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Living with Dubowitz syndrome

A very rare genetic condition with short height, a small head, distinct facial features, eczema, and learning and behavior differences.

Understanding Dubowitz syndrome

Dubowitz syndrome is a very rare genetic and developmental condition with a broad range of signs and symptoms.

Typical features include slow growth and short height, a small triangular face, drooping eyelids, a small head, intellectual disability, and eczema. Other common findings are hyperactivity or autistic features, speech differences, sparse hair, foot differences, and learning or memory problems. GARD says there may be an increased risk of cancers such as leukemia or lymphoma. Diagnosis is based on symptoms, especially facial features, since there is no specific lab test.

Signs & symptoms

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

  • Small head size (microcephaly)
  • Drooping upper eyelid (ptosis)
  • Widely spaced eyes
  • Eczema
  • ADHD
  • Poor weight gain (failure to thrive)

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, brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Ask which tests can help

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

  4. Connect with expert centers

    World Craniofacial Foundation and National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial Foundation, National Foundation for Ectodermal Dysplasias
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
Which genetic tests could look for NSUN2, LIG4, or chromosome changes?
How can we support learning and behavior at school?
What screening for blood conditions or cancer do you suggest?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive

GARD says the cause is still unknown. Some people have changes in the NSUN2 and LIG4 genes or missing or extra pieces of chromosomes. GARD lists autosomal recessive inheritance.

GeneticNeurologicalSkin

Also known as: dubowitz's syndrome

Patient organizations

Source: NIH GARD · Dubowitz syndromeGARD ID 6290 · 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 Dubowitz syndrome.

Explore the Dubowitz syndrome blog

Explore research for Dubowitz syndrome

Explore actively recruiting Dubowitz syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Dubowitz 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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