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Living with Keratosis follicularis-dwarfism-cerebral atrophy syndrome

An extremely rare genetic syndrome with rough skin bumps, very short height, a small head, and brain shrinkage.

Understanding Keratosis follicularis-dwarfism-cerebral atrophy syndrome

Keratosis follicularis-dwarfism-cerebral atrophy syndrome is a very rare genetic syndrome with skin, growth, and brain changes.

People have widespread rough skin bumps around hair follicles (keratosis follicularis), severe short stature with a proportionate body, and shrinkage of the brain (cerebral atrophy). Hair loss on the scalp, eyebrows, and eyelashes and a small head are also seen. Intellectual disability, hernia in the groin, and epilepsy may occur. GARD notes no further descriptions in the medical literature since 1974. It is noticed in newborns and infants.

Signs & symptoms

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

  • Widespread rough skin bumps (keratosis follicularis)
  • Severe short stature
  • Brain shrinkage (cerebral atrophy)
  • Small head (microcephaly)
  • Missing eyebrows
  • Missing eyelashes

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 and skin, hair, and nail specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
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 Children's Skin Disease Foundation
  • 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
Which tests can help confirm this diagnosis, given how rare it is?
Which specialists should follow growth, skin, and neurological needs?
Is genetic counseling available for our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked

GARD says changes in genes (also called variants) cause this condition. It lists X-linked inheritance, meaning the gene is on the X chromosome.

GeneticNeurologicalSkin

Also known as: dwarfism, cerebral atrophy and generalized keratosis follicularis

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Keratosis follicularis-dwarfism-cerebral atrophy syndromeGARD ID 3099 · 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 Keratosis follicularis-dwarfism-cerebral atrophy syndrome.

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