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Living with Mandibuloacral dysplasia

A rare inherited condition affecting bones, skin color, and body fat, sometimes with early-aging features.

Understanding Mandibuloacral dysplasia

Mandibuloacral dysplasia is a rare inherited condition that affects bone growth, skin pigmentation, and how body fat is spread.

People may grow slowly, and most have a small lower jaw and small collarbones. Fingertips can look rounded from bone loss, and some skin is patchy in color. Some have thin skin, hair loss, or diabetes. Type A (MADA) usually starts in adulthood, while type B (MADB) often starts soon after birth.

Signs & symptoms

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

  • Slow growth after birth
  • Loss of fat under the skin (lipodystrophy)
  • Insulin resistance
  • Patchy or darkened skin
  • Hair loss
  • Crowded or underdeveloped teeth

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, eye disease specialists, genetic specialists and hormone specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
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
Do I have type A or type B?
How should blood sugar and insulin resistance be monitored?
Which specialists should follow bones, skin, and teeth?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

Changes in genes (also called variants) cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticEndocrineSkin

Also known as: craniomandibular dermatodysostosis; familial mandibuloacral dysplasia; mad; mada; mandibuloacral dysostosis; mandibuloacral dysplasia with lipodystrophy

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Mandibuloacral dysplasiaGARD ID 11893 · 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 Mandibuloacral dysplasia.

Explore the Mandibuloacral dysplasia blog

Explore research for Mandibuloacral dysplasia

Explore actively recruiting Mandibuloacral dysplasia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Mandibuloacral dysplasia 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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