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Living with X-linked diffuse leiomyomatosis-Alport syndrome

A rare condition combining kidney, hearing, and eye problems with noncancerous muscle overgrowth in the digestive and breathing tracts.

Understanding X-linked diffuse leiomyomatosis-Alport syndrome

X-linked diffuse leiomyomatosis-Alport syndrome is a rare condition that combines X-linked Alport syndrome with overgrowth of smooth muscle.

Alport syndrome affects the kidney filters, hearing, and eyes. Smooth muscle cells overgrow, without cancer, along the digestive, breathing, and female genital tracts. This can cause trouble swallowing, breathing, coughing, vomiting after meals, chest or upper belly pain, and repeated pneumonia. It can begin from childhood to adulthood.

Signs & symptoms

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

  • Blood in the urine (hematuria)
  • Chronic kidney disease
  • Hearing loss from the inner ear
  • Trouble swallowing (dysphagia)
  • Acid reflux and chest pain
  • Cataracts

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 kidney specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
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 Alport Syndrome Foundation 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 specialists should follow kidney, hearing, and digestive health?
How are swallowing and breathing symptoms monitored?
Could genetic testing help our family?

Quick facts

Symptoms usually startfrom Childhood to Adulthood
InheritanceX-Linked

GARD says changes in genes (variants) cause this condition, and it follows X-linked inheritance. It doesn't name a gene.

GeneticKidney

Also known as: alport syndrome and diffuse leiomyomatosis; chromosome xq22.3 centromeric deletion syndrome; x-linked alport syndrome-diffuse leiomyomatosis; xq22.3 microdeletion syndrome

Patient organizations

Source: NIH GARD · X-linked diffuse leiomyomatosis-Alport syndromeGARD ID 2432 · 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 diffuse leiomyomatosis-Alport syndrome.

Explore the X-linked diffuse leiomyomatosis-Alport syndrome blog

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Explore actively recruiting X-linked diffuse leiomyomatosis-Alport syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for X-linked diffuse leiomyomatosis-Alport 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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