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Living with Francois syndrome

A very rare inherited condition (dermochondrocorneal dystrophy) affecting the bones of hands and feet, the cornea, and skin nodules.

Understanding Francois syndrome

Francois syndrome, also called dermochondrocorneal dystrophy, is a very rare inherited condition that affects the hands, feet, eyes and skin.

It involves bone and cartilage changes in the hands and feet, clouding of the cornea (corneal dystrophy), and skin nodules around the finger joints, nose, ears, and elbows. Gum lesions may also be present. It has been described in fewer than 20 people and usually starts in childhood.

Signs & symptoms

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

  • Bone and cartilage changes in the hands and feet
  • Clouding of the cornea (corneal dystrophy)
  • Reduced clarity of vision
  • Large hands
  • Yellow fatty bumps on the skin (xanthomas)

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 eye disease 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
Eye disease specialists (ophthalmologists); 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 specialists should follow eyes, skin and bones?
How often should vision be checked?
Is genetic counseling available?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive

Changes in genes cause it. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent. GARD doesn't name a gene.

GeneticSkin

Also known as: dermochondrocorneal dystrophy; dermochondrocorneal dystrophy of françois; franc'ois syndrome; françois syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Francois syndromeGARD ID 1815 · 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 Francois syndrome.

Explore the Francois syndrome blog

Explore research for Francois syndrome

Explore actively recruiting Francois syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Francois 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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