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Pendred syndrome

Pendred syndrome

Reviewed June 2008

What is Pendred syndrome?

Pendred syndrome is a disorder typically associated with hearing loss and a thyroid condition called goiter. A goiter is an enlargement of the thyroid gland, which is a butterfly-shaped organ at the base of the neck that produces hormones. If a goiter develops in a person with Pendred syndrome, it usually forms between late childhood and early adulthood. In most cases, this enlargement does not cause the thyroid gland to malfunction.

In most people with Pendred syndrome, severe to profound hearing loss caused by changes in the inner ear (sensorineural hearing loss) is evident at birth. In other cases, hearing loss does not develop until later in infancy or early childhood.

Other abnormalities of the inner ear are also common in Pendred syndrome. Some affected individuals have problems with balance caused by dysfunction of the part of the inner ear that helps maintain the body's balance and orientation (the vestibular system). Additionally, a structure called the vestibular aqueduct is unusually large in people with Pendred syndrome. The vestibular aqueduct is a bony canal that connects the inner ear with the brain cavity. An enlarged vestibular aqueduct (EVA) is a characteristic feature of Pendred syndrome, but it is not the cause of hearing loss in people with this condition.

How common is Pendred syndrome?

Pendred syndrome is a common form of syndromic deafness (hearing loss that occurs with signs and symptoms affecting other parts of the body). This condition likely accounts for about 10 percent of all hereditary hearing loss. The exact incidence of Pendred syndrome is unknown.

What genes are related to Pendred syndrome?

Mutations in the SLC26A4 gene cause about half of all familial cases of Pendred syndrome. The SLC26A4 gene provides instructions for making a protein called pendrin. This protein transports negatively charged particles (ions), including chloride, iodide, and bicarbonate, into and out of cells. Although the function of pendrin is not fully understood, this protein is important for the normal functions of the thyroid and inner ear. Mutations in the SLC26A4 gene alter the structure or function of pendrin, which disrupts ion transport. Impaired pendrin activity in the thyroid and inner ear is responsible for the characteristic signs and symptoms of Pendred syndrome.

In some cases, the cause of Pendred syndrome is unknown. Researchers are looking for additional genetic changes that may underlie the condition.

Read more about the SLC26A4 gene.

How do people inherit Pendred syndrome?

This condition is inherited in an autosomal recessive pattern, which means both copies of the gene in each cell have mutations. The parents of an individual with an autosomal recessive condition each carry one copy of the mutated gene, but they typically do not show signs and symptoms of the condition.

Where can I find information about diagnosis or management of Pendred syndrome?

These resources address the diagnosis or management of Pendred syndrome and may include treatment providers.

You might also find information on the diagnosis or management of Pendred syndrome in Educational resources and Patient support.

General information about the diagnosis and management of genetic conditions is available in the Handbook. Read more about genetic testing, particularly the difference between clinical tests and research tests.

To locate a healthcare provider, see How can I find a genetics professional in my area? in the Handbook.

Where can I find additional information about Pendred syndrome?

You may find the following resources about Pendred syndrome helpful. These materials are written for the general public.

You may also be interested in these resources, which are designed for healthcare professionals and researchers.

What other names do people use for Pendred syndrome?

  • Autosomal Recessive Sensorineural Hearing Impairment and Goiter
  • Deafness with goiter
  • Goiter-deafness syndrome
  • Pendred's syndrome

For more information about naming genetic conditions, see the Genetics Home Reference Condition Naming Guidelines and How are genetic conditions and genes named? in the Handbook.

What if I still have specific questions about Pendred syndrome?

Where can I find general information about genetic conditions?

What glossary definitions help with understanding Pendred syndrome?

References (5 links)


The resources on this site should not be used as a substitute for professional medical care or advice. Users seeking information about a personal genetic disease, syndrome, or condition should consult with a qualified healthcare professional. See How can I find a genetics professional in my area? in the Handbook.

Reviewed: June 2008
Published: February 1, 2016