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Living with SCARF syndrome

A rare syndrome present from birth with skin that hangs in folds, bone and joint differences, genital differences, and an older-looking face.

Understanding SCARF syndrome

SCARF syndrome is a rare condition with differences in the skeleton, skin, genitals, and heart, present from birth.

Features include loose, saggy skin (cutis laxa), bone differences such as early skull fusion, very flexible joints, and genital differences in males. People may have mild intellectual disability and an older-looking face. Enlargement of the heart has been reported. GARD says there have been no further descriptions in the literature since 1989.

Signs & symptoms

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

  • Loose, inelastic skin (cutis laxa)
  • Early fusion of skull bones (craniosynostosis)
  • Very flexible joints
  • Mild intellectual disability
  • Coarse facial features and droopy eyelids
  • Inguinal hernia

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 autoimmune and inflammatory disease specialists, bone and joint specialists, brain and nervous system specialists and digestive system specialists.

  3. Ask which tests can help

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

  4. Connect with expert centers

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

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists)
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
Is genetic testing available for this condition?
How should the heart be monitored?
Which specialists should follow skin, bones, and development?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked

GARD lists X-linked inheritance, meaning the gene is on the X chromosome. It does not name a gene.

GeneticNeurologicalGastrointestinalSkin

Also known as: scarf (skeletal abnormality, cutis laxa, craniostenosis, ambiguous genitalia, retardation, facial abnormality) syndrome; skeletal abnormalities, cutis laxa, craniostenosis, ambiguous genitalia, retardation, and facial abnormalities; skeletal abnormality, cutis laxa, craniostenosis, ambiguous genitalia, retardation, facial abnormality syndrome

Patient organizations

Source: NIH GARD · SCARF syndromeGARD ID 247 · 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 SCARF syndrome.

Explore the SCARF syndrome blog

Explore research for SCARF syndrome

Explore actively recruiting SCARF syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for SCARF syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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