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Living with Palatal anomalies-widely spaced teeth-facial dysmorphism-developmental delay syndrome

A rare genetic condition with delayed development, low muscle tone, palate differences, and widely spaced teeth.

Understanding Palatal anomalies-widely spaced teeth-facial dysmorphism-developmental delay syndrome

Palatal anomalies-widely spaced teeth-facial dysmorphism-developmental delay syndrome is a rare genetic condition present from birth.

It causes delays in development, low muscle tone, and differences in the roof of the mouth. Children have certain facial features and are often shorter than expected. Some also have differences in the fingers, toes, eyes, or urinary and genital system. Signs are usually seen in the newborn and infant period.

Signs & symptoms

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

  • Delays in development, including speech and walking
  • Low muscle tone (hypotonia)
  • Cleft or high, narrow palate
  • Widely spaced teeth
  • Prominent forehead and wide nasal bridge
  • Eyes that turn in or out (strabismus)

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, ear, nose, and throat specialists, genetic specialists and gum, teeth and mouth specialists.

  3. Consider genetic testing

    Changes in KDM1A are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists)
Expert care
Expert lists: World Craniofacial 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 World Craniofacial Foundation 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
Which therapies could help with speech and walking?
What care is needed for the palate and teeth?
Does genetic testing for the KDM1A gene apply to other family members?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesKDM1A

Changes in the KDM1A gene cause this condition. It is autosomal dominant, which means one changed copy of the gene is enough to cause it.

GeneticNeurological

Also known as: cleft palate, psychomotor retardation, and distinctive facial features; palatal anomalies-multiple diastemata-facial dysmorphism-developmental delay syndrome

Patient organizations

Source: NIH GARD · Palatal anomalies-widely spaced teeth-facial dysmorphism-developmental delay syndromeGARD ID 17862 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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