
Living with Postaxial polydactyly-anterior pituitary anomalies-facial dysmorphism syndrome
A rare genetic condition with extra fingers, a small pituitary gland causing low hormone levels, and distinctive facial features.
Understanding Postaxial polydactyly-anterior pituitary anomalies-facial dysmorphism syndrome
The pituitary differences lead to low pituitary hormones (hypopituitarism). This can cause short stature, slowed growth and sexual development, and diabetes insipidus. Facial features can include close-set eyes, a cleft lip or palate and a flat nose. Extra fingers are usually beside the little finger. It starts during pregnancy or in the newborn period.
Signs & symptoms
GARD lists these among the less common symptoms:
- Extra finger beside the little finger
- Low pituitary hormones (hypopituitarism)
- Short stature and slowed growth
- Close-set eyes and flat nose
- Cleft lip or cleft palate
- Diabetes insipidus
Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.
Diagnosis
- 1Talk with your doctor
Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.
- 2See a specialist
Specialists who may be involved include bone and joint specialists, genetic specialists and hormone specialists.
- 3Consider genetic testing
Changes in GLI2 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.
- 4Connect with expert centers
Pituitary Network Association may keep lists of experts for this condition.
Care & treatment
- Care team
- Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
- Expert care
- Expert lists: Pituitary Network Association
- 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 Pituitary Network Association
- 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
Quick facts
Changes in the GLI2 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough. Other changes in GLI2 can cause a different, more severe condition called holoprosencephaly-9.
Also known as: culler-jones syndrome
Patient organizations
- Pituitary Network AssociationPituitary deficiencies · United States
Broader rare-disease groups
- Global GenesRare Diseases · United States
- National Organization for Rare DisordersRare Diseases · United States
- Genetic AllianceRare Diseases · United States
- RARE FoundationRare Diseases · United States
You are more than your diagnosis
Perspectives from people navigating life with Postaxial polydactyly-anterior pituitary anomalies-facial dysmorphism syndrome.
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