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Living with Ulnar-mammary syndrome

A rare genetic condition with differences in the arms and hands, breast and sweat gland development, and genitals.

Understanding Ulnar-mammary syndrome

Ulnar-mammary syndrome (UMS) is a rare genetic condition that affects the development of several parts of the body.

Main features are arm and hand differences, underdeveloped breast and sweat glands (which can mean no breast development or milk), and genital differences. Others may include hormone shortages, delayed puberty, dental problems, short stature, and obesity. Features vary from mild to severe, even in the same family. Not everyone who has the gene change will have features.

Signs & symptoms

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

  • Missing or underdeveloped forearm bone and finger differences
  • Small nipples and underdeveloped breast tissue
  • Delayed puberty
  • Short stature
  • Obesity
  • Undescended testes or small penis

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, brain and nervous system specialists, digestive system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in TBX3 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); Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
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
  • 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 TBX3 gene confirm this diagnosis?
Which specialists, such as an endocrinologist, should we see?
How can puberty and fertility be supported?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesTBX3

This condition is caused by changes in the TBX3 gene. It is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

GeneticNeurologicalGastrointestinalUrinary and Reproductive

Also known as: pallister ulnar-mammary syndrome; schinzel syndrome; ulnar mammary syndrome; ulnar-mammary syndrome of pallister; ums

Patient organizations

Source: NIH GARD · Ulnar-mammary syndromeGARD ID 118 · 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 Ulnar-mammary syndrome.

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Explore actively recruiting Ulnar-mammary syndrome studies with HealthSpark.

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