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Living with Scalp defects-postaxial polydactyly syndrome

A rare condition present from birth with gaps in the scalp and extra fingers or toes on the little-finger side.

Understanding Scalp defects-postaxial polydactyly syndrome

Scalp defects-postaxial polydactyly syndrome is a rare condition with scalp defects and extra fingers or toes.

It causes areas of missing scalp at birth and extra digits on the little-finger side (postaxial polydactyly type A). Effects vary widely, and some people have only one of the two. GARD says there have been no further descriptions in the literature since 1985.

Signs & symptoms

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

  • Areas of missing scalp or skull
  • Extra finger or toe on the little-finger side
  • Sparse scalp hair
  • Brain tissue pushing through the skull (encephalocele)

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, 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
Bone and joint specialists (orthopedists or orthopedic surgeons); 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
Is genetic testing available for this condition?
How should scalp defects be cared for?
Should the brain be checked with imaging?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant

GARD lists autosomal dominant inheritance, so one changed copy of a gene can be enough. It does not name a gene.

GeneticSkin

Also known as: congenital scalp defects associated with postaxial polydactyly; scalp defects and postaxial polydactyly

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Scalp defects-postaxial polydactyly syndromeGARD ID 241 · 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 Scalp defects-postaxial polydactyly syndrome.

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  • Eligibility is confirmed by the study team

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