondrial inheritance.

GeneticKidneyInherited MetabolicMitochondrial

Also known as: atypical hcs; atypical hypotonia cystinuria syndrome

Patient organizations

Source: NIH GARD · Atypical hypotonia-cystinuria syndromeGARD ID 17175 · 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 Atypical hypotonia-cystinuria syndrome.

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