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Living with Hirschsprung disease-type D brachydactyly syndrome

A very rare genetic condition with a bowel problem from birth and short thumbs and big toes with small or missing nails.

Understanding Hirschsprung disease-type D brachydactyly syndrome

Hirschsprung disease-type D brachydactyly syndrome is a very rare condition with a bowel problem and short thumbs and big toes.

It involves Hirschsprung disease, where part of the colon lacks nerve cells. It also involves absent or small nails and short end bones in the thumbs and great toes (type D brachydactyly). It has been described in four males from one family. It is seen in newborns.

Signs & symptoms

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

  • Colon lacking nerve cells (aganglionic megacolon)
  • Short fingers or toes (brachydactyly)
  • Short end bone of the thumb
  • Short bone in the big toe
  • Small fingernails
  • Absent or small toenails

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 and genetic 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)
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 the bowel problem treated and followed?
Would genetic testing help our family?
Which specialists should be involved in care?

Quick facts

Symptoms usually startNewborn

Changes in genes (also called variants) cause this condition. It appears to be X-linked recessive, though another inheritance pattern can't be ruled out.

GeneticGastrointestinal

Also known as: familial hirschsprung's disease and type d brachydactyly; hirschsprung disease with type d brachydactyly

Patient organizations

  • Pull-thru NetworkHirschsprung disease-type D brachydactyly syndrome · United States
  • REACHHirschsprung disease-type D brachydactyly syndrome · United States
Source: NIH GARD · Hirschsprung disease-type D brachydactyly syndromeGARD ID 2700 · 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-type D brachydactyly syndrome.

Explore the Hirschsprung disease-type D brachydactyly syndrome blog

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  • Eligibility is confirmed by the study team

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