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Living with GAPO syndrome

A rare genetic syndrome with slow growth, hair loss, teeth that don't come in, and eye problems.

Understanding GAPO syndrome

GAPO syndrome is a rare genetic condition with several differences present from birth.

The name stands for the main features: growth retardation, alopecia (hair loss), pseudoanodontia (teeth that do not show), and eye (ocular) differences. Features may include bone and facial differences. It is usually noticed in the newborn period.

Signs & symptoms

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

  • Slow growth
  • Early balding
  • Delayed eruption of teeth
  • Bulging of the cornea (keratoconus)
  • Broad forehead and flat nasal bridge
  • Very flexible joints (joint hypermobility)

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 brain and nervous system specialists, eye disease specialists, genetic specialists and gum, teeth and mouth specialists.

  3. Consider genetic testing

    Changes in ANTXR1 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

    National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias
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 National Foundation for Ectodermal Dysplasias 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 confirm a change in the ANTXR1 gene?
How often should my eyes be checked for keratoconus?
Which dental specialists can help with teeth that haven't come in?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive
GenesANTXR1

Changes in the ANTXR1 gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalSkin

Also known as: gapo (growth retardation, alopecia, pseudoanodontia, optic atrophy) syndrome; growth delay-alopecia-pseudoanodontia-optic atrophy syndrome; growth retardation, alopecia, pseudoanodontia, optic atrophy syndrome

Patient organizations

Source: NIH GARD · GAPO syndromeGARD ID 400 · 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 GAPO syndrome.

Explore the GAPO syndrome blog

Explore research for GAPO syndrome

Explore actively recruiting GAPO syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for GAPO 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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