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Living with Frank-Ter Haar syndrome

A rare inherited condition with bone differences, developmental delay, and distinctive facial features such as large corneas.

Understanding Frank-Ter Haar syndrome

Frank-Ter Haar syndrome is a rare inherited condition with several skeletal differences, developmental delay, and characteristic facial features.

Facial features include unusually large corneas, a flattened back of the head, wide soft spots (fontanels), a prominent forehead, widely spaced and prominent eyes, full cheeks, and a small chin. Protruding ears, a prominent tailbone, and heart defects are also common. It begins before or at birth.

Signs & symptoms

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

  • Developmental delay
  • Bone differences in the hands and spine
  • Bone breakdown (osteolysis)
  • Wide, prominent forehead
  • Gum overgrowth and delayed tooth eruption
  • Heart defects

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 and genetic specialists.

  3. Consider genetic testing

    Changes in SH3PXD2B 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); 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 FACES: The National Craniofacial Association
  • 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
Should we have genetic testing for the SH3PXD2B gene?
Does the heart need to be checked?
Which specialists should follow my child's bones and eyes?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesSH3PXD2B

Changes in the SH3PXD2B gene cause it. It is thought to be autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: borrone dermatocardioskeletal syndrome; borrone di rocco crovato syndrome; melnick-needles syndrome, autosomal recessive; ter haar syndrome

Patient organizations

Source: NIH GARD · Frank-Ter Haar syndromeGARD ID 5138 · 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 Frank-Ter Haar syndrome.

Explore the Frank-Ter Haar syndrome blog

Explore research for Frank-Ter Haar syndrome

Explore actively recruiting Frank-Ter Haar syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Frank-Ter Haar 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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