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Living with Johanson-Blizzard syndrome

A very rare genetic condition affecting digestion, growth, teeth, and the face, sometimes with intellectual disability.

Understanding Johanson-Blizzard syndrome

Johanson-Blizzard syndrome is a very rare genetic condition that affects many parts of the body.

The pancreas does not develop normally, so the body cannot absorb fats and other nutrients well (pancreatic insufficiency). Children grow slowly and are short. Other features include problems with permanent teeth, distinctive skull and face features, and different degrees of intellectual disability. Severity varies. It can be noticed during pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Poor digestion from low pancreatic enzymes
  • Slow weight gain (failure to thrive)
  • Short stature
  • Tooth differences (missing or small teeth)
  • Hair loss or abnormal hair pattern
  • Intellectual disability

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, brain and nervous system specialists, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in UBR1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Hearing Loss Association of America, Little People of America and National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Expert lists: Hearing Loss Association of America, Little People of America, 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 Hearing Loss Association of America 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
Can genetic testing for the UBR1 gene confirm the diagnosis?
What nutrition and enzyme support does my child need?
Which specialists should be on our team, such as GI, dental, and hormone doctors?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesUBR1

Changes in the UBR1 gene cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalEndocrineGastrointestinalSkin

Also known as: jbs; nasal alar hypoplasia, hypothyroidism, pancreatic achylia and congenital deafness; pancreatic insufficiency, combined exocrine

Patient organizations

Source: NIH GARD · Johanson-Blizzard syndromeGARD ID 80 · 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 Johanson-Blizzard syndrome.

Explore the Johanson-Blizzard syndrome blog

Explore research for Johanson-Blizzard syndrome

Explore actively recruiting Johanson-Blizzard syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Johanson-Blizzard 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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