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A group of rare genetic disorders which mimic physiological aging, making affected individuals appear to be older than they are.
No HPO annotations are available for this condition.
Age of onset: before birth, at birth, adulthood.
Classic and nonclassic genotype Hutchinson-Gilford progeria syndrome (HGPS) are characterized by growth deficiency, characteristic facial features, dental anomalies, sclerodermatous skin findings, alopecia, lipodystrophy, dystrophic nails, musculoskeletal manifestations, infertility, severe early-onset atherosclerosis, hearing loss, and nocturnal lagophthalmos. Children with progeria usually appear normal at birth and in early infancy. Growth deficiency. Most infants display normal weight at birth. Profoundly poor weight gain and growth deficiency usually occurs during the first year. Poor weight gain and loss of subcutaneous fat results in weight less than the 3rd centile for age, and weight that is distinctly low for height. Stature also decreases to below the 3rd centile for age.
The clinical diagnosis of Hutchinson-Gilford progeria syndrome (HGPS) can be established in a proband when characteristic pathognomonic features emerge. Molecular testing should accompany a clinical diagnosis .
HGPS should be suspected in probands with the following clinical and radiographic findings in the setting of normal intellectual development (see and ).
Growth deficiency
No approved treatments are currently available for progeroid syndrome. The disease remains an area of unmet medical need.
Comprehensive clinical practice guidelines for Hutchinson-Gilford progeria syndrome (HGPS) have been published (see Progeria Research Foundation.)
To establish the extent of disease and needs in an individual diagnosed with HGPS, the evaluations summarized (if not performed as part of the evaluation that led to diagnosis) are recommended.
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. Hutchinson-Gilford Progeria Syndrome: Recommended Surveillance
No clinical trials have been registered for progeroid syndrome.
154 publications have been identified in PubMed for progeroid syndrome. Research spans Basic Science / Preclinical (48%), Review / Meta-Analysis (23%), and Case Report / Case Series (13%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 64 | 48% |
Data assembled from 4 of 12 sources · Last updated Sep 17, 2026, 10:39 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Source: GeneReviews — "Hutchinson-Gilford Progeria Syndrome"
Short stature (3rd centile)
Poor weight gain (3rd centile); weight distinctly low for height
Diminished subcutaneous body fat globally, along with low serum leptin levels
Facial features that develop in childhood (See .)
Source: GeneReviews — "Hutchinson-Gilford Progeria Syndrome"
Progeroid syndromes. Other syndromes of known genetic cause that include some features of premature aging are listed in . Table 4. Progeroid Syndromes in the Differential Diagnosis of Hutchinson-Gilford Progeria Syndrome
Category | Gene(s) | Disorder | MOI |
|---|---|---|---|
LMNA | Mandibuloacral dysplasia, LMNA-related (OMIM 248370) | AR | — |
ZMPSTE24 | Mandibuloacral dysplasia, ZMPSTE24-related (OMIM 608612) | AR Non-laminopathy progeroid syndromes | AGPAT2 |
BSCL2 | Berardinelli-Seip congenital lipodystrophy (congenital generalized lipodystrophy) | AR | — |
B3GALT6 | Spondylodysplastic Ehlers-Danlos syndrome (spEDS-B3GALT6) (OMIM 615349) | AR | — |
B4GALT7 | Spondylodysplastic Ehlers-Danlos syndrome (spEDS-B4GALT7) (OMIM 130070) | AR | — |
BANF1 | Nestor-Guillermo syndrome (OMIM 614008) | AR ERCC6 ERCC8 | Cockayne syndrome |
GORAB | Gerodermia osteodysplastica (OMIM 231070) | AR | — |
PDGFRB | Penttinen syndrome (OMIM 601812) | AD | — |
POLR3A | POLR3A-related Wiedemann-Rautenstrauch syndrome2 (See POLR3-Related Leukodystrophy.) | AR | — |
PYCR1 | PYCR1-related Wiedemann-Rautenstrauch-like syndrome3 (See Neurocutaneous Disorders due to Mitochondrial Proline Synthesis Defects.) | AR SLC25A24 | SLC25A24 Fontaine progeroid syndrome |
Source: GeneReviews — "Hutchinson-Gilford Progeria Syndrome"
Biomarker and diagnostic research for progeroid syndrome has been reported in the published literature.
Table 5.
Hutchinson-Gilford Progeria Syndrome: Recommended Evaluations Following Initial Diagnosis
System/Concern | Evaluation | Comment
| • Weight height plotted on standard growth charts to evaluate growth over time
Nutritional assessment
| Affected persons usually have caloric intake sufficient for growth, which is governed by pathobiology. Thus, caloric intake does not influence growth deficiency.
| Dental exam radiographs when needed | Upon initial dental eruption
| Assessment of skin hair manifestations |
| • Orthopedic eval for progressive coxa valga /or avascular necrosis
DXA scan to assess bone mineral density1
Skeletal radiographs to evaluate for acroosteolysis, clavicular resorption, coxa valga, extraskeletal soft tissue calcifications
OT PT assessments, incl 6-minute walk test, goniometry to assess joint mobility, assessment of ADL
|
| • EKG
Echocardiogram
Carotid artery duplex scans to evaluate size of lumen intimal thickness to establish baseline vascular status
MRI/MRA of brain neck
|
| Audiologic eval | To assess for low-frequenc...
Source: GeneReviews — "Hutchinson-Gilford Progeria Syndrome"
Children should avoid being in the midst of large crowds with much taller and larger peers because of the increased risk of injury. Physical activity should be self-limited. Avoid uneven surfaces that could aggravate hip dysplasia, such as trampolines and bouncy houses. Avoid being carried by underage peers. Avoid dehydration due to increased risk of stroke. Avoid anemia and high fever, particularly in individuals with advanced cardiovascular disease. Avoid calcium supplementation, due to the potential for aggravating extraskeletal calcification formation and hypothetically aggravating vascular plaque status.
Source: GeneReviews — "Hutchinson-Gilford Progeria Syndrome"
Search HGPS or progeria within ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for information on clinical trials for HGPS. A clinical treatment trial administering lonafarnib monotherapy is ongoing as an extension of NCT02579044. A clinical treatment trial administering progerinin, an oral small molecule inhibitor of progerin/ lamin A binding, is currently being conducted (NCT06775041). A clinical treatment trial administering lonafarnib plus everolimus combination therapy has been completed and results are pending (NCT02579044). Everolimus is a rapalog (rapamycin-like drug) mTOR inhibitor that increases cellular autophagy. It is an oral medication administered once daily. Everolimus is approved as a medication to treat non-HGPS conditions.
Source: GeneReviews — "Hutchinson-Gilford Progeria Syndrome"
View trials for progeroid syndrome
Evaluation |
|---|
Frequency |
|---|
Growth/Nutrition | Assessment of growth caloric intake | At each visit |
Dental | Dental exam, radiographs, cleaning | Annually |
Skin | Assessment of skin manifestations | At each visit Musculoskeletal |
Endocrine | Assessment of pubertal development | At each visit throughout adolescence Cardiovascular disease |
Family/Community | Assessment of family need for social work support (e.g., palliative/respite care, home nursing, other local resources), care coordination, or follow-up genetic counseling if new questions arise (e.g., family planning) | At each visit ADL = activities of daily living; OT = occupational therapy; PT = physical therapy 1. Children may experience severe carotid artery atherosclerotic blockage prior to any significant EKG changes. |
Source: GeneReviews — "Hutchinson-Gilford Progeria Syndrome"
31 |
23% |
Patient case studies | 17 | 13% |
New treatment approaches | 10 | 8% |
Disease patterns and progression | 4 | 3% |
Other research | 3 | 2% |
Testing and diagnosis research | 2 | 2% |
Clinical study results | 2 | 2% |
Vidak S (2026). [PMID: 41489464](https://pubmed.ncbi.nlm.nih.gov/41489464/). *Nucleus*. [Basic Science / Preclinical]
Manisha R (2026). [PMID: 41649150](https://pubmed.ncbi.nlm.nih.gov/41649150/). *Clin Dysmorphol*. [Case Report / Case Series]
McGregor ER (2026). [PMID: 41648207](https://pubmed.ncbi.nlm.nih.gov/41648207/). *bioRxiv*. [Basic Science / Preclinical]
Silva RA (2026). [PMID: 41326174](https://pubmed.ncbi.nlm.nih.gov/41326174/). *Life Sci Alliance*. [Basic Science / Preclinical]
Benedicto I (2026). [PMID: 40240194](https://pubmed.ncbi.nlm.nih.gov/40240194/). *Trends Mol Med*. [Review / Meta-Analysis]
Nath S (2026). [PMID: 41688022](https://pubmed.ncbi.nlm.nih.gov/41688022/). *J Biol Chem*. [Basic Science / Preclinical]
Hanna R (2026). [PMID: 41570993](https://pubmed.ncbi.nlm.nih.gov/41570993/). *J Biol Chem*. [Basic Science / Preclinical]
Kang SM (2026). [PMID: 41780574](https://pubmed.ncbi.nlm.nih.gov/41780574/). *Mech Ageing Dev*. [Review / Meta-Analysis]
Mejía-Barrera MA (2026). [PMID: 41816542](https://pubmed.ncbi.nlm.nih.gov/41816542/). *Front Aging*. [Review / Meta-Analysis]
Tímár J (2026). [PMID: 42210414](https://pubmed.ncbi.nlm.nih.gov/42210414/). *J Transl Med*. [Review / Meta-Analysis]