Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome

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ORPHA:3145OMIM:221995N25.1
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Overview

Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome (also historically known as nephrogenic diabetes insipidus-intracranial calcification syndrome, or sometimes referenced under Orphanet code 3145) is an extremely rare genetic condition that affects multiple body systems. The hallmark feature is resistance to arginine vasopressin (AVP), the hormone that helps the kidneys concentrate urine. Because the kidneys do not respond properly to this hormone, affected individuals produce large volumes of very dilute urine and experience excessive thirst — a condition called nephrogenic diabetes insipidus. In addition to the kidney problem, people with this syndrome develop abnormal calcium deposits (calcifications) inside the skull, have notably short stature, and display distinctive facial features (facial dysmorphism) that may include a broad forehead, flat nasal bridge, or other subtle differences in facial structure. Because this syndrome is so rare, the full spectrum of symptoms and the underlying genetic cause are not yet completely understood. Diagnosis typically involves a combination of clinical evaluation, water deprivation testing to confirm vasopressin resistance, brain imaging to detect intracranial calcifications, and growth assessments. Treatment is mainly supportive: managing the diabetes insipidus with adequate fluid intake, thiazide diuretics, and sometimes nonsteroidal anti-inflammatory drugs to reduce urine output, along with growth monitoring and addressing any developmental or skeletal concerns. There is currently no cure, and management focuses on preventing dehydration and supporting overall growth and development.

Also known as:

Key symptoms:

Excessive urination (producing large amounts of dilute urine)Extreme thirst and need to drink large amounts of waterShort stature or poor growthUnusual facial features such as broad forehead or flat nasal bridgeCalcium deposits in the brain (intracranial calcifications)Failure to thrive in infancyDehydration episodesPossible developmental delaysBone or skeletal abnormalitiesFeeding difficulties in early life

Clinical phenotype terms (15)— hover any for plain English
Abnormal antihelix morphologyHP:0009738Nephrogenic diabetes insipidusHP:0009806Hypoplasia of the zygomatic boneHP:0010669Supernumerary toothHP:0011069
Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Infantile

Begins in infancy, roughly 1 month to 2 years old

Orphanet ↗OMIM ↗NORD ↗

FDA & Trial Timeline

1 event
Sep 1996

Elliotts B Solution: FDA approved

For the intrathecal administration of methotrexate and cytarabine for the prevention or treatment of meningeal leukemia and lymphocytic lymphoma.

FDAcompleted

Data sourced from FDA regulatory filings and ClinicalTrials.gov. Updated periodically.

Treatments

No FDA-approved treatments are currently listed for Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome.

View clinical trials →

No actively recruiting trials found for Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome at this time.

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Search ClinicalTrials.gov ↗Join the Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome community →

No specialists are currently listed for Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Financial Resources

1 resources

Elliotts B Solution

Lukare Medical, LLC

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Travel Grants

No travel grants are currently matched to Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome.

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Community

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Latest news about Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome

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Caregiver Resources

NORD Caregiver Resources

Support, advocacy, and financial assistance for caregivers of rare disease patients.

Mental Health Support

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Family & Caregiver Grants

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Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.How severe is my child's vasopressin resistance, and what is the best way to manage it?,What do the intracranial calcifications mean for my child's brain development?,Should we pursue whole exome or whole genome sequencing to look for a genetic cause?,What are the signs of dangerous dehydration I should watch for at home?,Is growth hormone therapy appropriate for my child's short stature?,How often should brain imaging and kidney function tests be repeated?,Are there any clinical trials or research studies we could participate in?

Common questions about Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome

What is Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome?

Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome (also historically known as nephrogenic diabetes insipidus-intracranial calcification syndrome, or sometimes referenced under Orphanet code 3145) is an extremely rare genetic condition that affects multiple body systems. The hallmark feature is resistance to arginine vasopressin (AVP), the hormone that helps the kidneys concentrate urine. Because the kidneys do not respond properly to this hormone, affected individuals produce large volumes of very dilute urine and experience excessive thirst —

How is Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome inherited?

Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome typically begin?

Typical onset of Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome is infantile. Age of onset can vary across affected individuals.

What treatment and support options exist for Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome?

1 patient support program are currently tracked on UniteRare for Arginine vasopressin resistance-intracranial calcification-short stature-facial dysmorphism syndrome. See the treatments and support programs sections for copay assistance, eligibility, and contact details.