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Living with Au-Kline syndrome

A genetic condition that affects many body systems, with low muscle tone, delayed development, and distinctive facial features.

Understanding Au-Kline syndrome

Au-Kline syndrome is a genetic condition that affects many body systems, including muscle tone, development, and facial features.

People typically have low muscle tone, intellectual disability, and delayed development. Speech and walking come later than usual, and some children never speak or walk on their own. Facial features can include long eyelid openings, drooping eyelids, and a deep groove down the middle of the tongue. The heart, blood vessels, kidneys, and bones can be affected, and some people have difficulty feeding. It is noticed in newborns.

Signs & symptoms

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

  • Delayed speech and walking
  • Intellectual disability
  • Low muscle tone
  • Distinctive facial features
  • Heart differences, such as a hole in the heart wall
  • Feeding difficulties

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, brain and nervous system specialists, genetic specialists and heart and blood vessel specialists.

  3. Consider genetic testing

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

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
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 HNRNP Family Foundation 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
Which heart and kidney checks do I need, including the aorta?
What feeding support is available?
Which therapies help with speech and walking?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant
GenesHNRNPK

GARD says changes in the HNRNPK gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough to cause it.

GeneticNeurological

Also known as: au kline syndrome; auks; hydronephrosis, congenital, with cleft palate, characteristic facies, hypotonia, and intellectual disability; neurodevelopmental disorder-craniofacial dysmorphism-cardiac defect-hip dysplasia syndrome due to a point mutation; neurodevelopmental disorder-craniofacial dysmorphism-cardiac defect-skeletal anomalies syndrome due to a point mutation; neurodevelopmental disorder, craniofacial dysmorphism, cardiac defect, skeletal anomalies syndrome

Patient organizations

Source: NIH GARD · Au-Kline syndromeGARD ID 4064 · 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 Au-Kline syndrome.

Explore the Au-Kline syndrome blog

Explore research for Au-Kline syndrome

Explore actively recruiting Au-Kline syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Au-Kline 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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