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Living with Cohen syndrome

An inherited condition affecting many body parts, with developmental delay, small head size, weak muscles and eye problems.

Understanding Cohen syndrome

Cohen syndrome is an inherited condition that affects many parts of the body and involves developmental delay and intellectual disability.

People with Cohen syndrome often have a small head (microcephaly) and weak muscle tone. Vision problems such as worsening nearsightedness and retinal changes are common, along with very flexible joints and distinctive facial features. Symptoms can start before birth or in infancy and vary widely.

Signs & symptoms

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

  • Developmental delay and intellectual disability
  • Small head size (microcephaly)
  • Weak muscle tone (hypotonia)
  • Nearsightedness (myopia) that gets worse over time
  • Eye tissue breakdown (retinal dystrophy)
  • Very flexible joints (joint hypermobility)

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 allergy and immune system specialists, brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in VPS13B 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

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Immune Deficiency Foundation
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
Should we have genetic testing for the VPS13B gene?
How often should vision and the retina be checked?
Should we have blood counts checked for low white blood cells?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesVPS13B

Cohen syndrome is caused by changes in the VPS13B gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalEndocrine

Also known as: coh1; cutis verticis gyrata, retinitis pigmentosa, and sensorineural deafness; pepper syndrome

Patient organizations

Source: NIH GARD · Cohen syndromeGARD ID 6126 · 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 Cohen syndrome.

Explore the Cohen syndrome blog

Explore research for Cohen syndrome

Explore actively recruiting Cohen syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Cohen 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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