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Living with Eiken syndrome

A rare genetic bone condition with delayed bone hardening, mainly in the ends of bones, hands, feet, and pelvis, and mild slow growth.

Understanding Eiken syndrome

Eiken syndrome is a rare genetic bone condition marked by multiple epiphyseal dysplasia and severely delayed bone hardening.

The ends of the bones (epiphyses), the pubic bone, and the hands and feet harden very late. Bones in the hands and feet are shaped differently, and cartilage persists in the pelvis. Growth is mildly slow. Calcium, phosphate, and vitamin D levels are usually normal. Signs show up in the newborn and infant years.

Signs & symptoms

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

  • Late bone hardening (delayed ossification)
  • Abnormal growth at the ends of long bones
  • Broad palms and feet
  • Short finger bones
  • Joint pain
  • Limited elbow and hip movement

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 and genetic specialists.

  3. Consider genetic testing

    Changes in PTH1R 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
Bone and joint specialists (orthopedists or orthopedic surgeons); 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 for the PTH1R gene help our family?
How should bones and joints be monitored?
What therapy can help with joint pain and movement?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesPTH1R

GARD says changes in the PTH1R gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: bone modeling defect of hands and feet; ekns

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Eiken syndromeGARD ID 16698 · 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 Eiken syndrome.

Explore the Eiken syndrome blog

Explore research for Eiken syndrome

Explore actively recruiting Eiken syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Eiken 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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