Overview
HEC syndrome, also known as Hypertrichosis-Epilepsy-Mental retardation/Intellectual disability syndrome (Orphanet code 2119), is an extremely rare genetic condition characterized by the triad of hypertrichosis (excessive hair growth), epilepsy, and intellectual disability. The syndrome was described in a small number of families and affects multiple body systems, primarily the integumentary (skin/hair) system and the central nervous system. The hypertrichosis in HEC syndrome is typically generalized, meaning excessive hair growth occurs over large areas of the body. Epilepsy may present with various seizure types during childhood, and the degree of intellectual disability can range from mild to severe. Additional features reported in some cases include coarse facial features and gingival hyperplasia (overgrowth of the gums). The condition is present from birth or early childhood. There is no specific cure or targeted therapy for HEC syndrome. Management is supportive and symptomatic, focusing on seizure control with antiepileptic medications, educational support and developmental interventions for intellectual disability, and cosmetic management of hypertrichosis if desired. Due to the extreme rarity of this condition, published literature is very limited, and much of the clinical characterization is based on a small number of reported cases.
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 HEC syndrome.
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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 HEC syndrome.
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Caregiver Resources
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Social Security Disability
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Common questions about HEC syndrome
What is HEC syndrome?
HEC syndrome, also known as Hypertrichosis-Epilepsy-Mental retardation/Intellectual disability syndrome (Orphanet code 2119), is an extremely rare genetic condition characterized by the triad of hypertrichosis (excessive hair growth), epilepsy, and intellectual disability. The syndrome was described in a small number of families and affects multiple body systems, primarily the integumentary (skin/hair) system and the central nervous system. The hypertrichosis in HEC syndrome is typically generalized, meaning excessive hair growth occurs over large areas of the body. Epilepsy may present with
How is HEC syndrome inherited?
HEC syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.
At what age does HEC syndrome typically begin?
Typical onset of HEC syndrome is childhood. Age of onset can vary across affected individuals.
Which specialists treat HEC syndrome?
2 specialists and care centers treating HEC syndrome are listed on UniteRare, sourced from ClinicalTrials.gov principal investigators, published research, and the NPPES NPI registry.