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Living with Macrothrombocytopenia-lymphedema-developmental delay-facial dysmorphism-camptodactyly syndrome

A rare genetic syndrome from birth with large, low-count platelets, swelling, developmental delay, and distinct facial features.

Understanding Macrothrombocytopenia-lymphedema-developmental delay-facial dysmorphism-camptodactyly syndrome

Macrothrombocytopenia-lymphedema-developmental delay-facial dysmorphism-camptodactyly syndrome is a rare genetic syndrome with many features present from birth.

It involves delays in development, intellectual disability, large platelets with a low platelet count, and swelling from lymph fluid (lymphedema). GARD also lists unusual facial features and, in some people, problems of the heart, kidneys, hearing, eyes, bones, and immune system. Brain scans may show differences.

Signs & symptoms

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

  • Intellectual disability
  • Low platelet count with large platelets
  • Unusual facial shape
  • Slow growth in childhood
  • Scoliosis (curved spine)
  • Repeated infections

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 blood and bone marrow specialists, brain and nervous system specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in CDC42 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
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 Children's Skin Disease Foundation
  • 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
Is CDC42 genetic testing recommended, and what would the results mean?
Which specialists should be on the care team?
How should the low platelet count and infections be monitored?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant
GenesCDC42

Changes in the CDC42 gene cause this condition. It is inherited in an autosomal dominant way, so a change in one copy of the gene can be enough to cause it.

GeneticNeurologicalSkinBlood

Also known as: macrothrombocytopenia, lymphedema, developmental delay, facial dysmorphism, camptodactyly syndrome; takenouchi kosaki syndrome; takenouchi-kosaki syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Macrothrombocytopenia-lymphedema-developmental delay-facial dysmorphism-camptodactyly syndromeGARD ID 17884 · 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 Macrothrombocytopenia-lymphedema-developmental delay-facial dysmorphism-camptodactyly syndrome.

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