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Living with Trichorhinophalangeal dysplasia type I

A genetic condition with sparse hair, a rounded nose tip, short bones in the fingers and toes, and sometimes hip problems.

Understanding Trichorhinophalangeal dysplasia type I

Trichorhinophalangeal syndrome type I (TRPS I) is a genetic condition with bone and joint differences, distinctive facial features, and changes in hair, teeth, and nails.

The name refers to the hair (tricho-), nose (rhino-), and fingers and toes (phalangeal). Finger and toe bones can have cone-shaped ends, and nails are thin. Hip joints can be misaligned, and joints may wear down over time. Almost everyone has sparse scalp hair, and males often lose most of it after puberty.

Signs & symptoms

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

  • Sparse scalp hair
  • Broad nose with a rounded tip
  • Cone-shaped ends of finger or toe bones
  • Thin, fragile nails
  • Hip joint problems
  • Small teeth, or too few or too many 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 bone and joint specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in TRPS1 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
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
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
Can genetic testing of the TRPS1 gene confirm this diagnosis?
How should hip and joint health be monitored?
Which dental and orthopedic specialists should we see?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesTRPS1

This condition is caused by changes in the TRPS1 gene. It is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

GeneticSkin

Also known as: sugio-kajii syndrome; trichorhinophalangeal dysplasia (syndrome) types 1/3; trichorhinophalangeal dysplasia types 1/3; trichorhinophalangeal syndrome i; trichorhinophalangeal syndrome type 1; trichorhinophalangeal syndrome type i

Patient organizations

Source: NIH GARD · Trichorhinophalangeal dysplasia type IGARD ID 7800 · 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 Trichorhinophalangeal dysplasia type I.

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