Overview
Carvajal syndrome is a very rare inherited condition that affects the heart, skin, and hair. It is also sometimes called dilated cardiomyopathy with woolly hair and keratoderma. The condition causes the heart muscle to become weak and enlarged — a problem called dilated cardiomyopathy — which makes it harder for the heart to pump blood properly. At the same time, people with Carvajal syndrome develop thickened, rough skin on the palms of the hands and soles of the feet (called palmoplantar keratoderma) and have tightly curled, woolly hair. The heart problems are the most serious part of this condition. A weakened heart can lead to heart failure, irregular heartbeats, and in some cases, sudden cardiac death, especially in children and young adults. The skin and hair changes, while not dangerous, are usually present from birth or early childhood and can be a helpful clue for diagnosis. Treatment focuses on managing the heart condition, since there is no cure. Medications used for heart failure, devices like implantable defibrillators, and in severe cases heart transplantation may be needed. Early diagnosis and close heart monitoring are very important to improve outcomes for people living with Carvajal syndrome.
Also known as:
Key symptoms:
Enlarged, weakened heart (dilated cardiomyopathy)Heart failure symptoms such as shortness of breath and fatigueTightly curled or woolly hairThickened, rough skin on the palms and soles of the feetIrregular heartbeat (arrhythmia)Swelling in the legs or ankles due to poor heart functionReduced ability to exercise or be physically activeFainting or near-fainting episodesRisk of sudden cardiac arrest
Clinical phenotype terms (4)— 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 Carvajal syndrome.
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Specialists
View all specialists →No specialists are currently listed for Carvajal syndrome.
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 Carvajal syndrome.
Community
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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
Financial assistance programs specifically for caregivers of rare disease patients.
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 heart condition right now, and what changes should I watch for?,Does my child need an implantable defibrillator, and what are the risks and benefits?,What physical activities are safe, and which ones should be avoided?,Should other family members be tested for the DSP gene change?,At what point would a heart transplant be considered, and how do we prepare for that possibility?,Are there any clinical trials or research studies we could participate in?,What is the best way to manage the skin thickening on the hands and feet?
Common questions about Carvajal syndrome
What is Carvajal syndrome?
Carvajal syndrome is a very rare inherited condition that affects the heart, skin, and hair. It is also sometimes called dilated cardiomyopathy with woolly hair and keratoderma. The condition causes the heart muscle to become weak and enlarged — a problem called dilated cardiomyopathy — which makes it harder for the heart to pump blood properly. At the same time, people with Carvajal syndrome develop thickened, rough skin on the palms of the hands and soles of the feet (called palmoplantar keratoderma) and have tightly curled, woolly hair. The heart problems are the most serious part of this
How is Carvajal syndrome inherited?
Carvajal syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.
At what age does Carvajal syndrome typically begin?
Typical onset of Carvajal syndrome is childhood. Age of onset can vary across affected individuals.