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Living with Van Maldergem syndrome

A genetic condition present from infancy that affects facial features, hands, muscle tone, joints, and learning.

Understanding Van Maldergem syndrome

Van Maldergem syndrome (cerebro-facio-articular syndrome) is a genetic condition first described in 1992.

Key features are distinctive facial features, hand differences, moderate to severe intellectual disability, low muscle tone, and very loose joints. Signs appear in infancy.

Signs & symptoms

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

  • Low muscle tone in infancy (floppy infant)
  • Feeding difficulties
  • Global developmental delay
  • Moderate intellectual disability
  • Small lower jaw (micrognathia)
  • Webbed or bent fingers or toes

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 and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); 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 rare disease patient organizations for support
  • 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
Could DCHS1 or FAT4 genetic testing help us?
What help is there for feeding difficulties?
Which therapies might support my child's development?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

It can be caused by changes in the DCHS1 or FAT4 genes. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurological

Also known as: cerebro-facio-articular syndrome; cerebrofacioarticular syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Van Maldergem syndromeGARD ID 5456 · 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 Van Maldergem syndrome.

Explore the Van Maldergem syndrome blog

Explore research for Van Maldergem syndrome

Explore actively recruiting Van Maldergem syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Van Maldergem syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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