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Living with Coffin-Siris syndrome 1

A rare genetic condition with intellectual disability, distinct facial features, extra body hair, and underdeveloped fifth fingernails or toenails.

Understanding Coffin-Siris syndrome 1

Coffin-Siris syndrome 1 (CSS1) is a rare genetic condition that affects various parts of the body, with intellectual disability and distinct facial features.

Other symptoms include extra body hair and sparse scalp hair, and underdeveloped or missing fifth fingernails or toenails. Features that vary include poor overall growth, skull and spine differences, and heart defects.

Signs & symptoms

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

  • Delayed speech and language
  • Delayed walking
  • Broad nasal tip
  • Cleft palate
  • Nearsightedness or crossed eyes
  • Small 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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 Simons Searchlight 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 ARID1B genetic testing confirm the diagnosis?
Should the heart and spine be checked?
What therapies can support speech and walking?

Quick facts

InheritanceAutosomal Dominant

GARD says changes in the ARID1B gene cause this condition. It is autosomal dominant, so a single changed copy of the gene is enough to cause it.

Also known as: arid1b-related bafopathy; arid1b-related coffin-siris syndrome; css1; hypertrichosis, hyperkeratosis, intellectual disability, and distinctive facial features; intellectual disability, autosomal dominant 12; mrd12

Patient organizations

Source: NIH GARD · Coffin-Siris syndrome 1GARD ID 15072 · 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 Coffin-Siris syndrome 1.

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Explore actively recruiting Coffin-Siris syndrome 1 studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Coffin-Siris syndrome 1 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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