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Living with Type IV short rib polydactyly syndrome

A rare genetic bone condition with short ribs, a small chest, short bones, and brain and organ differences.

Understanding Type IV short rib polydactyly syndrome

Type IV short rib polydactyly syndrome is a rare genetic condition (a ciliopathy) with major bone differences, especially short ribs and a small chest.

Other bone findings include small hip bones, short limb bones, and bowed forearm bones. Brain differences are common, but extra fingers are rare. Other features can include cleft lip, missing internal genitals, and cysts in the kidneys, bile ducts, and pancreas. It starts during pregnancy.

Signs & symptoms

GARD doesn't list a separate symptom list. The summary describes these features:

  • Short ribs and a small chest
  • Short limb bones and bowed forearm bones
  • Small hip bones
  • Brain differences
  • Cleft lip
  • Cysts in the kidneys, bile ducts, or pancreas

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 lung and breathing specialists.

  3. Consider genetic testing

    Changes in IFT80 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

    Little People of America may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Lung and breathing specialists (pulmonologists)
Expert care
Expert lists: Little People of America
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 Little People of America
  • 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 IFT80 gene confirm this diagnosis?
Which specialists should be on our care team?
Would genetic counseling help our family?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesIFT80

This condition is caused by changes in the IFT80 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticRespiratory

Also known as: beemer-langer syndrome; beemer-langer type short rib polydactyly syndrome; short rib polydactyly syndrome, beemer-langer type; short rib syndrome, beemer type; short rib-polydactyly syndrome beemer type; short rib-polydactyly syndrome type 4

Patient organizations

Source: NIH GARD · Type IV short rib polydactyly syndromeGARD ID 4832 · 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 Type IV short rib polydactyly syndrome.

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