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Living with Temple-Baraitser syndrome

A rare genetic condition present from birth that affects the brain, hands, feet, and nails, with severe delay in speech and learning.

Understanding Temple-Baraitser syndrome

Temple-Baraitser syndrome is a rare genetic condition of the nervous system and skin that is present from birth.

Symptoms usually begin before birth or in infancy. It can cause differences in brain structure, no speech or language development, and severe intellectual disability. The hands, feet, and nails can be shaped differently, and facial features can vary. Seizures, constipation, low muscle tone, delayed tooth development, and short stature can also occur.

Signs & symptoms

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

  • No speech development
  • Severe intellectual disability
  • Low muscle tone
  • Small head size
  • Absent or small toenails and broad thumbs
  • Seizures, constipation, and delayed teeth

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, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in KCNH1 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
Brain and nervous system specialists (neurologists); 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 Cure KCNH1 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 can seizures best be managed?
What therapies help with communication?
Would KCNH1 gene testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesKCNH1

Changes in the KCNH1 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

GeneticNeurologicalSkin

Also known as: severe intellectual disability-aplasia/hypoplasia of thumb and hallux syndrome; severe intellectual disability, hypoplasia of thumb and hallux syndrome; temple baraitser syndrome; tmbts

Patient organizations

Source: NIH GARD · Temple-Baraitser syndromeGARD ID 9441 · 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 Temple-Baraitser syndrome.

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Explore actively recruiting Temple-Baraitser syndrome studies with HealthSpark.

HealthSpark

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  • Eligibility is confirmed by the study team

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