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Living with Woodhouse-Sakati syndrome

A genetic condition that affects hormone glands and the nervous system, with low sex hormones, hair loss, diabetes, and movement problems.

Understanding Woodhouse-Sakati syndrome

Woodhouse-Sakati syndrome is a disorder that mainly affects the hormone-producing (endocrine) glands and the nervous system.

Signs vary widely, even in one family. Low sex hormones usually show in the teen years, and puberty does not progress without hormone replacement. Hair loss starts in childhood. By the mid-twenties almost everyone develops diabetes. Movement problems called dystonia often begin in the teen or young adult years.

Signs & symptoms

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

  • Low sex hormones (hypogonadism)
  • Delayed puberty
  • Hair loss and sparse eyebrows
  • Diabetes
  • Movement problems (dystonia)
  • Hearing loss and mild intellectual disability

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, genetic specialists, hormone specialists and maternal-fetal medicine specialists.

  3. Consider genetic testing

    Changes in DCAF17 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

    Dystonia Medical Research Foundation, Resolve: The National Infertility Association and Pituitary Network Association may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Maternal-fetal medicine specialists (pregnancy-related)
Expert care
Expert lists: Dystonia Medical Research Foundation, Resolve: The National Infertility Association, Pituitary Network Association
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 NBIA Disorders Association 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
Could DCAF17 genetic testing help our family?
When should hormone checks and diabetes screening begin?
Which specialists should be on my care team?

Quick facts

Symptoms usually startChild and as a Teenager
InheritanceAutosomal Recessive
GenesDCAF17

Woodhouse-Sakati syndrome is caused by changes in the DCAF17 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalEndocrineUrinary and Reproductive

Also known as: diabetes-hypogonadism-deafness-intellectual disability syndrome; diabetes-hypogonadism-hearing loss-intellectual disability syndrome; diabetes, hypogonadism, deafness, intellectual disability syndrome; hypogonadism, alopecia, diabetes mellitus, mental retardation, and extrapyramidal syndrome; hypogonadism, diabetes mellitus, alopecia, mental retardation and electrocardiographic abnormalities; woodhouse sakati syndrome

Patient organizations

Source: NIH GARD · Woodhouse-Sakati syndromeGARD ID 5592 · 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

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