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Living with Lowe-Kohn-Cohen syndrome

An extremely rare condition with a blocked or missing anal opening, ear skin tags, and limb differences, noticed before or at birth.

Understanding Lowe-Kohn-Cohen syndrome

Lowe-Kohn-Cohen syndrome is an extremely rare anorectal malformation syndrome.

It is marked by an imperforate anus (no open anal passage), a closed fistula between the anus and perineum, a skin tag in front of the ear, and limb differences near the thumb side. GARD notes no further descriptions in medical papers since 1983. It is noticed during pregnancy or in newborns.

Signs & symptoms

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

  • Absent anal opening (anal atresia)
  • Anorectal differences
  • Skin tag in front of the ear
  • Hearing loss (sensorineural)
  • Kidney differences

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 digestive system specialists, ear, nose, and throat specialists and genetic specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
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 Pull-thru Network
  • 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 surgeons and specialists should be involved?
Do the kidneys and hearing need regular checks?
Would genetic testing help find the cause?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn

GARD doesn't describe a cause for this condition yet.

GeneticGastrointestinal

Also known as: deafness-nephritis-ano-rectal malformation syndrome; deafness, nephritis, anorectal malformation syndrome; hearing loss-nephritis-ano-rectal malformation syndrome; lowe kohn cohen syndrome

Patient organizations

Source: NIH GARD · Lowe-Kohn-Cohen syndromeGARD ID 1695 · 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 Lowe-Kohn-Cohen syndrome.

Explore the Lowe-Kohn-Cohen syndrome blog

Explore research for Lowe-Kohn-Cohen syndrome

Explore actively recruiting Lowe-Kohn-Cohen syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Lowe-Kohn-Cohen 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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