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Living with Wolcott-Rallison dysplasia

A very rare inherited condition with diabetes starting in the newborn period, bone growth differences, and episodes of liver failure.

Understanding Wolcott-Rallison dysplasia

Wolcott-Rallison syndrome is a very rare genetic disease with permanent diabetes starting in infancy and bone growth differences.

The bone differences are called multiple epiphyseal dysplasia. People can also have repeated episodes of sudden liver failure. Signs begin in the newborn period or infancy.

Signs & symptoms

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

  • Diabetes starting as a newborn
  • Short stature
  • Growth delay
  • Bone growth differences
  • Sudden liver failure episodes
  • Low neutrophil count

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, genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in EIF2AK3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
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 EIF2AK3 genetic testing help our family?
How can the liver be monitored?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesEIF2AK3

Wolcott-Rallison dysplasia is caused by changes in the EIF2AK3 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalEndocrine

Also known as: early-onset diabetes mellitus with multiple epiphyseal dysplasia; epiphyseal dysplasia, multiple, with early onset diabetes mellitus; med-iddm syndrome; multiple epiphyseal dysplasia with early-onset diabetes mellitus; wolcott-rallison syndrome; wrs

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Wolcott-Rallison dysplasiaGARD ID 5589 · 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 Wolcott-Rallison dysplasia.

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Explore research for Wolcott-Rallison dysplasia

Explore actively recruiting Wolcott-Rallison dysplasia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Wolcott-Rallison dysplasia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • 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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