Brachytelephalangy-dysmorphism-Kallmann syndrome

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ORPHA:1295OMIM:113480Q87.0
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Overview

Brachytelephalangy-dysmorphism-Kallmann syndrome is an extremely rare genetic condition that combines several features affecting different parts of the body. The name describes its main characteristics: brachytelephalangy refers to unusually short end bones (distal phalanges) of the fingers and toes, dysmorphism means distinctive facial features, and Kallmann syndrome refers to a combination of reduced or absent sense of smell (anosmia or hyposmia) along with delayed or absent puberty due to a hormone deficiency called hypogonadotropic hypogonadism. This means the brain does not properly signal the body to produce the sex hormones needed for puberty. Patients may have a range of facial features including a broad nasal bridge, widely spaced eyes, and other subtle differences in facial structure. The short fingertips and toes are often noticeable from birth or early childhood. Because puberty may not begin on its own, affected individuals often need hormone replacement therapy to develop secondary sexual characteristics and to support bone health and fertility. The condition may also be associated with other findings such as intellectual differences or additional skeletal abnormalities, though the severity varies between individuals. Treatment is mainly supportive and symptom-based. Hormone therapy is the cornerstone for managing the Kallmann syndrome component, while other features may require monitoring by multiple specialists. Because this condition is so rare, management is often individualized based on each patient's specific needs.

Key symptoms:

Short fingertips and toesReduced or absent sense of smellDelayed or absent pubertyDistinctive facial featuresWidely spaced eyesBroad nasal bridgeSmall or underdeveloped genitalia in malesLow levels of sex hormonesPossible mild intellectual disabilityShort stature or growth delaysSkeletal abnormalities of the hands and feetPossible infertility

Clinical phenotype terms (19)— hover any for plain English
Abnormal nostril morphologyHP:0005288Aplastic/hypoplastic toenailHP:0010624Hypoplasia of the zygomatic boneHP:0010669AnosmiaHP:0000458
Inheritance

Variable

Can be inherited in different ways depending on the underlying gene

Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Brachytelephalangy-dysmorphism-Kallmann syndrome.

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No actively recruiting trials found for Brachytelephalangy-dysmorphism-Kallmann syndrome at this time.

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No specialists are currently listed for Brachytelephalangy-dysmorphism-Kallmann 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

Travel Grants

No travel grants are currently matched to Brachytelephalangy-dysmorphism-Kallmann syndrome.

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Community

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Caregiver Resources

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Questions for your doctor

Bring these to your next appointment

  • Q1.What specific genetic testing should be done to confirm the diagnosis?,When should hormone replacement therapy be started, and what are the options?,How will we monitor bone health over time?,What are the chances of achieving fertility with treatment?,Are there any other organs or systems that should be screened?,Is there a risk of passing this condition to future children?,What support services are available for emotional and developmental needs?

Common questions about Brachytelephalangy-dysmorphism-Kallmann syndrome

What is Brachytelephalangy-dysmorphism-Kallmann syndrome?

Brachytelephalangy-dysmorphism-Kallmann syndrome is an extremely rare genetic condition that combines several features affecting different parts of the body. The name describes its main characteristics: brachytelephalangy refers to unusually short end bones (distal phalanges) of the fingers and toes, dysmorphism means distinctive facial features, and Kallmann syndrome refers to a combination of reduced or absent sense of smell (anosmia or hyposmia) along with delayed or absent puberty due to a hormone deficiency called hypogonadotropic hypogonadism. This means the brain does not properly signa

At what age does Brachytelephalangy-dysmorphism-Kallmann syndrome typically begin?

Typical onset of Brachytelephalangy-dysmorphism-Kallmann syndrome is neonatal. Age of onset can vary across affected individuals.