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Living with Epibulbar lipodermoid-preauricular appendage-polythelia syndrome

A rare genetic condition with extra nipples, small skin growths near the ears, and fatty growths on the eyes.

Understanding Epibulbar lipodermoid-preauricular appendage-polythelia syndrome

Epibulbar lipodermoid-preauricular appendage-polythelia syndrome is a rare genetic condition that involves the eyes, ears, and chest.

GARD describes it as a branchial arch syndrome, which affects structures that form in the face and neck before birth. It was described in seven siblings in one Danish family. Features can be seen in newborns and infants.

Signs & symptoms

GARD describes these features in its summary:

  • Extra nipples (polythelia)
  • Small skin growths in front of the ear (preauricular appendages)
  • Fatty growths on the surface of the eye (epibulbar lipodermoids)

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
Do the growths on the eye need to be checked or treated?
Could other family members have this condition?
Which specialists, such as an eye doctor, should be involved?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

Changes in genes cause this condition. It is autosomal dominant, which means a change in one copy of the gene can cause it. GARD does not name the gene.

Genetic

Also known as: epibulbar lipodermoid, preauricular appendage, polythelia syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Epibulbar lipodermoid-preauricular appendage-polythelia syndromeGARD ID 20625 · 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 Epibulbar lipodermoid-preauricular appendage-polythelia syndrome.

Explore the Epibulbar lipodermoid-preauricular appendage-polythelia syndrome blog

Explore research for Epibulbar lipodermoid-preauricular appendage-polythelia syndrome

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HealthSpark

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  • Eligibility is confirmed by the study team

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