National Center for Advancing and Translational Sciences Genetic and Rare Diseases Information Center, a program of the National Center for Advancing and Translational Sciences

DOOR syndrome



Other Names:
Digitorenocerebral syndrome; Autosomal recessive deafness-onychodystrophy syndrome; Deafness-onychodystrophy-osteodystrophy-intellectual disability syndrome; Digitorenocerebral syndrome; Autosomal recessive deafness-onychodystrophy syndrome; Deafness-onychodystrophy-osteodystrophy-intellectual disability syndrome; Deafness-onychoosteodystrophy-intellectual disability syndrome; DOORS syndrome See More
Categories:
This disease is grouped under:

Deafness onychodystrophy osteodystrophy and mental retardation (DOOR) syndrome is a rare genetic disorder that is usually recognized shortly after birth. The term DOOR is an acronym with each letter representing a common feature in affected individuals: (D)eafness due to a defect of the inner ear or auditory nerve; (O)nychodystrophy or malformation of the nails; (O)steodystrophy, meaning malformation of certain bones; and mild to profound intellectual disability (represented by the "R"). In some cases, individuals may also experience seizures. This condition is inherited in an autosomal recessive fashion; the exact genetic cause is unknown.[1]
Last updated: 11/3/2011

This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. Use the HPO ID to access more in-depth information about a symptom.

Showing of 104 |
Medical Terms Other Names
Learn More:
HPO ID
80%-99% of people have these symptoms
Abnormal fingernail morphology
Abnormal fingernails
Abnormality of the fingernails
[ more ]
0001231
Absent fingernail 0001817
EEG abnormality 0002353
Gingival overgrowth
Gum enlargement
0000212
Global developmental delay 0001263
Long philtrum 0000343
Toenail dysplasia
Abnormal toenail development
0100797
Wide nasal base
Broad base of nose
Broad nasal base
Increased width of base of nose
Increased width of nasal base
Wide base of nose
[ more ]
0012810
Wide nasal bridge
Broad nasal bridge
Broad nasal root
Broadened nasal bridge
Increased breadth of bridge of nose
Increased breadth of nasal bridge
Increased width of bridge of nose
Increased width of nasal bridge
Nasal bridge broad
Wide bridge of nose
Widened nasal bridge
[ more ]
0000431
30%-79% of people have these symptoms
Aplasia/Hypoplasia of the phalanges of the 2nd toe
Absent/small bones of 2nd toe
Absent/underdeveloped bones of 2nd toe
[ more ]
0010347
Bilateral tonic-clonic seizure
Grand mal seizures
0002069
Bulbous nose 0000414
Clinodactyly of the 5th finger
Permanent curving of the pinkie finger
0004209
Coarse facial features
Coarse facial appearance
0000280
Downturned corners of mouth
Downturned corners of the mouth
Downturned mouth
[ more ]
0002714
Epicanthus
Eye folds
Prominent eye folds
[ more ]
0000286
Focal impaired awareness seizure 0002384
Hypertelorism
Wide-set eyes
Widely spaced eyes
[ more ]
0000316
Hyporeflexia
Decreased reflex response
Decreased reflexes
[ more ]
0001265
Increased urine alpha-ketoglutarate concentration 0012402
Infantile muscular hypotonia
Decreased muscle tone in infant
0008947
Low anterior hairline
Low frontal hairline
Low-set frontal hairline
[ more ]
0000294
Low-set ears
Low set ears
Lowset ears
[ more ]
0000369
Open mouth
Gaped jawed appearance
Gaped mouthed appearance
Slack jawed appearance
[ more ]
0000194
Polyhydramnios
High levels of amniotic fluid
0001561
Poor suck
Poor sucking
0002033
Short 5th finger
Short fifth finger
Short fifth fingers
Short little finger
Short pinkie finger
Short pinky finger
[ more ]
0009237
Short distal phalanx of finger
Short outermost finger bone
0009882
Thick lower lip vermilion
Increased volume of lower lip
Plump lower lip
Prominent lower lip
[ more ]
0000179
Thickened nuchal skin fold
Thickened skin folds of neck
Thickened skin over the neck
[ more ]
0000474
Thin upper lip vermilion
Thin upper lip
0000219
5%-29% of people have these symptoms
Abnormal heart morphology
Abnormality of the heart
Abnormally shaped heart
Heart defect
[ more ]
0001627
Aspiration pneumonia 0011951
Autistic behavior 0000729
Bilateral ptosis
Drooping of both upper eyelids
0001488
Brachycephaly
Short and broad skull
0000248
Broad alveolar ridges 0000187
Broad nasal tip
Broad tip of nose
Broad, upturned nose
Increased breadth of nasal tip
Increased breadth of tip of nose
Increased width of nasal tip
Increased width of tip of nose
Nasal tip, broad
Nasal tip, wide
Wide tip of nose
[ more ]
0000455
Capillary hemangioma
Strawberry birthmark
0005306
Cleft palate
Cleft roof of mouth
0000175
Congenital hypothyroidism
Underactive thyroid gland from birth
0000851
Cystic renal dysplasia 0000800
Dandy-Walker malformation 0001305
Delayed eruption of permanent teeth
Delayed eruption of adult teeth
0000696
Double outlet right ventricle 0001719
Frontal bossing 0002007
Gastroesophageal reflux
Acid reflux
Acid reflux disease
Heartburn
[ more ]
0002020
Macrodontia of permanent maxillary central incisor 0000675
Malalignment of the great toenail 0031282
Microcephaly
Abnormally small skull
Decreased circumference of cranium
Decreased size of skull
Reduced head circumference
Small head circumference
[ more ]
0000252
Myoclonus 0001336
Myopia
Close sighted
Near sighted
Near sightedness
Nearsightedness
[ more ]
0000545
Narrow palate
Narrow roof of mouth
0000189
Nephrocalcinosis
Too much calcium deposited in kidneys
0000121
Optic atrophy 0000648
Peripheral neuropathy 0009830
Prominent occiput
Prominent back of the skull
Prominent posterior skull
[ more ]
0000269
Renal agenesis
Absent kidney
Missing kidney
[ more ]
0000104
Respiratory distress
Breathing difficulties
Difficulty breathing
[ more ]
0002098
Sagittal craniosynostosis
Early closure of midline skull joint
Midline skull joint closes early
[ more ]
0004442
Short lingual frenulum 0000200
Small cerebellar cortex 0031423
Triphalangeal thumb
Finger-like thumb
0001199
Widely spaced teeth
Wide-spaced teeth
Widely-spaced teeth
[ more ]
0000687
1%-4% of people have these symptoms
11 pairs of ribs 0000878
Abnormality of placental membranes 0011409
Adrenal hyperplasia
Enlarged adrenal glands
0008221
Ambiguous genitalia
Ambiguous external genitalia
Ambiguous external genitalia at birth
Intersex genitalia
[ more ]
0000062
Anterior plagiocephaly
Anterior flat head syndrome
0011326
Arrhinencephaly 0002139
Atresia of the external auditory canal
Absent ear canal
0000413
Cataract
Clouding of the lens of the eye
Cloudy lens
[ more ]
0000518
Congenital nystagmus 0006934
Cutaneous syndactyly 0012725
Equinovarus deformity 0008110
Hemivertebrae
Missing part of vertebrae
0002937
High palate
Elevated palate
Increased palatal height
[ more ]
0000218
Hydronephrosis 0000126
Lumbar scoliosis 0004626
Polymicrogyria
More grooves in brain
0002126
Sirenomelia 0010497
Spina bifida occulta 0003298
Strabismus
Cross-eyed
Squint
Squint eyes
[ more ]
0000486
Thrombocytosis
Increased number of platelets in blood
0001894
Percent of people who have these symptoms is not available through HPO
Abnormality of the skin 0000951
Anteverted nares
Nasal tip, upturned
Upturned nasal tip
Upturned nose
Upturned nostrils
[ more ]
0000463
Autosomal recessive inheritance 0000007
Bilateral sensorineural hearing impairment 0008619
Blindness 0000618
Brachydactyly
Short fingers or toes
0001156
Cerebral atrophy
Degeneration of cerebrum
0002059
Everted lower lip vermilion
Drooping lower lip
Outward turned lower lip
[ more ]
0000232
Generalized hypotonia
Decreased muscle tone
Low muscle tone
[ more ]
0001290
High myopia
Severe near sightedness
Severely close sighted
Severely near sighted
[ more ]
0011003
Intellectual disability
Mental deficiency
Mental retardation
Mental retardation, nonspecific
Mental-retardation
[ more ]
0001249
Muscular hypotonia
Low or weak muscle tone
0001252
Nail dysplasia
Atypical nail growth
0002164
Nail dystrophy
Poor nail formation
0008404
Polyneuropathy
Peripheral nerve disease
0001271
Profound sensorineural hearing impairment 0011476
Progressive
Worsens with time
0003676
Prominent nose
Big nose
Disproportionately large nose
Increased nasal size
Increased size of nose
Large nose
Pronounced nose
[ more ]
0000448
Seizure 0001250
Sensorineural hearing impairment 0000407
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Last updated: 7/1/2020

If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. You may find these specialists through advocacy organizations, clinical trials, or articles published in medical journals. You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments.

If you can’t find a specialist in your local area, try contacting national or international specialists. They may be able to refer you to someone they know through conferences or research efforts. Some specialists may be willing to consult with you or your local doctors over the phone or by email if you can't travel to them for care.

You can find more tips in our guide, How to Find a Disease Specialist. We also encourage you to explore the rest of this page to find resources that can help you find specialists.

Healthcare Resources


Related diseases are conditions that have similar signs and symptoms. A health care provider may consider these conditions in the table below when making a diagnosis. Please note that the table may not include all the possible conditions related to this disease.

Conditions with similar signs and symptoms from Orphanet
Differential diagnoses include Coffin-Siris syndrome, intellectual disability-sparse hair-brachydactyly syndrome, Zimmermann-Laband syndrome, fetal alcohol syndrome and Temple-Baraitser syndrome, autosomal dominant deafness-onychodystrophy syndrome, and disorders of glycosphingolipid and glycosylphosphatidylinositol anchor glycosylation.
Visit the Orphanet disease page for more information.

Research helps us better understand diseases and can lead to advances in diagnosis and treatment. This section provides resources to help you learn about medical research and ways to get involved.

Clinical Research Resources

  • The Centers for Mendelian Genomics program is working to discover the causes of rare genetic disorders. For more information about applying to the research study, please visit their website.

These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.

Where to Start

  • Genetics Home Reference (GHR) contains information on DOOR syndrome. This website is maintained by the National Library of Medicine.
  • The National Organization for Rare Disorders (NORD) has a report for patients and families about this condition. NORD is a patient advocacy organization for individuals with rare diseases and the organizations that serve them.

In-Depth Information

  • The Monarch Initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. Monarch’s tools are designed to make it easier to compare the signs and symptoms (phenotypes) of different diseases and discover common features. This initiative is a collaboration between several academic institutions across the world and is funded by the National Institutes of Health. Visit the website to explore the biology of this condition.
  • Online Mendelian Inheritance in Man (OMIM) is a catalog of human genes and genetic disorders. Each entry has a summary of related medical articles. It is meant for health care professionals and researchers. OMIM is maintained by Johns Hopkins University School of Medicine. 
  • Orphanet is a European reference portal for information on rare diseases and orphan drugs. Access to this database is free of charge.
  • PubMed is a searchable database of medical literature and lists journal articles that discuss DOOR syndrome. Click on the link to view a sample search on this topic.

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  1. DOOR syndrome. National Organization for Rare Disorders (NORD). 2003; http://www.rarediseases.org/rare-disease-information/rare-diseases/byID/818/viewAbstract. Accessed 11/3/2011.