Overview
ANE syndrome, also known as Alopecia-Nail dystrophy-Endocrine abnormalities syndrome, is an extremely rare genetic disorder characterized by the triad of alopecia (hair loss), nail dystrophy (abnormal nail development), and endocrine disturbances, particularly hypopituitarism. The ICD-10 classification under E23.0 reflects the hypopituitarism component, which can manifest as growth hormone deficiency, hypogonadism, and other pituitary hormone deficiencies. The condition affects multiple body systems including the integumentary system (skin, hair, and nails) and the endocrine system. Patients typically present with sparse or absent scalp hair, eyebrows, and eyelashes, along with dystrophic or absent nails. The endocrine manifestations can include short stature due to growth hormone deficiency, delayed or absent puberty, and other hormonal imbalances related to pituitary dysfunction. The severity and combination of features can vary among affected individuals. Treatment is primarily supportive and symptomatic. Hormone replacement therapy is used to address specific endocrine deficiencies, including growth hormone supplementation for growth failure and sex hormone replacement for hypogonadism. Dermatological management may include wigs and cosmetic approaches for alopecia. Regular endocrine monitoring is essential to identify and treat hormonal deficiencies as they develop. There is currently no curative therapy for this condition.
Clinical phenotype terms— hover any for plain English:
Autosomal recessive
Passed on when both parents carry the same gene change; often skips generations
Childhood
Begins in childhood, roughly ages 1 to 12
Treatments
No FDA-approved treatments are currently listed for ANE syndrome.
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Specialists
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Treatment Centers
8 centersBaylor College of Medicine Rare Disease Center ↗
Baylor College of Medicine
📍 Houston, TX
🏥 NORDStanford Medicine Rare Disease Center ↗
Stanford Medicine
📍 Stanford, CA
🔬 UDNNIH Clinical Center Undiagnosed Diseases Program ↗
National Institutes of Health
📍 Bethesda, MD
🔬 UDNUCLA UDN Clinical Site ↗
UCLA Health
📍 Los Angeles, CA
🔬 UDNBaylor College of Medicine UDN Clinical Site ↗
Baylor College of Medicine
📍 Houston, TX
🔬 UDNHarvard/MGH UDN Clinical Site ↗
Massachusetts General Hospital
📍 Boston, MA
🏥 NORDMayo Clinic Center for Individualized Medicine ↗
Mayo Clinic
📍 Rochester, MN
👤 Mayo Clinic Center for Individualized Medicine
🏥 NORDUCLA Rare Disease Day Program ↗
UCLA Health
📍 Los Angeles, CA
Travel Grants
No travel grants are currently matched to ANE syndrome.
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Caregiver Resources
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Social Security Disability
Learn how rare disease patients may qualify for SSDI/SSI benefits.
Common questions about ANE syndrome
What is ANE syndrome?
ANE syndrome, also known as Alopecia-Nail dystrophy-Endocrine abnormalities syndrome, is an extremely rare genetic disorder characterized by the triad of alopecia (hair loss), nail dystrophy (abnormal nail development), and endocrine disturbances, particularly hypopituitarism. The ICD-10 classification under E23.0 reflects the hypopituitarism component, which can manifest as growth hormone deficiency, hypogonadism, and other pituitary hormone deficiencies. The condition affects multiple body systems including the integumentary system (skin, hair, and nails) and the endocrine system. Patients
How is ANE syndrome inherited?
ANE syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.
At what age does ANE syndrome typically begin?
Typical onset of ANE syndrome is childhood. Age of onset can vary across affected individuals.