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Living with Crouzon syndrome-acanthosis nigricans syndrome

A genetic condition with early closure of skull bones plus thick, dark, velvety skin in body folds.

Understanding Crouzon syndrome-acanthosis nigricans syndrome

Crouzon syndrome with acanthosis nigricans is a genetic condition with early joining of skull bones and a skin condition called acanthosis nigricans.

It overlaps with Crouzon syndrome. Both involve early skull fusion, wide-set bulging eyes from shallow eye sockets, crossed eyes, a small beaked nose, and a flat middle of the face. Acanthosis nigricans is thick, dark, velvety skin in body folds such as the neck and underarms. Some people have narrowed or blocked nasal passages that cause breathing trouble, and a buildup of fluid in the brain (hydrocephalus). People usually have normal intelligence.

Signs & symptoms

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

  • Early closing of skull bones (craniosynostosis)
  • Thick, dark, velvety skin (acanthosis nigricans)
  • Wide-set, bulging eyes
  • Blocked nasal passages (choanal atresia)
  • Hearing loss
  • Higher pressure inside the skull

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 bone and joint specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in FGFR3 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

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial 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 World Craniofacial Foundation 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
Would FGFR3 gene testing help our family?
How should breathing and nasal passages be checked?
What skin care and scar care might help?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant
GenesFGFR3

It is caused by changes in the FGFR3 gene. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

Genetic

Also known as: can; chronic allograft nephropathy; chronic kidney allograft nephropathy; crouzon syndrome with acanthosis nigricans; crouzon-dermoskeletal syndrome; crouzonodermoskeletal syndrome

Patient organizations

Source: NIH GARD · Crouzon syndrome-acanthosis nigricans syndromeGARD ID 16810 · 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 Crouzon syndrome-acanthosis nigricans syndrome.

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