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Living with Deafness-genital anomalies-metacarpal and metatarsal synostosis syndrome

A very rare condition with hearing loss, joined hand and foot bones, genital differences, and developmental delay.

Understanding Deafness-genital anomalies-metacarpal and metatarsal synostosis syndrome

Deafness-genital anomalies-metacarpal and metatarsal synostosis syndrome is a very rare genetic condition described in only two unrelated people.

It includes hearing loss from inner ear or nerve changes, fused bones in the hands and feet, genital differences (hypospadias in males), and developmental delay. Both people described had distinct facial features. GARD lists onset in the newborn or infant period.

Signs & symptoms

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

  • Hearing loss
  • Fused bones in the hands and feet
  • Joined fingers or toes (syndactyly)
  • Hypospadias in males
  • Facial asymmetry
  • Hair loss (alopecia)

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, ear, nose, and throat specialists, genetic specialists and urinary and male reproductive system 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); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists); Urinary and male reproductive system specialists (urologists)
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
Which specialists should follow hearing, bones, and development?
Can genetic testing find the cause?
What therapies might help with development and speech?

Quick facts

Symptoms usually startNewborn and as an Infant

GARD says changes in genes cause this condition. It doesn't list a specific gene or inheritance pattern.

GeneticNeurologicalUrinary and Reproductive

Also known as: deafness, genital anomaly, metacarpal and metatarsal synostosis syndrome; hearing loss-genital anomalies-metacarpal and metatarsal synostosis syndrome; pfeiffer kapferer syndrome; pfeiffer-kapferer syndrome; sensorineural deafness, hypospadias, and synostosis of metacarpals and metatarsals 4 and 5

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Deafness-genital anomalies-metacarpal and metatarsal synostosis syndromeGARD ID 4303 · 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 Deafness-genital anomalies-metacarpal and metatarsal synostosis syndrome.

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