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Living with Kallmann syndrome-heart disease syndrome

A rare genetic condition with a missing sense of smell, delayed puberty from low hormones, and complex heart differences.

Understanding Kallmann syndrome-heart disease syndrome

Kallmann syndrome-heart disease syndrome is a rare condition with low sex hormones, a reduced sense of smell, and heart differences present from birth.

The body lacks the hormone GnRH, so puberty is delayed. People have a reduced or missing sense of smell, with small or missing smell nerves (olfactory bulbs). They also have complex heart differences from birth. GARD says it is a distinct condition from Kallmann syndrome. It is noticed in newborns and infants.

Signs & symptoms

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

  • Low sex hormones (hypogonadotropic hypogonadism)
  • Reduced or missing sense of smell
  • Delayed puberty
  • Heart differences such as double outlet right ventricle
  • Bluish skin color (cyanosis)
  • Cleft palate

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 brain and nervous system specialists, genetic specialists, hormone specialists and maternal-fetal medicine 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

    Resolve: The National Infertility Association and Pituitary Network Association may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Maternal-fetal medicine specialists (pregnancy-related)
Expert care
Expert lists: Resolve: The National Infertility Association, Pituitary Network Association
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 Resolve: The National Infertility Association 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 is my child's heart condition being monitored and treated?
What are the options to support puberty and fertility?
Can genetic testing find the gene change in our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

GARD says changes in genes (also called variants) cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalEndocrineUrinary and Reproductive

Also known as: kallman syndrome with cardiopathy; kallman syndrome with heart disease

Patient organizations

Source: NIH GARD · Kallmann syndrome-heart disease syndromeGARD ID 18767 · 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 Kallmann syndrome-heart disease syndrome.

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