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Living with Facial dysmorphism-immunodeficiency-livedo-short stature syndrome

A rare inherited condition with a weak immune system, short stature, and a net-like skin pattern, starting in infancy.

Understanding Facial dysmorphism-immunodeficiency-livedo-short stature syndrome

Facial dysmorphism-immunodeficiency-livedo-short stature syndrome is a rare genetic disease with a weakened immune system and short stature.

It is seen in newborns and infants. People have distinct facial features, repeated infections, slow growth, and a lacy red or purple skin pattern (livedo) on the face and limbs. Growth hormone levels are normal. GARD says people do not have a higher chance of cancer.

Signs & symptoms

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

  • Weakened immune system
  • Repeated chest infections
  • Repeated colds
  • Short stature
  • Lacy red skin pattern (livedo)
  • Tiny blood vessels on the cheeks

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 allergy and immune system specialists, bone and joint specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in POLE are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Immune Deficiency Foundation
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 Immune Deficiency 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
Can genetic testing for the POLE gene confirm this diagnosis?
How can we prevent and treat infections?
Which specialists, such as an immunologist, should be involved?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesPOLE

Changes in the POLE gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticSkin

Also known as: facial dysmorphism, immunodeficiency, livedo, and short stature; facial dysmorphism, immunodeficiency, livedo, short stature syndrome; fils (facial dysmorphism, immunodeficiency, livedo, short stature) syndrome; fils syndrome

Patient organizations

Source: NIH GARD · Facial dysmorphism-immunodeficiency-livedo-short stature syndromeGARD ID 17528 · 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 Facial dysmorphism-immunodeficiency-livedo-short stature syndrome.

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