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Aarskog syndrome

The faceThe face
Pectus excavatumPectus excavatum

Aarskog disease; Aarskog-Scott syndrome; AAS; Faciodigitogenital syndrome; Gaciogenital dysplasia

Definition

Aarskog syndrome is a very rare disease that affects a person's height, muscles, skeleton, genitals, and appearance. It can be passed down through families (inherited).

Causes

Aarskog syndrome is a genetic disorder that is linked to the X chromosome. It affects mainly males, but females may have a milder form. The condition is caused by changes (mutations) in a gene called "faciogenital dysplasia" (FGD1).

Symptoms

Symptoms of this condition include:

Belly button that sticks out
Bulge in the groin or scrotum
Delayed sexual maturity
Delayed teeth
Downward palpebral slant to eyes (palpebral slant is the direction of the slant from the inner to outer corner of the eye)
Hairline with a "widow's peak"
Mildly sunken chest (pectus excavatum)
Mild to moderate cognitive problems
Mild to moderate short height, which may not be obvious until the child is 1 to 3 years old
Poorly developed middle section of the face
Rounded face
Scrotum surrounds the penis (shawl scrotum)
Short fingers and toes with mild webbing
Single crease in the palm of the hand
Small, broad hands and feet with short fingers and curved-in fifth finger
Small nose with nostrils tipped forward
Testicles that have not come down (undescended)
Top portion of the ear folded over slightly
Wide groove above the upper lip, crease below the lower lip
Wide-set eyes with droopy eyelids

Exams and Tests

These tests may be done:

Genetic testing for mutations in the FGD1 gene
X-rays

Treatment

Moving the teeth may be done to treat some of the abnormal dental features a person with Aarskog syndrome may have.

Support Groups

More information and support for people with Aarskog syndrome and their families can be found at:

National Organization for Rare Disorders -- rarediseases.org/rare-diseases/aarskog-syndrome
NIH Genetic and Rare Diseases Information Center -- rarediseases.info.nih.gov/diseases/4775/aarskog-syndrome

Outlook (Prognosis)

Some people may have some mental slowness, but children with this condition often have good social skills. Some males may have problems with fertility.

Possible Complications

These complications can occur:

Changes in the brain
Difficulty growing in the first year of life
Poorly aligned teeth
Seizures
Undescended testicles

When to Contact a Medical Professional

Contact your health care provider if your child has delayed growth or if you notice any symptoms of Aarskog syndrome. Seek genetic counseling if you have a family history of Aarskog syndrome. Contact a genetic specialist if your provider thinks you or your child may have Aarskog syndrome.

Prevention

Genetic testing may be available for people with a family history of the condition or a known mutation of the gene that causes it.

References

D'Cunha Burkardt D, Graham JM. Abnormal body size and proportion. In: Pyeritz RE, Korf BR, Grody WW, eds. Emery and Rimoin's Principles and Practice of Medical Genetics and Genomics: Clinical Principles and Applications. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 4.

Haddad J. Congenital malformations of the ear. In: Kliegman RM, St. Geme JW, Blum NJ, et al, eds. Nelson Textbook of Pediatrics. 22nd ed. Philadelphia, PA: Elsevier; 2025:chap 678.

Jones KL, Jones MC, Del Campo M. Moderate short stature, facial ± genital. In: Jones KL, Jones MC, Del Campo M, eds. Smith's Recognizable Patterns of Human Malformation. 8th ed. Philadelphia, PA: Elsevier; 2022:chap D.

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Review Date: 12/31/2023

Reviewed By: Anna C. Edens Hurst, MD, MS, Associate Professor in Medical Genetics, The University of Alabama at Birmingham, Birmingham, AL. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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