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Jeune syndrome, also called asphyxiating thoracic dystrophy, is a short-rib dysplasia characterized by a narrow thorax, short limbs and radiological skeletal abnormalities including "trident" aspect of the acetabula and metaphyseal changes.
No HPO annotations are available for this condition.
Age of onset: before birth, at birth, childhood.
Ellis-van Creveld (EVC) syndrome is characterized by postaxial polydactyly of the hands, disproportionate short stature, features of ectodermal dysplasia, congenital heart disease, and radiologic abnormalities (such as short ribs and short tubular bones) . Other less common and more variable features include postaxial polydactyly of the feet, nonspecific dysmorphic facial features, and developmental delay. To date, approximately 250 individuals with EVC syndrome have been identified with pathogenic variants in one of the genes listed in . The following description of the phenotypic features associated with this condition is based on these reports. Table 2. Ellis-van Creveld Syndrome: Frequency of Select Features
No consensus clinical diagnostic criteria for Ellis-van Creveld (EVC) syndrome have been published.
EVC syndrome should be suspected in probands with a combination of the following clinical and imaging findings and family history.
Clinical findings
Bilateral postaxial polydactyly of the hands with or without postaxial polydactyly of the feet
No approved treatments are currently available for Jeune syndrome. The disease remains an area of unmet medical need.
No clinical practice guidelines for Ellis-van Creveld (EVC) syndrome have been published. Evaluations Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with EVC syndrome, the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended. Table 5. Ellis-van Creveld Syndrome: Recommended Evaluations Following Initial Diagnosis
To monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations, the evaluations summarized in are recommended. Table 7. Ellis-van Creveld Syndrome: Recommended Surveillance
No clinical trials have been registered for Jeune syndrome.
17 publications have been identified in PubMed for Jeune syndrome. Research spans Case Report / Case Series (47%), Review / Meta-Analysis (18%), and Basic Science / Preclinical (18%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 8 | 47% |
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 5:23 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Jeune syndrome
Feature | % of Persons w/Feature | Comment |
|---|---|---|
Postaxial polydactyly (hands) | 98% | Bilateral in 95% |
Limb shortening | 83% | Prenatal limb shortening in 36% |
Nail dystrophy/hypoplasia | 78% | — |
Short stature | 73% | — |
Congenital heart disease | 66% | Atrial septal defect in 80% |
Thoracic narrowing | 66% | Typically symmetric |
Dental anomalies | 59% | — |
Brachydactyly | 35% | — |
Postaxial polydactyly (feet) | 34% | Bilateral in 90% |
Upper lip defect | 28% | — |
Developmental delay | 9% | Growth deficiency. Disproportionate short stature is common in individuals with EVC syndrome. About one third of individuals manifest growth deficiency in the perinatal setting, with shortened long bones evident on prenatal ultrasound, as well as short stature and/or limb shortening at birth . |
Source: GeneReviews — "Ellis-van Creveld Syndrome"
Limb shortening (prenatal or postnatal)
Disproportionate short stature (prenatal or postnatal onset)
Dystrophic and/or hypoplastic nails (See .)
Dental and oral anomalies (hypodontia, delayed eruption of teeth, frenulum abnormalities)
Congenital heart defects (atrial septal defect, ventricular septal defect, single atrium, atrioventricular canal)
Imaging findings (See .)
Source: GeneReviews — "Ellis-van Creveld Syndrome"
Table 4. Skeletal Ciliopathies of Interest in the Differential Diagnosis of Ellis-van Creveld Syndrome
Genes | Disorder | Skeletal Manifestations | Extraskeletal Manifestations | Comments |
|---|---|---|---|---|
CEP120CFAP410DYNC2H1DYNC2I1 (WDR60)DYNC2I2 (WDR34)DYNC2LI1DYNLT2B (TCTEX1D2)GRK2IFT122IFT140IFT172IFT43IFT52IFT80IFT81KIAA0586KIAA0753TRAF3IP1TTC21BWDR19WDR35 | Short-rib thoracic dysplasia (SRTD) (formerly asphyxiating thoracic dysplasia, or Jeune syndrome)1,2 | Thoracic hypoplasia (wide spectrum of severity ranging from mild form to lethal condition); Handlebar clavicles; Short trident pelvis/ilia; Short tubular bones; Brachydactyly; Cone-shaped epiphyses; Postaxial polydactyly (uncommon) | Retinal degeneration; Pulmonary hypoplasia; Cystic disease (liver, pancreas, kidney); Kidney failure | Respiratory impairment (due to thoracic anomalies) is much more common severe in SRTD than in EVC syndrome, being the hallmark of SRTD.; Kidney liver are also commonly affected in SRTD. |
Polydactyly is uncommon in SRTD. DYNC2I1 (WDR60)DYNC2I2 (WDR34)DYNC2LI1IFT122IFT80IFT81INTUNEK1TRAF3IP1WDR19 | Short-rib polydactyly syndrome (SRPS)1,3 | Severe thoracic hypoplasia; Polydactyly (axis variable); Bulbous end of long bones; Bowed radii ulnae; Tibial hypoplasia | Hydropic appearance; Lingual hamartomas; Bifid tongue; Malformations (heart, lung, epiglottis, kidney, pancreas, genitalia); Imperforate anus; Holoprosencephaly | SRPS is typically much more severe than EVC syndrome, w/high rate of perinatal mortality.; Multiple malformations are common in SRPS.; Polydactyly is variable in SRPS. EVC |
EVC2 | Weyers acrofacial (acrodental) dysostosis (WAD)1,4 | Postaxial polydactyly; Mild short stature; Short hands w/mild brachydactyly | Nail dystrophy; Dental anomalies (conical teeth, hypodontia, delayed eruption); Multiple frenula | WAD is considered a mild form of EVC syndrome (less prominent skeletal features).; Postaxial polydactyly of feet is more common in WAD than in EVC syndrome. IFT122 IFT40 IFT43 WDR19 |
WDR35 | Cranioectodermal dysplasia (CED) (Levin-Sensenbrenner)1,5 | Craniosynostosis; Narrow thorax; Short proximal bones; Severe brachydactyly; Postaxial polydactyly (uncommon) | Ectodermal dysplasia; Characteristic facial features w/frontal bossing low-set ears; Loose skin joint laxity; Progressive kidney failure; Hepatic disease; Retinal dystrophy | Unlike EVC syndrome, CED is assoc w/craniosynostosis, kidney failure, hepatic disease, retinal dystrophy.; Polydactyly is uncommon in CED. IFT140 IFT172 |
WDR19 | Mainzer-Saldino syndrome (MZSDS)1,6 | Craniosynostosis; Short stature; Cone-shaped epiphyses of phalanges; Femoral dysplasia (small flattened epiphyses, short neck) | Microcephaly; Dental anomalies; Nystagmus; Retinal pigmentary dystrophy; Progressive kidney failure; Hepatic dise... | — |
Source: GeneReviews — "Ellis-van Creveld Syndrome"
Biomarker and diagnostic research for Jeune syndrome has been reported in the published literature.
System/Concern | Evaluation | Comment |
|---|---|---|
Growth | Measurement of height, weight, head circumference | Musculoskeletal |
Respiratory | Assessment of respiratory failure /or restrictive lung disease | In those w/manifestations of significant thoracic narrowing /or respiratory distress |
Dental | Dental exam | To assess for hypodontia teeth anomalies that require treatment for need to remove natal teeth |
Cardiovascular | Echocardiogram | — |
Development | Developmental assessment | — |
Genitourinary | Clinical exam for genital anomalies renal/pelvic ultrasound | — |
Neurologic | Neurologic eval | Consider brain MRI in those w/abnormal neurologic exam. |
Audiologic | Audiologic eval | — |
Genetic counseling | By genetics professionals1 | To inform affected persons their families re nature, MOI, implications of EVC syndrome to facilitate medical personal decision making Family support |
resources | By clinicians, wider care team, family support organizations | Assessment of family social structure to determine need for:; Community or such as Parent to Parent; Social work involvement for parental support; Home nursing referral EVC = Ellis-van Creveld; MOI = mode of inheritance; PT = physical therapy 1. |
Ellis-van Creveld Syndrome: Treatment of Manifestations Manifestation/Concern | Treatment | Considerations/Other |
Polydactyly | Surgical amputation (if desired) | — |
Musculoskeletal | Surgical correction of genu valgum | If required per orthopedic assessment PT |
Respiratory failure | Mechanical ventilation | May be required in neonatal period /or in persons w/severe restrictive lung disease |
Dental anomalies | Orthodontic /or surgical treatment of dental anomalies | — |
Congenital heart disease | Standard treatment per cardiologist/cardiac surgeon | — |
Developmental delay | Developmental services (PT /or OT) as needed in those w/developmental delay | — |
Genitourinary malformations | Surgical correction (if indicated) | — |
Hearing loss | Standard treatment for hearing loss | PT = physical therapy; OT = occupational therapy To monitor existing manifestations, the individual's response to supportive care, and the emergence of new manifestations, the evaluations summarized in are recommended. Table 7. |
Ellis-van Creveld Syndrome: Recommended Surveillance System/Concern | Evaluation | Frequency |
Growth | Monitor length, weight, head circumference. | At least annually throughout childhood |
Musculoskeletal | Orthopedic eval w/radiographic assessment | As needed Physical rehab medicine eval |
Respiratory | Assess for manifestations of respiratory failure/ restrictive lung disease. | As needed, if signs/risks for respiratory failure are present |
Dental | Monitor for dental eruption, overcrowding, dental morphology. | Annually throughout childhood |
Cardiovascular | Echocardiogram | As needed |
Development | Monitor developmental progress educational needs. | At each visit, until adulthood |
Audiologic | Hearing eval | As needed, if hearing loss is present PT = physical therapy Evaluation of Relatives at Risk See for issues related to testing of at-risk relatives for genetic counseling purposes. |
Source: GeneReviews — "Ellis-van Creveld Syndrome"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for access to information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Ellis-van Creveld Syndrome"
View trials for Jeune syndrome
Evaluation |
|---|
Frequency |
|---|
Growth | Monitor length, weight, head circumference. | At least annually throughout childhood |
Musculoskeletal | Orthopedic eval w/radiographic assessment | As needed Physical rehab medicine eval |
Respiratory | Assess for manifestations of respiratory failure/ restrictive lung disease. | As needed, if signs/risks for respiratory failure are present |
Dental | Monitor for dental eruption, overcrowding, dental morphology. | Annually throughout childhood |
Cardiovascular | Echocardiogram | As needed |
Development | Monitor developmental progress educational needs. | At each visit, until adulthood |
Audiologic | Hearing eval | As needed, if hearing loss is present PT = physical therapy |
Source: GeneReviews — "Ellis-van Creveld Syndrome"
Estimated prevalence: Unknown (Unknown prevalence).
3 |
18% |
Laboratory research | 3 | 18% |
Other research | 1 | 6% |
Testing and diagnosis research | 1 | 6% |
Disease patterns and progression | 1 | 6% |
Vanden Eynde N (2026). [PMID: 41546657](https://pubmed.ncbi.nlm.nih.gov/41546657/). *Prenat Diagn*. [Review / Meta-Analysis]
Özer Özlü NG (2026). [PMID: 41382391](https://pubmed.ncbi.nlm.nih.gov/41382391/). *Clin Pediatr (Phila)*. [Case Report / Case Series]
Alyan D (2026). [PMID: 40797369](https://pubmed.ncbi.nlm.nih.gov/40797369/). *Ophthalmic Genet*. [Case Report / Case Series]
Beyer T (2025). [PMID: 39880085](https://pubmed.ncbi.nlm.nih.gov/39880085/). *Mol Cell Proteomics*. [Basic Science / Preclinical]
Karuntu JS (2025). [PMID: 39733931](https://pubmed.ncbi.nlm.nih.gov/39733931/). *Prog Retin Eye Res*. [Review / Meta-Analysis]
Aksoy B (2025). [PMID: 39881615](https://pubmed.ncbi.nlm.nih.gov/39881615/). *Turk J Ophthalmol*. [Case Report / Case Series]
Wang W (2025). [PMID: 40824053](https://pubmed.ncbi.nlm.nih.gov/40824053/). *Interdiscip Cardiovasc Thorac Surg*. [Case Report / Case Series]
Pattani N (2025). [PMID: 40250984](https://pubmed.ncbi.nlm.nih.gov/40250984/). *J Med Genet*. [Epidemiology / Natural History]
Faviez C (2025). [PMID: 40561686](https://pubmed.ncbi.nlm.nih.gov/40561686/). *Int J Med Inform*. [Diagnostic / Biomarker]
Xiong S (2025). [PMID: 39881416](https://pubmed.ncbi.nlm.nih.gov/39881416/). *Hereditas*. [Case Report / Case Series]