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Living with Congenital hypotrichosis with juvenile macular dystrophy

A very rare inherited condition with sparse, short hair from birth, followed by worsening vision from macular damage.

Understanding Congenital hypotrichosis with juvenile macular dystrophy

Hypotrichosis with juvenile macular degeneration (HJMD) is a very rare syndrome of sparse, short hair from birth and progressive macular degeneration.

The macula is the center of the retina, and its damage affects sharp central vision. It is seen in newborns and infants. GARD's summary says the macular degeneration leads to blindness.

Signs & symptoms

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

  • Sparse scalp hair
  • Fine, short or brittle hair
  • Flattened and twisted hair (pili torti)
  • Macular degeneration
  • Vision loss
  • Short stature

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 eye disease specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in CDH3 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
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
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
Should we have genetic testing for the CDH3 gene?
How often should the retina be checked?
What low-vision services can help?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesCDH3

Changes in the CDH3 gene are listed. It is autosomal recessive, so a child inherits a changed copy from each parent.

GeneticSkin

Also known as: hjmd; hypotrichosis with cone-rod dystrophy; hypotrichosis with juvenile macular degeneration; hypotrichosis with juvenile macular dystrophy

Patient organizations

Source: NIH GARD · Congenital hypotrichosis with juvenile macular dystrophyGARD ID 3066 · 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 hypotrichosis with juvenile macular dystrophy.

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