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Living with Familial caudal dysgenesis

A rare genetic condition that affects the development of the lower body before birth.

Understanding Familial caudal dysgenesis

Familial caudal dysgenesis is a rare genetic condition that happens while a baby is developing in the womb and affects the lower part of the body.

It can cause problems such as having only one umbilical artery or a closed anus. Some people have more serious problems, such as legs fused together. It runs in families and can cause heart or bone problems and facial differences. It is seen in newborns and infants.

Signs & symptoms

Symptoms vary from person to person. GARD's summary describes:

  • Closed anus (imperforate anus)
  • Only one umbilical artery
  • Legs fused together in severe cases
  • Clubfoot on both sides
  • Spine and spinal cord differences
  • Heart or bone problems

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, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in VANGL1 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); Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); 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 Pull-thru Network
  • 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 VANGL1 gene confirm this diagnosis?
Which organs and body systems should be checked?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesVANGL1

Changes in the VANGL1 gene cause this condition. It is autosomal dominant, which means a change in one copy of the gene can cause it.

GeneticNeurologicalGastrointestinalUrinary and Reproductive

Also known as: caudal regression; rudd klimek syndrome; rudd-klimek syndrome

Patient organizations

Source: NIH GARD · Familial caudal dysgenesisGARD ID 215 · 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 Familial caudal dysgenesis.

Explore the Familial caudal dysgenesis blog

Explore research for Familial caudal dysgenesis

Explore actively recruiting Familial caudal dysgenesis studies with HealthSpark.

HealthSpark

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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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