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Living with H syndrome

Part of a group of related conditions (SLC29A3 spectrum) with dark, hairy skin patches and many other body features.

Understanding H syndrome

H syndrome is part of histiocytosis-lymphadenopathy plus syndrome (SLC29A3 spectrum disorder), a group of conditions with overlapping features.

The group includes H syndrome, pigmented hypertrichosis with insulin-dependent diabetes (PHID), Faisalabad histiocytosis, and familial Rosai-Dorfman disease. A shared feature is histiocytosis, an overgrowth of immune cells called histiocytes. In H syndrome, skin patches, typically on the lower body, are unusually dark and hairy. Other features include an enlarged liver, hearing loss, and short stature. The pattern varies even within a family. It usually starts in childhood.

Signs & symptoms

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

  • Dark, hairy skin patches
  • Enlarged liver and spleen
  • Hearing loss
  • Short stature
  • Delayed puberty
  • Fingers or toes fixed in a bent position (camptodactyly)

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 ear, nose, and throat specialists, genetic specialists, hormone specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in SLC29A3 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

    Histiocytosis Association may keep lists of experts for this condition.

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Histiocytosis Association
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 Histiocytosis Association 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 SLC29A3 gene?
How often should hearing, hormones, and organ size be checked?
Which specialists should be on my care team?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesSLC29A3

Changes in the SLC29A3 gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticEndocrineSkin

Also known as: asrar facharzt haque syndrome; faisalabad histiocytosis; histiocytosis and lymphadenopathy with or without cutaneous, cardiac, and/or endocrine features, joint contractures, and/or deafness; histiocytosis with joint contractures and sensorineural deafness; histiocytosis-lymphadenopathy plus syndrome; hyperpigmentation, cutaneous, with hypertrichosis, hepatosplenomegaly, heart anomalies, and hypogonadism with or without hearing loss

Patient organizations

Source: NIH GARD · H syndromeGARD ID 10239 · 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 H syndrome.

Explore the H syndrome blog

Explore research for H syndrome

Explore actively recruiting H syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for H 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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