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Carpenter Syndrome

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NORD is grateful to Brendan Lee, MD, PhD, and Soledad Kleppe, MD, of the Department of Molecular and Human Genetics at Baylor College of Medicine, for assistance in the preparation of this report.

Synonyms of Carpenter Syndrome
  • ACPS II
  • Acrocephalopolysyndactyly Type II

Disorder Subdivisions



General Discussion
Carpenter syndrome belongs to a group of rare genetic disorders known as "acrocephalopolysyndactyly" (ACPS) disorders. All forms of ACPS are characterized by premature closure of the fibrous joints (cranial sutures) between certain bones of the skull (craniosynostosis), causing the top of the head to appear pointed (acrocephaly); webbing or fusion (syndactyly) of certain fingers or toes (digits); and/or more than the normal number of digits (polydactyly). Carpenter syndrome is also known as ACPS type II.

Carpenter syndrome is typically evident at or shortly after birth. Due to craniosynostosis, the top of the head may appear unusually conical (acrocephaly) or the head may seem short and broad (brachycephaly). In addition, the cranial sutures often fuse unevenly, causing the head and face to appear dissimilar from one side to the other (craniofacial asymmetry). Additional malformations of the skull and facial (craniofacial) region may include downslanting eyelid folds (palpebral fissures); a flat nasal bridge; malformed (dysplastic), low-set ears; and a small, underdeveloped (hypoplastic) upper and/or lower jaw (maxilla and/or mandible).

Individuals with Carpenter syndrome may also have unusually short fingers and toes (brachydactyly); partial fusion of the soft tissues (cutaneous syndactyly) between certain digits; and the presence of extra (supernumerary) toes or, less commonly, additional fingers (polydactyly). In some instances, additional physical abnormalities are present, such as short stature, structural heart malformations (congenital heart defects), mild to moderate obesity, weakening in the abdominal wall near the navel through which the intestine may protrude (umbilical hernia), or failure of the testes to descend into the scrotum (cryptorchidism) in affected males. In addition, many individuals with the disorder are affected by mild to moderate mental retardation. However, intelligence is normal in some instances. Carpenter syndrome is usually inherited as an autosomal recessive trait.
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Organizations related to Carpenter Syndrome
  • Alexander Graham Bell Association for the Deaf and Hard of Hearing
    3417 Volta Place, NW
    Washington D.C. 20007-2778
    Phone #: 202-337-5220
    800 #: 866-337-5220
    e-mail: info@agbell.org
    Home page: http://www.agbell.org
  • AmeriFace
    PO Box 751112
    Las Vegas NV 89136
    Phone #: 702-769-9264
    800 #: 888-486-1209
    e-mail: info@ameriface.org
    Home page: http://www.ameriface.org
  • American Heart Association
    7272 Greenville Avenue
    Dallas TX 75231-4596
    Phone #: 214-373-6300
    800 #: 800-242-8721
    e-mail: Review.personal.info@heart.org
    Home page: http://www.americanheart.org
  • Arc (a national organization on mental retardation)
    1010 Wayne Ave
    Suite 650
    Silver Spring MD 20910
    Phone #: 301-565-3842
    800 #: 800-433-5255
    e-mail: info@thearc.org
    Home page: http://www.thearc.org/
  • Congenital Heart Anomalies, Support, Education, & Resources, Inc. (CHASER, Inc.)
    2112 North Wilkins Road
    Swanton OH 43558
    Phone #: 419-825-5575
    800 #: --
    e-mail: myer106w@wonder.em.cdc.gov
    Home page: http://www.csun.edu/~hcmth011/chaser/chaser-news.html
  • FACES: The National Craniofacial Association
    P. O. Box 11082
    Chattanooga TN 37401
    Phone #: 423-266-1632
    800 #: 800-332-2373
    e-mail: faces@faces-cranio.org
    Home page: http://www.faces-cranio.org
  • Forward Face, Inc.
    317 East 34th Street
    Suite 901A
    New York NY 10016
    Phone #: 212-684-5860
    800 #: 800-393-3223
    e-mail: camille@forwardface.org
    Home page: http://www.forwardface.org
  • Genetic and Rare Diseases (GARD) Information Center
    PO Box 8126
    Gaithersburg MD 20898-8126
    Phone #: 301-251-4925
    800 #: 888-205-2311
    e-mail: ordr@od.nih.gov
    Home page: http://rarediseases.info.nih.gov/Default.aspx
  • Institute of Reconstructive Plastic Surgery (New York Medical University)
    560 Fifth Avenue
    New York NY 10016
    Phone #: 212-263-5834
    800 #: --
    e-mail: leslie.bernstein@med.nyu.edu
    Home page: http://surgery.med.nyu.edu/plastic
  • Let's Face It
    University of Michigan
    School of Dentistry / Dentistry Library
    1011 N. University
    Ann Arbor MI 48109-1078
    Phone #: 360-676-7325
    800 #: --
    e-mail: faceit@umich.edu
    Home page: http://www.dent.umich.edu/faceit
  • MUMS (Mothers United for Moral Support, Inc) National Parent-to-Parent Network
    150 Custer Court
    Green Bay WI 54301-1243
    Phone #: 920-336-5333
    800 #: 877-336-5333
    e-mail: mums@netnet.net
    Home page: http://www.netnet.net/mums/
  • March of Dimes Birth Defects Foundation
    1275 Mamaroneck Avenue
    White Plains NY 10605
    Phone #: 914-997-4488
    800 #: 888-663-4637
    e-mail: Askus@marchofdimes.com
    Home page: http://www.marchofdimes.com
  • NIH/Nat'l Institute on Deafness & Other Communication Disorders Information Clearinghouse
    1 Communication Ave
    Bethesda MD 20892-3456
    Phone #: 301-402-0900
    800 #: 800-241-1044
    e-mail: nidcdinfo@nidcd.nih.gov
    Home page: http://www.nidcd.nih.gov

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Last modified Wednesday, November 26, 2008