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Living with Holoprosencephaly-radial heart renal anomalies syndrome

A rare condition seen before or at birth that affects the brain, arms and thumbs, heart, and kidneys.

Understanding Holoprosencephaly-radial heart renal anomalies syndrome

Holoprosencephaly-radial heart renal anomalies syndrome is a rare condition with many birth differences.

It includes holoprosencephaly, where the developing brain does not fully divide. Most people have missing or small thumbs and forearm bones, plus heart defects, kidney differences, and no gallbladder. Other features vary and can include spine differences, cleft lip or palate, small eyes, ear differences, and hearing loss. It may be seen during pregnancy or in newborns.

Signs & symptoms

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

  • Holoprosencephaly
  • Absent or small thumb
  • Underdeveloped forearm bones
  • Absent gallbladder
  • Cleft lip or palate
  • Small eyes (microphthalmia)

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, genetic specialists and kidney specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
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 The Carter Centers for Brain Research in Holoprosencephaly and Related Malformations 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
Which specialists should be on our care team?
How should the heart and kidneys be checked?
Would genetic testing help our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. It is listed as autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticNeurologicalKidney

Also known as: steinfeld syndrome

Patient organizations

Source: NIH GARD · Holoprosencephaly-radial heart renal anomalies syndromeGARD ID 2727 · 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 Holoprosencephaly-radial heart renal anomalies syndrome.

Explore the Holoprosencephaly-radial heart renal anomalies syndrome blog

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Explore actively recruiting Holoprosencephaly-radial heart renal anomalies syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Holoprosencephaly-radial heart renal anomalies 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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