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Living with Lenz-Majewski hyperostosis syndrome

A rare bone condition causing thick bones, slow growth, learning problems, and differences in the face, teeth, and limbs.

Understanding Lenz-Majewski hyperostosis syndrome

Lenz-Majewski hyperostosis syndrome is a rare bone condition in which bones in the skull and long bones become thick.

It involves delayed growth, intellectual disability, a distinct facial appearance, dental differences, loose skin, and differences in the hands and feet. It may be noticed during pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Thickened skull bone (cranial hyperostosis)
  • Delayed bone maturation
  • Delayed closing of skull gaps (sutures)
  • Broad forehead
  • Big lower jaw
  • Very flexible joints

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 PTDSS1 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

    Little People of America 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: Little People of America
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
  • 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
Would PTDSS1 genetic testing help confirm this diagnosis?
Which specialists should follow bone, dental, and development needs?
How should we monitor breathing or hearing, if affected?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesPTDSS1

It is caused by changes in the PTDSS1 gene. A person can have it after inheriting one changed copy of the gene (autosomal dominant).

GeneticNeurological

Also known as: hyperostotic dwarfism lenz-majewski type; lenz-majewski dysplasia; lenz-majewski hyperostotic dwarfism; lenz-majewski hyperostotic dysplasia; lenz-majewski syndrome; lmhd

Patient organizations

Source: NIH GARD · Lenz-Majewski hyperostosis syndromeGARD ID 3223 · 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 Lenz-Majewski hyperostosis syndrome.

Explore the Lenz-Majewski hyperostosis syndrome blog

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