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Living with Wolfram-like syndrome

A rare endocrine condition with diabetes in adulthood, hearing loss that starts in childhood, and vision nerve loss.

Understanding Wolfram-like syndrome

Wolfram-like syndrome is a rare condition with adult-onset diabetes, hearing loss that worsens over time, and optic atrophy.

Hearing loss usually begins in the first ten years of life, mostly for low to moderate pitches. Optic atrophy is damage to the nerve from eye to brain, starting in youth. Anxiety, depression, hallucinations, and sleep problems are reported rarely. Unlike Wolfram syndrome, GARD says endocrine and heart findings are not reported.

Signs & symptoms

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

  • Diabetes mellitus
  • Hearing loss from the inner ear
  • Optic atrophy
  • Glaucoma
  • Anxiety or depression
  • Poor balance and coordination

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 ear, nose, and throat specialists, eye disease specialists, genetic specialists and hormone specialists.

  3. Consider genetic testing

    Changes in WFS1 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

    Snow Foundation For Wolfram Syndrome Research may keep lists of experts for this condition.

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: Snow Foundation For Wolfram Syndrome Research
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 Snow Foundation For Wolfram Syndrome Research
  • 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 WFS1 genetic testing confirm the diagnosis?
How often should hearing and vision be checked?
How is Wolfram-like syndrome different from Wolfram syndrome?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesWFS1

Wolfram-like syndrome is caused by changes in the WFS1 gene. A child can get it from one parent with the changed gene (autosomal dominant).

GeneticEndocrine

Also known as: hearing loss, progressive, with optic atrophy and/or impaired glucose regulation

Patient organizations

Source: NIH GARD · Wolfram-like syndromeGARD ID 17683 · 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 Wolfram-like syndrome.

Explore the Wolfram-like syndrome blog

Explore research for Wolfram-like syndrome

Explore actively recruiting Wolfram-like syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Wolfram-like syndrome 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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