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Living with DIAPH1-related sensorineural hearing loss-thrombocytopenia syndrome

A rare genetic condition with progressive, severe hearing loss starting in childhood and a mildly low platelet count.

Understanding DIAPH1-related sensorineural hearing loss-thrombocytopenia syndrome

DIAPH1-related sensorineural hearing loss-thrombocytopenia syndrome is a rare genetic condition with progressive hearing loss and a mildly low platelet count.

The hearing loss is severe and begins in the first decade of life. Platelets, which help blood clot, are mildly low and often larger than normal. Most people do not have significant bleeding problems. GARD lists onset from birth to childhood.

Signs & symptoms

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

  • Progressive hearing loss
  • Low platelet count (thrombocytopenia)
  • Large platelets
  • Low neutrophil count
  • Iron deficiency anemia

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 blood and bone marrow specialists, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in DIAPH1 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
Blood and bone marrow specialists (hematologists); 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
Bring these questions to your next doctor visit
Can genetic testing of the DIAPH1 gene confirm the diagnosis?
Which hearing devices might help?
Do I need any precautions for bleeding?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Dominant
GenesDIAPH1

Changes in the DIAPH1 gene cause this condition. It is autosomal dominant, so a changed copy of the gene from one parent can be enough.

GeneticBlood

Also known as: diaph1-related sensorineural deafness-thrombocytopenia syndrome; diaph1-related sensorineural deafness, thrombocytopenia syndrome; diaphanous related formin 1 related sensorineural hearing loss, thrombocytopenia syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · DIAPH1-related sensorineural hearing loss-thrombocytopenia syndromeGARD ID 17904 · 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 DIAPH1-related sensorineural hearing loss-thrombocytopenia syndrome.

Explore the DIAPH1-related sensorineural hearing loss-thrombocytopenia syndrome blog

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