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Living with Noonan syndrome-like disorder with loose anagen hair

A genetic condition with Noonan-like facial features, sparse and easily pulled hair, heart differences, and developmental delay.

Understanding Noonan syndrome-like disorder with loose anagen hair

Noonan syndrome-like disorder with loose anagen hair is a genetic condition with facial features like Noonan syndrome and thin, sparse hair that comes out easily.

Features can include a large head, high forehead, wide-set eyes, drooping eyelids, and low-set ears. Hair is sparse, thin, slow-growing, and easy to pull out. Heart defects are common. Skin may be darkly colored with eczema or scaly skin. Short stature, possibly tied to low growth hormone, and developmental delays can occur. GARD lists onset as during pregnancy, at birth, and as an infant.

Signs & symptoms

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

  • Sparse scalp hair
  • Short stature
  • Narrowed pulmonic valve (pulmonic stenosis)
  • Thickened heart muscle (hypertrophic cardiomyopathy)
  • Webbed neck and low hairline at the back of the neck
  • Funnel chest (pectus excavatum)

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, brain and nervous system 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

    RASopathies Network and Children's Cardiomyopathy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: RASopathies Network, Children's Cardiomyopathy Foundation
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 RASopathies Network 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
Should my child have a heart evaluation, and how often?
Should growth hormone levels be tested because of short stature?
Would SHOC2 genetic testing help confirm the diagnosis?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant

Changes in the SHOC2 gene cause this condition. It is inherited in an autosomal dominant way, meaning one changed copy of the gene can be enough.

GeneticNeurologicalSkin

Also known as: mazzanti syndrome; noonan-like syndrome with loose anagen hair; ns/lah; tosti syndrome

Patient organizations

Source: NIH GARD · Noonan syndrome-like disorder with loose anagen hairGARD ID 10719 · 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 Noonan syndrome-like disorder with loose anagen hair.

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