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Living with Infantile cortical hyperostosis

A bone condition in babies with extra bone growth, swelling, pain, and fever, usually seen by 5 months.

Understanding Infantile cortical hyperostosis

Infantile cortical hyperostosis, also called Caffey disease, is a bone disorder that most often occurs in babies.

It causes extra new bone to form, mainly in the jaw, shoulder blades, collarbones, and long bones of the arms and legs. Bones may double or triple in width on x-ray. Babies also have swollen joints and soft tissues with pain and redness, and may be feverish and irritable. Signs usually show by 5 months.

Signs & symptoms

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

  • Thickened bones
  • Fever
  • Swelling and redness over affected areas
  • Skin and soft tissue pain or tenderness
  • Irritability
  • Skin infection (cellulitis)

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 and genetic specialists.

  3. Consider genetic testing

    Changes in COL1A1 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)
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 COL1A1 gene confirm the diagnosis?
Which imaging will show bone changes?
How should we ease my baby's pain?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesCOL1A1

Changes in the COL1A1 gene cause this condition. It is inherited in an autosomal dominant pattern, meaning one changed copy of the gene can be enough.

Genetic

Also known as: caffey disease; caffey syndrome; caffey's disease; cortical congenital hyperostosis; familial infantile cortical hyperostosis; hyperostosis, cortical, congenital

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Infantile cortical hyperostosisGARD ID 1051 · 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 Infantile cortical hyperostosis.

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Explore actively recruiting Infantile cortical hyperostosis studies with HealthSpark.

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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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