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Living with Hennekam lymphangiectasia-lymphedema syndrome

An inherited condition of the lymph system that causes swelling, intestinal problems, and distinct facial features.

Understanding Hennekam lymphangiectasia-lymphedema syndrome

Hennekam lymphangiectasia-lymphedema syndrome is an inherited condition in which the lymphatic system, a network that moves fluid and immune cells, forms abnormally.

Lymph vessels are widened (lymphangiectasia), especially those near the intestines. This can cause fluid buildup in the abdomen and problems absorbing nutrients. Swelling (lymphedema) of the face and limbs is often noticeable at birth, is usually uneven, and slowly worsens. Facial features can include a flat face and widely spaced eyes. It appears in childhood.

Signs & symptoms

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

  • Swelling from fluid buildup (lymphedema)
  • Fluid in the belly (ascites)
  • Flat face and flat nose bridge
  • Gum overgrowth
  • Intellectual disability
  • Enlarged spleen

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 allergy and immune system specialists, brain and nervous system 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.

  4. Connect with expert centers

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Immune Deficiency Foundation
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 Immune Deficiency Foundation 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
How can lymphedema and fluid buildup be managed?
Could genetic testing help confirm the diagnosis?
How can we check for problems absorbing nutrients?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive

GARD says changes in genes (also called variants) cause this condition. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalSkin

Also known as: hennekam lymphangiectasia lymphedema syndrome; hennekam syndrome; intestinal lymphagiectasia lymphedema intellectual deficit syndrome; lymphangiectasies and lymphedema hennekam type; lymphedem-lymphangiectasia-intellectual disability syndrome; lymphedema-lymphangiectasia-intellectual disability syndrome

Patient organizations

Source: NIH GARD · Hennekam lymphangiectasia-lymphedema syndromeGARD ID 3318 · 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 Hennekam lymphangiectasia-lymphedema syndrome.

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