Skip to content
knowrare
HealthSignal
Your condition community

Living with King Denborough syndrome

A condition with weak muscle tone from birth, bone and facial differences, and a risk of a serious reaction to certain anesthesia drugs.

Understanding King Denborough syndrome

King Denborough syndrome is a congenital myopathy (a muscle condition from birth) with skeletal and facial differences and a risk of malignant hyperthermia.

Malignant hyperthermia is a severe reaction that can be triggered by certain medicines used in surgery. People have low muscle tone, delayed walking, joint flexibility, drooping eyelids, a high palate, curved spine, and distinctive facial features. 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:

  • Low muscle tone
  • Delayed walking
  • Very flexible joints
  • Drooping upper eyelids
  • Curved spine (kyphoscoliosis)
  • Undescended testes

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 and genetic specialists.

  3. Consider genetic testing

    Changes in RYR1 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

    RYR-1 Foundation 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); Genetic specialists (geneticists)
Expert care
Expert lists: RYR-1 Foundation
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 RYR-1 Foundation 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 RYR1 gene confirm the diagnosis?
What should I tell surgeons and anesthesiologists about malignant hyperthermia risk?
Which therapies can help with muscle tone and walking?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesRYR1

Although the cause is not fully understood, some cases are attributed to the RYR1 gene. GARD lists autosomal dominant inheritance.

GeneticNeurological

Also known as: kds; king-denborough syndrome; koussef nichols syndrome; koussef-nichols syndrome

Patient organizations

Source: NIH GARD · King Denborough syndromeGARD ID 8433 · 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 King Denborough syndrome.

Explore the King Denborough syndrome blog

Explore research for King Denborough syndrome

Explore actively recruiting King Denborough syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for King Denborough 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

Powered by HealthSpark, our AI chat helper

I can help you find recruiting King Denborough syndrome studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for King Denborough syndrome

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor King Denborough syndrome

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your King Denborough syndrome experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.