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Living with Congenital cataract-severe neonatal hepatopathy-global developmental delay syndrome

A rare genetic condition in newborns with cataracts from birth, serious liver problems and global developmental delay.

Understanding Congenital cataract-severe neonatal hepatopathy-global developmental delay syndrome

This is a rare genetic condition marked by cataracts from birth, severe liver disease in newborns and global developmental delay.

Newborns have cataracts, liver failure and jaundice caused by slowed bile flow (cholestasis), along with global developmental delay.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. The summary describes:

  • Cataract from birth
  • Liver failure in newborns
  • Jaundice from slowed bile flow (cholestasis)
  • Global developmental delay

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 digestive system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in CYP51A1 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
Digestive system specialists (gastroenterologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
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 rare disease patient organizations for support
  • 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 CYP51A1 gene?
How are the liver problems managed?
Which specialists should be on our care team?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesCYP51A1

Changes in the CYP51A1 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticGastrointestinal

Also known as: congenital cataract, severe neonatal hepatopathy, global developmental delay syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Congenital cataract-severe neonatal hepatopathy-global developmental delay syndromeGARD ID 22144 · 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 Congenital cataract-severe neonatal hepatopathy-global developmental delay syndrome.

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