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Living with Waardenburg-Shah syndrome

A genetic condition with hearing loss, changes in hair, skin, and eye color, and a bowel condition called Hirschsprung disease.

Understanding Waardenburg-Shah syndrome

Waardenburg-Shah syndrome (Waardenburg syndrome type 4) is a genetic condition with hearing loss, color changes, and Hirschsprung disease.

People can have hearing loss and changes in the color of the hair, skin, and eyes. Hirschsprung disease is a bowel disorder in which nerve cells are missing from part of the colon, causing severe constipation or blockage. Signs are present in the newborn period.

Signs & symptoms

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

  • Hearing loss
  • Severe constipation or blocked bowel
  • Enlarged colon missing nerve cells (Hirschsprung disease)
  • Loss of hair color or early graying
  • White eyebrow
  • Eyebrows that meet in the middle

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 digestive system specialists, ear, nose, and throat specialists, genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Digestive system specialists (gastroenterologists); Ear, nose, and throat specialists (otolaryngologists); 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 Pull-thru Network 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
Which gene is involved in my child's case?
How are the bowel symptoms treated and monitored?
What hearing tests and supports are recommended?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant, Autosomal Recessive

It may be caused by changes in the EDNRB, EDN3, or SOX10 genes. It is usually autosomal dominant, though some cases look autosomal recessive.

GeneticGastrointestinalSkin

Also known as: shah-waardenburg syndrome; waardenburg syndrome type 4; waardenburg syndrome type iv; waardenburg-hirschsprung syndrome; ws4

Patient organizations

Source: NIH GARD · Waardenburg-Shah syndromeGARD ID 5524 · 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 Waardenburg-Shah syndrome.

Explore the Waardenburg-Shah syndrome blog

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Explore actively recruiting Waardenburg-Shah syndrome studies with HealthSpark.

HealthSpark

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  • Eligibility is confirmed by the study team

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