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Living with IMAGe syndrome

A rare syndrome with slow growth before birth, bone changes, underdeveloped adrenal glands, and genital differences in males.

Understanding IMAGe syndrome

IMAGe syndrome is a rare condition affecting many parts of the body, named for its main features: growth restriction, bone changes, adrenal gland problems, and genital differences.

IMAGe stands for intrauterine growth restriction, metaphyseal dysplasia, adrenal hypoplasia congenita, and genital anomalies. Most babies grow slowly before birth and are small in infancy. Underdeveloped adrenal glands are the most severe feature. Genital differences occur only in males.

Signs & symptoms

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

  • Slow growth before birth and small size in infancy
  • Bone changes at the ends of long bones
  • Underdeveloped adrenal glands (adrenal insufficiency)
  • Hypospadias, small penis, or undescended testes in males
  • Low muscle tone (hypotonia)
  • Flat nasal bridge and prominent forehead

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 bone and joint specialists, genetic specialists, hormone specialists and urinary and male reproductive system specialists.

  3. Consider genetic testing

    Changes in CDKN1C are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Urinary and male reproductive system specialists (urologists)
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 rare disease patient organizations for support
  • 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
Can genetic testing for the CDKN1C gene confirm the diagnosis?
How is adrenal gland function checked?
Which specialists should follow growth and bone health?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant, Autosomal Recessive
GenesCDKN1C

Changes in the CDKN1C gene cause this condition. It can be inherited in an autosomal dominant or autosomal recessive pattern.

GeneticEndocrineUrinary and Reproductive

Also known as: intrauterine growth restriction, metaphyseal dysplasia, adrenal hypoplasia congenita, and genital anomalies; intrauterine growth restriction, metaphyseal dysplasia, adrenal hypoplasia congenita, and genital anomaly syndrome; intrauterine growth restriction, metaphyseal dysplasia, adrenal hypoplasia congenita, genital abnormalities; intrauterine growth retardation-metaphyseal dysplasia-adrenal hypoplasia congenita-genital anomalies syndrome; intrauterine growth retardation, metaphyseal dysplasia, adrenal hypoplasia congenita, and genital anomalies

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · IMAGe syndromeGARD ID 12312 · 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 IMAGe syndrome.

Explore the IMAGe syndrome blog

Explore research for IMAGe syndrome

Explore actively recruiting IMAGe syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for IMAGe 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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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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