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Living with Hypohidrotic ectodermal dysplasia-hypothyroidism-ciliary dyskinesia syndrome

A rare condition, also called ANOTHER syndrome, with hair loss, nail changes, reduced sweating, underactive thyroid, and repeated chest infections.

Understanding Hypohidrotic ectodermal dysplasia-hypothyroidism-ciliary dyskinesia syndrome

Hypohidrotic ectodermal dysplasia-hypothyroidism-ciliary dyskinesia syndrome is a rare condition also called ANOTHER syndrome.

It involves hair loss, nail dystrophy, eye problems, an underactive thyroid, reduced sweating, freckles, bowel disease, and breathing infections from ciliary dyskinesia, in which tiny hairs in the airways don't move well. The name ANOTHER comes from these features. It begins in childhood.

Signs & symptoms

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

  • Hair loss (alopecia)
  • Poorly formed nails
  • Reduced sweating
  • Underactive thyroid (hypothyroidism)
  • Repeated respiratory infections
  • Short height

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 genetic specialists, hormone 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

    National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias
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 National Foundation for Ectodermal Dysplasias 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 should my thyroid be monitored?
How can we lower the chance of chest infections?
Which specialists should be on our care team?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive

GARD says the gene that causes this condition is currently unknown. It is thought to be inherited in an autosomal recessive way.

GeneticEndocrineSkin

Also known as: alopecia, nail dystrophy, ophthalmic complications, thyroid dysfunction, hypohidrosis, ephelides, enteropathy and respiratory tract infections; another (alopecia, nail dystrophy, ophthalmic complications, thyroid dysfunction, hypohidrosis, ephelides, enteropathy, respiratory tract infection) syndrome; another syndrome; hedh syndrome; hypohidrotic ectodermal dysplasia, hypothyroidism, ciliary dyskinesia syndrome

Patient organizations

Source: NIH GARD · Hypohidrotic ectodermal dysplasia-hypothyroidism-ciliary dyskinesia syndromeGARD ID 2049 · 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 Hypohidrotic ectodermal dysplasia-hypothyroidism-ciliary dyskinesia syndrome.

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