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Living with X-linked congenital generalized hypertrichosis

A rare skin condition present at birth with extra hair over the whole body in males and milder, uneven extra hair in females.

Understanding X-linked congenital generalized hypertrichosis

X-linked congenital generalized hypertrichosis is a rare skin condition present at birth, with extra hair growth.

Males have hair overgrowth over the whole body. Females have milder and uneven overgrowth. It can come with mild facial differences such as upturned nostrils and a slightly protruding jaw, and sometimes tooth differences and deafness. GARD says it is important to know if it occurs alone or as part of a genetic syndrome.

Signs & symptoms

GARD doesn't list a common-symptom list, but its summary describes these:

  • Extra hair over the whole body in males
  • Mild, uneven extra hair in females
  • Upturned nostrils
  • Slight jaw protrusion
  • Tooth differences
  • Hearing loss

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 genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in SOX3 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

    National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias
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 National Foundation for Ectodermal Dysplasias 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
Is the hair growth isolated or part of a syndrome?
Should hearing and teeth be checked?
Could SOX3 genetic testing help our family?

Quick facts

InheritanceX-Linked
GenesSOX3

This condition is linked to the SOX3 gene and is caused by a specific X chromosome change. It follows X-linked inheritance.

GeneticSkin

Also known as: chromosome xq27.1 interchromosomal insertion syndrome; congenital generalised hypertrichosis, macias-flores type; congenital generalized hypertrichosis, macias-flores type; hypertrichosis, congenital generalized; hypertrichosis, congenital generalized, 2; hypertrichosis, congenital generalized, x-linked dominant

Patient organizations

Source: NIH GARD · X-linked congenital generalized hypertrichosisGARD ID 2863 · 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 X-linked congenital generalized hypertrichosis.

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