Barakat syndrome – Case report of a rare multisystem genetic disorder

Barakat syndrome, also known as Hypoparathyroidism, Deafness, Renal disease (HDR) syndrome, is a rare autosomal dominant disorder. We report a case of a newborn female who presented with neonatal hypocalcemia, congenital hypothyroidism, and distinctive craniofacial features. Genetic testing confirmed a GATA3 mutation consistent with Barakat syndrome. Despite the absence of renal involvement at birth, the diagnosis was established based on clinical and genetic findings. This case highlights the variable presentation of Barakat syndrome and underscores the importance of early recognition, multidisciplinary evaluation, and genetic confirmation to guide long-term management and family counseling.