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Living with Levy-Hollister syndrome

An inherited condition, also called LADD syndrome, affecting tear ducts, ears, teeth, and fingers.

Understanding Levy-Hollister syndrome

Levy-Hollister syndrome, also called LADD syndrome, is a genetic condition that mainly affects the eyes, ears, mouth, and hands.

LADD stands for tear system, ear, dental, and finger differences. Tear duct problems can cause chronic tearing or eye inflammation. Ears may be low-set and cup-shaped, with hearing loss. Salivary glands may be underdeveloped, causing dry mouth and cavities. Thumbs may be small or missing, or duplicated.

Signs & symptoms

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

  • Tear duct and tear gland differences
  • Dry eyes
  • Differently shaped ears
  • Small teeth with thin enamel
  • Dental cavities
  • Differences in the fingers or toes

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, ear, nose, and throat specialists, eye disease specialists and genetic 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

    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); Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: 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 National Foundation for Ectodermal Dysplasias 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 eye and tear duct care do I or my child need?
How often should hearing and dental checks be done?
Would genetic testing help our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

It is inherited in an autosomal dominant way, which means one changed copy of a gene is enough. GARD does not name a gene.

GeneticSkin

Also known as: lacrimo-auriculo-dento-digital syndrome; lacrimoauriculodento-digital syndrome; lacrimoauriculodentodigital syndrome; lacrimoauriculoradiodental syndrome; ladd; ladd syndrome

Patient organizations

Source: NIH GARD · Levy-Hollister syndromeGARD ID 6848 · 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 Levy-Hollister syndrome.

Explore the Levy-Hollister syndrome blog

Explore research for Levy-Hollister syndrome

Explore actively recruiting Levy-Hollister syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Levy-Hollister 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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