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Living with Keipert syndrome

A rare genetic condition with facial differences, hearing loss from birth, and wide thumbs and big toes.

Understanding Keipert syndrome

Keipert syndrome is a rare X-linked syndrome with distinctive facial features, hearing loss, and differences in the fingers and toes.

Facial features include widely spaced eyes, a broad, high nasal bridge, and an underdeveloped upper jaw. Sensorineural hearing loss is present at birth and ranges from mild to severe. Thumbs and big toes are broad, and the ends of the toes may be small. Some people have heart valve narrowing, hoarseness, or a missing kidney. 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:

  • Hearing loss present from birth
  • Broad thumbs and big toes
  • Small or missing toenails
  • Broad, high nasal bridge
  • Underdeveloped upper jaw
  • Hoarse voice

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 and genetic specialists.

  3. Consider genetic testing

    Changes in GPC4 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
Brain and nervous system specialists (neurologists); 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 GPC4 gene confirm the diagnosis?
Which hearing support options are best for my child?
Should the heart and kidneys be checked?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceX-Linked
GenesGPC4

Changes in the GPC4 gene cause this condition. It is X-linked, meaning the gene is on the X chromosome.

GeneticNeurological

Also known as: keipert syndrome, x-linked recessive; kpts; nasodigitoacoustic syndrome; nasodigitoacoustic syndrome, formerly

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Keipert syndromeGARD ID 267 · 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 Keipert syndrome.

Explore the Keipert syndrome blog

Explore research for Keipert syndrome

Explore actively recruiting Keipert syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Keipert 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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