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Start free with EleplanPrimary hypergonadotropic hypogonadism-partial alopecia syndrome
ORPHA:2232Disease
Also called Al Awadi-Farag-Teebi syndrome
What it is
A rare endocrine disorder characterized by primary hypogonadism and partial alopecia. Females present with Müllerian hypoplasia, absent or streak ovaries, hypoplastic internal genitalia, primary amenorrhea, and sparse or absent axillary and pubic hair. Some patients also presented sparse eyebrows, microcephaly, flat occiput, dorsal kyphosis or mild intellectual disability. The only described male presents with germinal cell aplasia. Affected individual all present partial scalp alopecia.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Always100%
3- Alopecia of scalpDiagnostic criterion
- Hypergonadotropic hypogonadismDiagnostic criterion
- Primary gonadal insufficiencyDiagnostic criterion
Very common80–99%
24- Abnormal eyebrow morphology
- Absence of secondary sex characteristics
- Agonadism
- Alopecia
- Aplasia/hypoplasia of the uterus
- Aplasia of the ovary
- Breast hypoplasia
- Cryptorchidism
- Decreased serum estradiol
- Decreased serum testosterone concentration
- Delayed puberty
- Flat occiput
- Growth delay
- Impotence
- Increased circulating gonadotropin level
- Infertility
- Marked delay in bone age
- Non-obstructive azoospermia
- Osteopenia
- Osteoporosis
- Primary amenorrhea
- Sparse facial hair
- Streak ovary
- Thin upper lip vermilion
Common30–79%
7These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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