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Living with McKusick-Kaufman syndrome

A condition affecting the hands, feet, heart, and reproductive system, with extra fingers or toes.

Understanding McKusick-Kaufman syndrome

McKusick-Kaufman syndrome is a condition that affects the development of the hands, feet, heart, and reproductive system.

It combines three features: extra fingers or toes (polydactyly), heart defects, and genital differences. The most common genital difference is hydrometrocolpos, a fluid buildup in the vagina and uterus. Its signs overlap with Bardet-Biedl syndrome, which has other features, such as gradual vision loss, developmental disabilities, kidney differences, and obesity.

Signs & symptoms

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

  • Extra finger on the pinky side (postaxial polydactyly)
  • Fluid buildup in the vagina and uterus (hydrometrocolpos)
  • Hypospadias
  • Undescended testes
  • Swelling of the kidney from fluid (hydronephrosis)
  • Heart wall openings (septal defects)

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 genetic specialists.

  3. Consider genetic testing

    Changes in MKKS 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
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 rare disease patient organizations for support
  • 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
Should we have MKKS genetic testing, and how does it differ from Bardet-Biedl syndrome?
How should the heart and kidneys be monitored?
Which specialists should care for the genital and reproductive differences?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesMKKS

Changes in the MKKS gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: hydrometrocolpos syndrome; hydrometrocolpos-postaxial polydactyly syndrome; hydrometrocolpos, postaxial polydactyly, and congenital heart malformation; kaufman-mckusick syndrome; mckusick kaufman syndrome; mkks

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · McKusick-Kaufman syndromeGARD ID 3427 · 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 McKusick-Kaufman syndrome.

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Explore actively recruiting McKusick-Kaufman syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for McKusick-Kaufman syndrome with HealthSpark. Share your city to explore research near you.

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