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Living with Intellectual disability-hypotonic facies syndrome, X-linked, 1

An X-linked syndrome mostly described in males, with intellectual disability, facial differences, short stature, and foot differences.

Understanding Intellectual disability-hypotonic facies syndrome, X-linked, 1

Intellectual disability-hypotonic facies syndrome, X-linked, 1 is an X-linked intellectual disability syndrome with facial differences and short stature.

Other features include low muscle tone early and stiffness later, foot deformities, delayed development, and behavior problems. It has been described in males from 11 families and in one isolated case. How common it is, is unknown.

Signs & symptoms

GARD lists seizures among the most common symptoms. Its summary also describes:

  • Seizures
  • Facial differences
  • Short stature
  • Low muscle tone early, then stiffness
  • Foot deformities
  • Delayed development and behavior problems

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
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 ATRX Research Alliance
  • 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 ATRX gene confirm the diagnosis?
What does X-linked inheritance mean for our family?
Which therapies help with muscle tone and foot problems?

Quick facts

InheritanceX-Linked

In most cases it is caused by mutations in the ATRX gene on the X chromosome. In one large family, the gene was mapped to another region of the X chromosome. It is inherited in an X-linked recessive pattern.

Also known as: carpenter-waziri syndrome; chudley lowry hoar syndrome; chudley syndrome 1; chudley-lowry syndrome; chudley-lowry-hoar syndrome; holmes-gang syndrome

Patient organizations

Source: NIH GARD · Intellectual disability-hypotonic facies syndrome, X-linked, 1GARD ID 3521 · 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 Intellectual disability-hypotonic facies syndrome, X-linked, 1.

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