
Living with Craniofacial-deafness-hand syndrome
A rare genetic condition with distinct facial features, severe hearing loss from birth, and hand differences.
Understanding Craniofacial-deafness-hand syndrome
People often have underdeveloped or absent nasal bones, giving a small nose and flat middle face. They also have wide-set eyes, narrow eye openings, a small upper jaw, and a small mouth with pursed lips. Profound hearing loss from the inner ear is present from birth. In the hands, the fingers are often angled toward the fifth finger, and some fingers may stay bent, which can lead to contractures that limit movement.
Signs & symptoms
Symptoms vary from person to person. GARD lists these among the most common:
- Profound hearing loss from the inner ear
- Small, flat nose
- Wide-set eyes (hypertelorism)
- Narrow eye openings
- Fingers angled outward (ulnar deviation)
- Permanently bent fingers (camptodactyly)
Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.
Diagnosis
- 1Talk with your doctor
Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.
- 2See a specialist
Specialists who may be involved include ear, nose, and throat specialists and genetic specialists.
- 3Consider genetic testing
Changes in PAX3 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
- Ear, nose, and throat specialists (otolaryngologists); 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
Quick facts
It is caused by changes in the PAX3 gene. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.
Also known as: cdhs; craniofacial deafness hand syndrome; craniofacial-hearing loss-hand syndrome; sommer young wee frye syndrome; sommer-young-wee-frye syndrome
Patient organizations
Rare-disease groups that can help
- Global GenesRare Diseases · United States
- National Organization for Rare DisordersRare Diseases · United States
- Genetic AllianceRare Diseases · United States
- RARE FoundationRare Diseases · United States
You are more than your diagnosis
Perspectives from people navigating life with Craniofacial-deafness-hand syndrome.
Explore research for Craniofacial-deafness-hand syndrome
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