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Living with Pectus excavatum-macrocephaly-dysplastic nails syndrome

A rare condition from birth with a sunken chest, large head, short height, and poorly formed nails.

Understanding Pectus excavatum-macrocephaly-dysplastic nails syndrome

Pectus excavatum-macrocephaly-dysplastic nails syndrome is a rare condition with several differences present from birth.

Features include a sunken chest (pectus excavatum), a relatively large head, short height, and nail changes. Delays in motor skills are present early but go away during childhood. GARD notes there have been no further descriptions in the medical literature since 1992.

Signs & symptoms

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

  • Large head (macrocephaly)
  • Short height
  • Broad forehead
  • Delays in development (motor delay that resolves in childhood)
  • Sunken chest (funnel chest)
  • Poorly formed nails

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 and skin, hair, and nail specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
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
Does the sunken chest need any treatment or monitoring?
Which therapies can support early motor development?
Would genetic counseling help our family?

Quick facts

Symptoms usually startNewborn

Changes in the genes (also called variants) cause this condition. GARD doesn't list a specific gene.

GeneticSkin

Also known as: familial short stature, developmental delay, pectus abnormalities, distinctive facies, and dysplastic nails; pectus excavatum, macrocephaly and dysplastic nails; zori stalker williams syndrome; zori-stalker-williams syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Pectus excavatum-macrocephaly-dysplastic nails syndromeGARD ID 374 · 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 Pectus excavatum-macrocephaly-dysplastic nails syndrome.

Explore the Pectus excavatum-macrocephaly-dysplastic nails syndrome blog

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Explore actively recruiting Pectus excavatum-macrocephaly-dysplastic nails syndrome studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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