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Living with Cryptomicrotia-brachydactyly-excess fingertip arch syndrome

A rare inherited syndrome with small, hidden ears, short finger bones, small toenails, and extra fingertip arch patterns.

Understanding Cryptomicrotia-brachydactyly-excess fingertip arch syndrome

Cryptomicrotia-brachydactyly-excess fingertip arch syndrome is a rare inherited syndrome present from birth.

It combines small, partly hidden ears in both ears (cryptomicrotia), short middle and end bones in the second to fifth fingers, small toenails, and extra arch patterns in the fingertip prints. GARD notes there have been no further descriptions in the medical literature since 1988.

Signs & symptoms

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

  • Small, hidden ears (cryptomicrotia)
  • Short end bones of fingers
  • Small toenails
  • Extra arch patterns in fingerprints
  • Wide-set inner eye corners (telecanthus)
  • Split scrotum

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 genetic specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
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
Would genetic testing help our family?
What hearing tests does my child need because of the ear differences?
What is the chance that my children will have it?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant

GARD says changes in genes cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it. GARD doesn't name a gene.

Genetic

Also known as: bilateral cryptomicrotia, brachytelomesophalangy, hypoplastic toe nails, and excess fingertip arch; cryptomicrotia brachydactyly syndrome; cryptomicrotia-brachydactyly syndrome; cryptomicrotia, brachydactyly, excess fingertip arch syndrome; tonoki ohura niikawa syndrome; tonoki-ohura-niikawa syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Cryptomicrotia-brachydactyly-excess fingertip arch syndromeGARD ID 8174 · 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 Cryptomicrotia-brachydactyly-excess fingertip arch syndrome.

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