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A systemic inherited histiocytosis, with characteristic cutaneous findings accompanying systemic manifestations. H syndrome refers to the major clinical findings of hyperpigmentation, hypertrichosis, hepatosplenomegaly, heart anomalies, hearing loss, hypogonadism, low height, and occasionally, hyperglycemia/diabetes mellitus. Due to overlapping clinical features, H syndrome is now considered to include pigmented hypertrichosis with insulin dependent diabetes mellitus syndrome (PHID), Faisalabad histiocytosis (FHC) and familial sinus histiocytosis with massive lymphadenopathy (FSHML).
Features include always present findings: Hearing loss (hearing impairment), Camptodactyly of finger, Flexion contracture of finger, and Joint contracture of the 5th finger and others; and very common findings: Cervical lymphadenopathy and Hallux valgus. 49 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Heart and blood vessels | 6 | Ventricular septal defect, Enlarged heart (cardiomegaly), High blood pressure in lung arteries (pulmonary arterial hypertension) |
Arms and legs | 5 | Camptodactyly of finger, Flexion contracture of finger, Joint contracture of the 5th finger |
Muscles | 4 | Flexion contracture of finger, Joint contracture of the 5th finger, Elbow flexion contracture |
Skin | 4 | Hyperpigmentation of the skin, Facial telangiectasia, Hypertrichotic hyperpigmented patch |
Digestive system | 4 | Pancreatic hypoplasia, Enlarged liver (hepatomegaly), Enlarged spleen (splenomegaly) |
Hormones | 3 | Type I diabetes mellitus, Hypergonadotropic hypogonadism, Decreased response to growth hormone stimulation test |
Ears | 2 | Hearing loss (hearing impairment), Inner ear hearing loss (sensorineural hearing impairment) |
Growth and development | 2 | Short stature, Decreased response to growth hormone stimulation test |
Bones and joints | 1 | Joint contracture of the 5th finger |
Head and neck | 1 | Facial telangiectasia |
Metabolism | 1 | Fever |
Blood and immune system | 1 | Enlarged spleen (splenomegaly) |
Eyes | 1 | Corneal arcus |
Lungs and breathing | 1 | High blood pressure in lung arteries (pulmonary arterial hypertension) |
Age of onset: at birth.
SLC29A3 function has not been fully characterized.
H syndrome is caused by mutations in the SLC29A3 gene on chromosome 10.
Genetic testing for SLC29A3 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for H syndrome has been reported in the published literature.
Phenotype severity distribution: 10 always present features, 2 very common features, 22 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
28 publications have been identified in PubMed for H syndrome. Research spans Case Report / Case Series (71%), Basic Science / Preclinical (11%), and Epidemiology / Natural History (7%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 20 | 71% |
Laboratory research | 3 | 11% |
Disease patterns and progression | 2 | 7% |
Testing and diagnosis research | 1 | 4% |
Research summaries | 1 | 4% |
New treatment approaches | 1 | 4% |
Al-Frejat Z (2026). [PMID: 41531690](https://pubmed.ncbi.nlm.nih.gov/41531690/). *JAAD case reports*. [Case Report / Case Series]
Boulu X (2026). [PMID: 41953517](https://pubmed.ncbi.nlm.nih.gov/41953517/). *Am J Ophthalmol Case Rep*. [Case Report / Case Series]
Triaille C (2026). [PMID: 41139940](https://pubmed.ncbi.nlm.nih.gov/41139940/). *British journal of haematology*. [Case Report / Case Series]
Palmeri S (2026). [PMID: 41365842](https://pubmed.ncbi.nlm.nih.gov/41365842/). *Rheumatology (Oxford, England)*. [Case Report / Case Series]
Alhussin W (2025). [PMID: 40524669](https://pubmed.ncbi.nlm.nih.gov/40524669/). *Journal of neonatal-perinatal medicine*. [Case Report / Case Series]
Saleeb MF (2025). [PMID: 39210075](https://pubmed.ncbi.nlm.nih.gov/39210075/). *European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery*. [Case Report / Case Series]
Sariyeva Ismayilov A (2025). [PMID: 39834334](https://pubmed.ncbi.nlm.nih.gov/39834334/). *European journal of ophthalmology*. [Epidemiology / Natural History]
Netting DJ (2025). [PMID: 40589543](https://pubmed.ncbi.nlm.nih.gov/40589543/). *bioRxiv : the preprint server for biology*. [Review / Meta-Analysis]
Boumeriem K (2025). [PMID: 40450437](https://pubmed.ncbi.nlm.nih.gov/40450437/). *La Revue de medecine interne*. [Case Report / Case Series]
Jacobs A (2025). [PMID: 38163427](https://pubmed.ncbi.nlm.nih.gov/38163427/). *Hormone research in paediatrics*. [Case Report / Case Series]
Data assembled from 8 of 12 sources · Last updated Sep 19, 2026, 6:43 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about H syndrome