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Living with Autosomal dominant Alport syndrome

A genetic condition affecting type IV collagen in the kidney, inner ear, and eye, usually showing up in adulthood.

Understanding Autosomal dominant Alport syndrome

Autosomal dominant Alport syndrome is a genetic condition in which the body makes too little working type IV collagen, a protein used in the kidney, inner ear, and eye.

Symptoms vary greatly and tend to start between early and late adulthood. They include blood and protein in the urine and gradual loss of kidney function. Less common features include hearing loss and eye lesions. Some people with the gene changes have no symptoms.

Signs & symptoms

GARD lists these among the less common symptoms:

  • Blood in the urine
  • Protein in the urine
  • Gradual loss of kidney function
  • Hearing loss
  • Cataract (cloudy lens)
  • Nearsightedness

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 ear, nose, and throat specialists, eye disease specialists, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in COL4A3 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
Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
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 Alport Syndrome 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
How often should my kidneys and urine be checked?
Should my hearing and eyes be tested?
Should my relatives be tested for COL4A3 or COL4A4 changes?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesCOL4A3

GARD says changes in the COL4A3 or COL4A4 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticKidney

Also known as: alport syndrome 3, autosomal dominant; alport syndrome 3a, autosomal dominant; alport syndrome dominant type; alport syndrome, autosomal dominant; ats3a; col4a3 alport syndrome and thin basement membrane nephropathy

Patient organizations

Source: NIH GARD · Autosomal dominant Alport syndromeGARD ID 624 · 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 Autosomal dominant Alport syndrome.

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