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Pfeiffer syndrome
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Pfeiffer syndrome

Reviewed February 2008

What is Pfeiffer syndrome?

Pfeiffer syndrome is a genetic disorder characterized by the premature fusion of certain skull bones (craniosynostosis). This early fusion prevents the skull from growing normally and affects the shape of the head and face. Pfeiffer syndrome also affects bones in the hands and feet.

Many of the characteristic facial features of Pfeiffer syndrome result from premature fusion of the skull bones. Abnormal growth of these bones leads to bulging and wide-set eyes, a high forehead, an underdeveloped upper jaw, and a beaked nose. More than half of all children with Pfeiffer syndrome have hearing loss; dental problems are also common.

In people with Pfeiffer syndrome, the thumbs and great toes are wide and bend away from the other digits. Unusually short fingers and toes (brachydactyly) are also common, and there may be some webbing or fusion between the digits (syndactyly).

Pfeiffer syndrome is divided into three subtypes. Type 1, also known as classic Pfeiffer syndrome, has symptoms as described above. Most individuals with type 1 Pfeiffer syndrome have normal intelligence and a normal life span. Types 2 and 3 are more severe forms of Pfeiffer syndrome that often involve problems with the nervous system. The premature fusion of skull bones can limit brain growth, leading to delayed development and other neurological problems. Type 2 is distinguished from type 3 by the presence of a cloverleaf-shaped head, which is caused by more extensive fusion of bones in the skull.

How common is Pfeiffer syndrome?

Pfeiffer syndrome affects about 1 in 100,000 individuals.

What genes are related to Pfeiffer syndrome?

Pfeiffer syndrome results from mutations in the FGFR1 or FGFR2 gene. These genes provide instructions for making proteins known as fibroblast growth receptors 1 and 2. Among their multiple functions, these proteins signal immature cells to become bone cells during embryonic development. A mutation in either the FGFR1 or FGFR2 gene alters protein function and causes prolonged signaling, which can promote the premature fusion of skull bones and affect the development of bones in the hands and feet.

Type 1 Pfeiffer syndrome is caused by mutations in either the FGFR1 or FGFR2 gene. Types 2 and 3 are caused by mutations in the FGFR2 gene, and have not been associated with changes in FGFR1.

Read more about the FGFR1 and FGFR2 genes.

How do people inherit Pfeiffer syndrome?

This condition is inherited in an autosomal dominant pattern, which means one copy of the altered gene in each cell is sufficient to cause the disorder.

Where can I find information about treatment for Pfeiffer syndrome?

These resources address the management of Pfeiffer syndrome and may include treatment providers.

You might also find information on treatment of Pfeiffer syndrome in Educational resources and Patient support.

Where can I find additional information about Pfeiffer syndrome?

You may find the following resources about Pfeiffer syndrome helpful. These materials are written for the general public.

You may also be interested in these resources, which are designed for healthcare professionals and researchers.

What other names do people use for Pfeiffer syndrome?

  • acrocephalosyndactyly, type V
  • ACS5
  • ACS V
  • Craniofacial-skeletal-dermatologic dysplasia
  • Noack syndrome

What if I still have specific questions about Pfeiffer syndrome?

Where can I find general information about genetic conditions?

What glossary definitions help with understanding Pfeiffer syndrome?

autosomal ; autosomal dominant ; brachydactyly ; cell ; craniofacial ; craniosynostosis ; dysplasia ; embryonic ; fibroblast ; gene ; great toe ; hypertelorism ; mutation ; nervous system ; neurological ; ocular proptosis ; proptosis ; protein ; receptor ; symptom ; syndactyly ; syndrome

You may find definitions for these and many other terms in the Genetics Home Reference Glossary.

References (5 links)


The resources on this site should not be used as a substitute for professional medical care or advice. Users seeking information about a personal genetic disease, syndrome, or condition should consult with a qualified healthcare professional. See How can I find a genetics professional in my area? in the Handbook.

Reviewed: February 2008
Published: January 23, 2009