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Living with Autosomal dominant deafness - onychodystrophy syndrome

A rare genetic condition present from birth with hearing loss, small or missing nails, and short or missing fingertip bones.

Understanding Autosomal dominant deafness - onychodystrophy syndrome

Autosomal dominant deafness-onychodystrophy syndrome is a rare condition present from birth with hearing loss, small or missing nails, and small or missing tip bones of the fingers and toes.

Hearing loss is present from birth and is severe. Fewer teeth than usual and a thumb with three bones (finger-like thumb) can occur. It is seen during pregnancy and in newborns.

Signs & symptoms

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

  • Severe hearing loss from the inner ear
  • Small or missing fingernails and toenails
  • Fewer teeth than usual (oligodontia)
  • Finger-like thumb (triphalangeal thumb)
  • Differences in the teeth

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in ATP6V1B2 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 Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias
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 Foundation for Ectodermal Dysplasias 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 hearing devices or supports are right for me or my child?
How should dental care be planned?
Would ATP6V1B2 testing help my relatives?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant
GenesATP6V1B2

GARD says changes in the ATP6V1B2 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticNeurologicalSkin

Also known as: autosomal dominant deafness with onychodystrophy syndrome; autosomal dominant deafness-onychodystrophy syndrome; autosomal dominant hearing loss-onychodystrophy syndrome; autosomal dominant hearing loss, onychodystrophy syndrome; ddod (dominant deafness onychodystrophy) syndrome; ddod syndrome

Patient organizations

Source: NIH GARD · Autosomal dominant deafness - onychodystrophy syndromeGARD ID 4732 · 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

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