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Living with Syndactyly-telecanthus-anogenital and renal malformations syndrome

A very rare condition with joined fingers or toes, wide-set eyes, and differences in the anus, genitals, and kidneys.

Understanding Syndactyly-telecanthus-anogenital and renal malformations syndrome

Syndactyly-telecanthus-anogenital and renal malformations syndrome (STAR syndrome) is a very rare condition that affects many parts of the body.

STAR stands for its main signs: syndactyly (joined fingers or toes), telecanthus (wide space between the inner eye corners), anogenital differences, and renal (kidney) differences. Some people also have other bone differences, hearing loss, seizures, eye problems, and spinal cord differences. Only females with STAR syndrome have been reported.

Signs & symptoms

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

  • Joined toes
  • Wide-set inner eye corners (telecanthus)
  • Anus or genital differences
  • Kidney differences
  • Short stature
  • Heart wall differences

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, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in CCNQ are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
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 National Kidney 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
How often should my child's kidneys be checked?
Which specialists should be on my child's team?
Would CCNQ gene testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesCCNQ

Changes in the CCNQ (also called FAM58A) gene cause this condition, often by a deletion. It is X-linked dominant, meaning the gene is on the X chromosome.

GeneticGastrointestinal

Also known as: star; star (syndactyly, telecanthus, anogenital, renal malformation) syndrome; star syndrome; star syndrome, x-linked dominant; syndactyly with renal and anogenital malformations; syndactyly, telecanthus, anogenital and renal malformation syndrome

Patient organizations

Source: NIH GARD · Syndactyly-telecanthus-anogenital and renal malformations syndromeGARD ID 10295 · 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 Syndactyly-telecanthus-anogenital and renal malformations syndrome.

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