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Living with Hirschsprung disease-nail hypoplasia-dysmorphism syndrome

A rare genetic condition with a bowel problem, small nails and limbs, unusual facial features, and kidney problems.

Understanding Hirschsprung disease-nail hypoplasia-dysmorphism syndrome

Hirschsprung disease-nail hypoplasia-dysmorphism syndrome is a rare condition that affects the body in several ways.

It can cause Hirschsprung disease, a problem with the large intestine. It can also cause small nails, small limbs, and unusual facial features. Some people have hydronephrosis, which is swelling of the kidneys. It is seen in newborns.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Its summary describes:

  • Hirschsprung disease (large intestine problem)
  • Small nails
  • Small limbs
  • Unusual facial features
  • Kidney swelling (hydronephrosis)

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 digestive 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.

Care & treatment

Care team
Digestive system specialists (gastroenterologists); 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 Pull-thru Network 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 is Hirschsprung disease treated and monitored?
Should the kidneys be checked regularly?
Would genetic testing help our family?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

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.

GeneticGastrointestinalSkin

Also known as: al gazali donnai muller syndrome; al gazali-donnai-muller syndrome; hirschsprung disease with hypoplastic nails and dysmorphic facial features; hirschsprung disease with nail hypoplasia and dysmorphism; hirschsprung's disease, hypoplastic nails, and dysmorphic facial features

Patient organizations

Source: NIH GARD · Hirschsprung disease-nail hypoplasia-dysmorphism syndromeGARD ID 584 · 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 Hirschsprung disease-nail hypoplasia-dysmorphism syndrome.

Explore the Hirschsprung disease-nail hypoplasia-dysmorphism syndrome blog

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