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Living with NPHP3-related Meckel-like syndrome

A rare genetic condition with cystic, poorly formed kidneys, brain differences, and liver scarring, without extra fingers or toes.

Understanding NPHP3-related Meckel-like syndrome

NPHP3-related Meckel-like syndrome is a rare genetic condition marked by cystic, poorly formed kidneys and liver and brain differences.

It involves cysts in poorly developed kidneys (cystic renal dysplasia), sometimes with low amniotic fluid during pregnancy. Brain differences, often Dandy-Walker malformation, and scarring of the liver present from birth (congenital hepatic fibrosis) can occur. Unlike related conditions, extra fingers or toes are not present. GARD lists childhood as the usual onset.

Signs & symptoms

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

  • Cystic kidneys that did not form normally (renal dysplasia)
  • Dandy-Walker malformation (a brain difference)
  • Differences in the liver and bile ducts
  • Low or high amniotic fluid during pregnancy
  • Poorly developed lungs
  • Intestine twisted from birth (intestinal malrotation)

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 brain and nervous system specialists, digestive system specialists, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in NPHP3 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
Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
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 Dandy-Walker Alliance, Inc. 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
How should kidney and liver function be monitored?
Does the brain difference need ongoing follow-up with a neurologist?
Would NPHP3 genetic testing help with family planning?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesNPHP3

Changes in the NPHP3 gene cause this condition. It is inherited in an autosomal recessive way, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalKidneyGastrointestinal

Also known as: goldston syndrome; meckel syndrome type 7; meckel-gruber syndrome, type 7; meckel-like syndrome type 1; mks7; nephrocystin 3-related meckel-like syndrome

Patient organizations

Source: NIH GARD · NPHP3-related Meckel-like syndromeGARD ID 4665 · 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 NPHP3-related Meckel-like syndrome.

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