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Living with Extrasystoles-short stature-hyperpigmentation-microcephaly syndrome

A very rare inherited condition with short height, a small head, darker skin patches, and extra heartbeats.

Understanding Extrasystoles-short stature-hyperpigmentation-microcephaly syndrome

Extrasystoles-short stature-hyperpigmentation-microcephaly syndrome is a rare genetic syndrome with short stature and extra heartbeats.

It is seen in newborns. Features include a small head, borderline intellectual disability, patches of darker skin, short stature, and extra beats from the lower heart chambers. Fainting caused by the heart may also occur. GARD notes no further reports since 1975.

Signs & symptoms

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

  • Short stature
  • Unusually small head (microcephaly)
  • Extra heartbeats (premature ventricular contractions)
  • Heart block
  • Patches of darker skin
  • Wide-set eyes (hypertelorism)

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, genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
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 Children's Skin Disease Foundation
  • 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 heart tests are needed, and how often?
What should we do about fainting spells?
Can genetic testing help confirm this diagnosis?

Quick facts

Symptoms usually startNewborn
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.

GeneticNeurologicalSkin

Also known as: char-douglas-dungan syndrome; extrasystoles, multiform ventricular, with short stature, hyperpigmentation and microcephaly

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Extrasystoles-short stature-hyperpigmentation-microcephaly syndromeGARD ID 2213 · 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 Extrasystoles-short stature-hyperpigmentation-microcephaly syndrome.

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