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Living with Cross syndrome

A rare genetic condition with pale skin and eyes, eye differences, slow growth, and nervous system problems from birth.

Understanding Cross syndrome

Cross syndrome (oculocerebral hypopigmentation syndrome, Cross type) is a rare condition present from birth with low pigment in the skin and eyes.

People can have eye differences such as clouding of the cornea or lens, an outward-turned eyelid, and eye shaking (nystagmus). They also have slow growth, intellectual disability, and progressive nervous system problems such as stiffness in all four limbs, brisk reflexes, and writhing movements. The picture varies, and can include urinary tract differences and a Dandy-Walker brain malformation.

Signs & symptoms

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

  • Low pigment in the skin and eyes
  • Cloudy lens (cataract) or cornea
  • Slow growth
  • Intellectual disability
  • Muscle stiffness (spasticity)
  • Balance problems (ataxia)

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 brain and nervous system specialists, eye disease specialists, genetic specialists and gum, teeth and mouth specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists)
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 Children's Skin Disease Foundation
  • 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
Would genetic testing help our family?
What eye care and vision support does my child need?
Which therapies can help with movement and development?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent. GARD doesn't name a gene.

GeneticNeurologicalSkin

Also known as: kramer syndrome; oculocerebral hypopigmentation syndrome cross type; oculocerebral hypopigmentation syndrome, cross type; oculocerebral syndrome with hypopigmentation; oculocerebral-hypopigmentation syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Cross syndromeGARD ID 105 · 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 Cross syndrome.

Explore the Cross syndrome blog

Explore research for Cross syndrome

Explore actively recruiting Cross syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Cross 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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