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Living with Child syndrome

A genetic condition that affects how parts of the body form, mostly on one side, including the skin and limbs.

Understanding Child syndrome

CHILD syndrome is a condition that affects the development of several parts of the body, usually on only one side.

The name stands for congenital hemidysplasia with ichthyosiform erythroderma and limb defects. The right side of the body is affected more often than the left. Skin changes are usually present at birth or appear in the first few weeks of life, and they may improve with time. Some children also have limb differences, curved spine (scoliosis), or stiff joints (contractures). In some cases the brain, heart, lungs, and kidneys are affected.

Signs & symptoms

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

  • Red, inflamed skin with yellow flaky scales
  • Thickened skin (hyperkeratosis)
  • Changes in the nails
  • Shortened or missing bones in the hands or feet
  • Shortened bones in the hand (short metacarpals)
  • Speckled spots in the bone ends on X-ray (epiphyseal stippling)

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, cancer specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in NSDHL 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

    Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Cancer specialists (oncologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Foundation for Ichthyosis and Related Skin Types
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 Foundation for Ichthyosis and Related Skin Types 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
Can genetic testing for the NSDHL gene confirm the diagnosis?
Which specialists should be on our care team for skin and limb differences?
Should the heart, lungs, or kidneys be checked for involvement?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceX-Linked
GenesNSDHL

GARD says changes in the NSDHL gene cause CHILD syndrome. It is X-linked, which means the gene is on the X chromosome.

GeneticSkinInherited Metabolic

Also known as: child (congenital hemidysplasia, ichthyosiform erythroderma, limb defects) syndrome; child nevus; child syndrome, x-linked dominant; congenital hemidysplasia with ichthyosiform erythroderma and limb defects syndrome; congenital hemidysplasia with ichthyosiform nevus and limbs defects; ichthyosis, child syndrome

Patient organizations

Source: NIH GARD · Child syndromeGARD ID 6039 · 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 Child syndrome.

Explore the Child syndrome blog

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  • Recruiting studies from ClinicalTrials.gov
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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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