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Living with Langer-Giedion syndrome

A genetic condition with bone growths, distinctive facial features, intellectual disability, and differences in hair, nails, and teeth.

Understanding Langer-Giedion syndrome

Langer-Giedion syndrome (trichorhinophalangeal syndrome type II) is a genetic condition with bone and joint differences, distinctive facial features, and intellectual disability.

The name refers to the hair, nose, and fingers and toes. People have multiple noncancerous bone growths called osteochondromas, which usually begin in infancy to early childhood and stop forming around adolescence. They can cause pain, limited joint movement, or pressure on blood vessels or the spinal cord. Growth is slow and height is short. Nails are thin. Children often have very flexible joints that later stiffen. Hip dysplasia can occur.

Signs & symptoms

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

  • Multiple bony growths (exostoses, osteochondromas)
  • Short stature
  • Intellectual disability
  • Bulbous nose and long upper lip groove
  • Sparse scalp hair and thick eyebrows
  • Very flexible joints and joint dislocation

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, 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.

  4. Connect with expert centers

    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); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: 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 Little People 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
Which tests can find the gene change behind my child's condition?
How should bone growths be monitored for pain or nerve pressure?
Do the hips and joints need special checks?

Quick facts

Symptoms usually startfrom Birth to Childhood
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough.

GeneticNeurologicalSkin

Also known as: chromosome 8q24.1 deletion syndrome; deletion 8q24.1; monosomy 8q24.1; trichorhinophalangeal dysplasia type ii; trichorhinophalangeal syndrome ii; trichorhinophalangeal syndrome type 2

Patient organizations

Source: NIH GARD · Langer-Giedion syndromeGARD ID 7801 · 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 Langer-Giedion syndrome.

Explore the Langer-Giedion syndrome blog

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