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Living with Schinzel-Giedion syndrome

A severe genetic condition present from birth that affects the face, nervous system, organs, and bones.

Understanding Schinzel-Giedion syndrome

Schinzel-Giedion syndrome is a severe genetic condition apparent at birth that affects many body systems.

Babies have distinct facial features, such as a drawn-in middle of the face, a bulging forehead, and a large tongue. Children have severe developmental delay and may have severe feeding problems, seizures, and vision or hearing loss. Heart, kidney, and genital differences can occur, and most children have urine buildup in the kidneys (hydronephrosis).

Signs & symptoms

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

  • Drawn-in middle of the face
  • Large or bulging forehead
  • Large tongue (macroglossia)
  • Kidney urine buildup (hydronephrosis)
  • Heart differences
  • Poor weight gain in infancy

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, cancer specialists, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in SETBP1 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

    National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Cancer specialists (oncologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias
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 National Foundation for Ectodermal Dysplasias 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
Should we have genetic testing for the SETBP1 gene?
How can feeding and seizures be managed?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesSETBP1

It is caused by changes in the SETBP1 gene. It is autosomal dominant, so one changed copy of the gene can be enough.

GeneticNeurologicalKidney

Also known as: schinzel giedion syndrome; schinzel-giedion midface-retraction syndrome; sgs

Patient organizations

Source: NIH GARD · Schinzel-Giedion syndromeGARD ID 117 · 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 Schinzel-Giedion syndrome.

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Explore actively recruiting Schinzel-Giedion syndrome studies with HealthSpark.

HealthSpark

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  • Eligibility is confirmed by the study team

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