Arrhinia means a baby is born without a nose. This can range from the near-total absence of the outside nose to complete absence of both the outside nose and the inside nasal passages. Because newborns prefer to breathe through the nose, arrhinia can cause breathing trouble right after birth, and it can also cause feeding difficulty, problems with smell, and sometimes eye and hormone (puberty) issues. Some babies have arrhinia alone (isolated). Others have arrhinia as part of a rare syndrome called Bosma arhinia microphthalmia syndrome (BAMS), which adds small eyes (microphthalmia), sometimes eye defects (like coloboma), and puberty problems due to low hormones (hypogonadotropic hypogonadism). The condition is extremely rare. PMC+2PMC+2
Arrhinia means a baby is born with no nose (complete absence) or a very underdeveloped nose (partial absence). In most cases the internal nasal passages and the smell system (olfactory bulbs/tracts) are also missing or very small. It is extremely rare (well under a few hundred cases in the medical literature). Many newborns need immediate help with breathing and feeding, because babies normally breathe through the nose. Arrhinia can occur alone (isolated) or with other findings such as small eyes (microphthalmia), palate differences, or delayed puberty as part of Bosma arhinia microphthalmia syndrome (BAMS). MedlinePlus+3PMC+3PMC+3
During early pregnancy, small thickened skin patches called nasal placodes are supposed to form and grow inward to make the nose and nasal cavities. In arrhinia, this step does not happen or happens only partly. Rare de novo variants in the SMCHD1 gene have been shown to disrupt nasal development and cause isolated arhinia or BAMS; most parents are unaffected. Scientists think other genetic or modifying factors may also be involved. PubMed+2Nature+2
During early pregnancy, the nose forms from small swellings on the face and the nasal placodes (tiny patches of tissue that should fold inward to make the nasal cavities). In arrhinia, experts think there is a disruption of this early facial development, especially failure of invagination of the placodes and abnormal growth or fusion of surrounding tissues. ScienceDirect+1
Over the last decade, researchers discovered that many people with isolated arhinia or BAMS have changes (mutations) in a gene called SMCHD1, an epigenetic regulator. These changes cluster in a specific part of the gene and appear to derail normal nasal development; they can also overlap with variants known from a type of muscular dystrophy (FSHD2). Still, not every case has a known genetic cause. Nature+1
Other Names
-
Arhinia (preferred medical spelling) / Arrhinia (variant spelling)
-
Congenital arhinia (when present at birth)
-
Total arhinia (complete absence of external and internal nose)
-
Partial arhinia / hyporrhinia (severe underdevelopment of the nose)
-
Bosma arhinia microphthalmia syndrome (BAMS) when it occurs with small eyes and puberty-hormone problems (syndromic form). Orpha+1
Types
-
Isolated (non-syndromic) arhinia
The baby has arhinia but otherwise normal body systems or only minor differences. Some isolated cases have SMCHD1 variants; others do not show a defined genetic change. Nature -
Syndromic arhinia (BAMS)
Arhinia occurs with microphthalmia/coloboma and puberty hormone problems (low GnRH/LH/FSH → delayed or absent puberty). Intelligence and brain structure can be normal, but associated features vary from person to person. PubMed+1 -
Partial arhinia (hyporrhinia)
Some nasal structures are present, but severely underdeveloped. This may still cause major breathing and feeding issues in newborns. PMC
Causes
Important note: For many babies, the exact cause is unknown. The items below summarize what research and case reports suggest.
-
Gene changes in SMCHD1
This is the most strongly linked genetic cause so far, found in many isolated arhinia and BAMS cases. These mutations disrupt epigenetic control of facial development. Nature+1 -
Developmental error of the nasal placodes
If the placodes do not fold inward at the right time, the inner nose and openings do not form. ScienceDirect -
Abnormal fusion of facial processes
The medial and lateral nasal processes must grow and fuse. Errors here can block the early formation of nasal passages. ScienceDirect -
Neural crest cell disturbance
These cells help build facial structures. Disturbed migration/differentiation can contribute to arhinia. (Mechanism inferred from craniofacial development biology.) Nature -
Syndromic association (BAMS)
In BAMS, the combination of nasal, ocular, and endocrine features reflects a shared developmental disruption, often with SMCHD1 mutations. MedlinePlus -
Midline facial patterning disturbance
Subtle changes in early midline signaling may contribute, even when the brain is otherwise normal. Nature -
Unknown genetic causes (undiscovered genes)
Some patients with arhinia test negative for SMCHD1; other genes are likely involved but remain to be identified. PMC -
Chromosomal variation in individual cases
Some reports include chromosomal testing as part of the work-up; occasional anomalies may be found, though no single chromosomal change explains most cases. AIJCR -
Defects in olfactory system development
Since the nasal placode also seeds the olfactory system, maldevelopment can remove both the nose and the sense of smell. PMC -
Pituitary-hypothalamic axis involvement (in BAMS)
Low GnRH and related hormones suggest a developmental effect on the reproductive hormone pathway. MedlinePlus -
Mechanical constraint in early embryo (theory)
Very rarely suggested in case reports—unproven but considered when no genetic cause is found. -
Epigenetic dysregulation beyond SMCHD1
Arhinia likely involves gene-expression control problems in facial patterning pathways, even when DNA sequence is normal (theory grounded in epigenetic role of SMCHD1). Nature -
Failure of choanal formation
In some partial forms, posterior nasal openings do not form, worsening airway issues. (Conceptual overlap with choanal atresia.) National Organization for Rare Disorders -
Associated ocular field development errors
Shared developmental timing may explain why some babies have both nasal and eye underdevelopment. PubMed -
Family clustering (rare)
A few families have had more than one affected person, supporting a hereditary component in some cases. BioMed Central -
Isolated single-gene variants other than SMCHD1 (suspected)
Older literature suggested other facial-patterning genes might be candidates, but evidence is limited and inconsistent. PMC -
Disruption of local growth factors (theory)
Disturbed signaling around the placode can impair invagination and canalization. ScienceDirect -
Vascular disruption sequence (theory)
Hypothetical: a brief blood-flow problem during a critical window could prevent nasal formation. -
Maternal-fetal factors (unproven)
Case reports sometimes look for maternal illnesses or drug exposures; no consistent factor has been confirmed. -
Truly idiopathic
In many babies, no cause is found despite detailed testing; the condition remains unexplained. PMC
Symptoms and Signs
-
Trouble breathing soon after birth
Newborns are obligate nasal breathers. Without nasal passages, they can have cyanosis, retractions, or apneic spells, especially during quiet rest. SAGE Journals -
Feeding difficulty
Babies must coordinate suck-swallow-breathe. Without a nose, breathing while feeding is hard, so feeds may be slow, tiring, or unsafe. PMC -
Mouth breathing
Continuous mouth breathing is obvious and may cause dry mouth and disturbed sleep. -
No visible nose / very small nose
Physical appearance varies from no external nose to a blunt or flat midface with minimal nasal tissue. PMC -
No smell (anosmia) and reduced taste
Missing olfactory system leads to poor or absent smell; taste is often blunted because smell strongly supports flavor. PMC -
Nasal voice (hyponasal resonance)
Speech may sound “blocked” later in childhood because air cannot pass through the nose. -
Eye differences
In syndromic cases (BAMS): microphthalmia, coloboma, or other eye malformations. PubMed -
Puberty problems (BAMS)
Delayed or absent puberty due to low pituitary gonadotropins (hypogonadotropic hypogonadism). MedlinePlus -
Feeding-related desaturation
Oxygen levels can drop during bottle or breast feeds because the baby must choose between breathing and swallowing. PMC -
Sleep disturbance
Mouth breathing and airway instability can fragment sleep. -
Recurrent chest symptoms
Dry airways and aspiration risk can contribute to cough or infections. -
Midface hypoplasia
The middle part of the face may look flat or underdeveloped in some children. BioMed Central -
Cleft palate or palatal differences (some cases)
Palate abnormalities can co-occur and worsen feeding/speech issues. National Organization for Rare Disorders -
Dental and orthodontic issues
Long-term mouth breathing can affect oral development and bite alignment. -
Psychosocial impact
Facial difference may lead to social stress; families often need counseling and coordinated support.
Diagnostic Tests
A) Physical Examination
-
Newborn airway and breathing check
Clinicians assess breathing work, skin color, oxygen levels, and whether distress improves when the mouth is opened or an airway is placed. Early recognition prevents hypoxia. SAGE Journals -
Head and face exam
Careful look and feel of the nose area, midface, mouth, tongue, and palate. This documents absence/underdevelopment and checks for clefts. -
Eye exam
Because of BAMS and related associations, the team checks for microphthalmia and coloboma and plans ophthalmology follow-up. PubMed -
Neurologic exam
Baseline tone, reflexes, and cranial nerves are checked; some infants are otherwise neurologically normal. -
Feeding and swallow observation
Lactation/speech specialists observe suck-swallow-breathe and recommend safe feeding strategies. PMC
B) “Manual” Bedside Tests
-
Mirror fog/paper test for nasal airflow
A small mirror or tissue under the nostril area normally fogs or flutters with breathing; in arrhinia, there is no nasal airflow. -
Gentle catheter or nasogastric tube test
In typical care, soft catheters check nasal passage patency; in arrhinia, passage is not possible due to absent cavities. Performed cautiously. -
Flexible endoscopy attempt (by specialist)
Pediatric ENT may try endoscopy via the mouth/nasopharynx to map anatomy and confirm the absence of nasal chambers. -
Feeding stress test (monitored)
Observing oxygen saturation and effort during test feeds helps plan airway and nutrition support. PMC
C) Laboratory & Pathology Tests
-
Arterial/Capillary Blood Gas (ABG/CBG)
Measures oxygen and carbon dioxide during distress to guide acute management. SAGE Journals -
Pulse oximetry
Continuous oxygen monitoring detects desaturation during sleep or feeds. SAGE Journals -
Endocrine labs (LH, FSH, sex steroids ± GnRH testing)
In BAMS or later childhood, testing confirms hypogonadotropic hypogonadism if puberty is delayed. MedlinePlus -
Genetic testing—SMCHD1 sequencing/variant analysis
Targeted testing or a panel/exome can look for SMCHD1 and other candidate genes; results affect diagnosis and counseling. Nature -
Karyotype / chromosomal microarray (as indicated)
Done to look for broader chromosomal changes when presentation is complex. AIJCR -
Routine newborn labs (CBC, electrolytes)
These help manage intercurrent issues (infection, dehydration) during the neonatal period.
D) Electrodiagnostic Tests
-
Polysomnography (sleep study)
If snoring, apneas, or sleep problems occur later, a sleep study checks breathing pauses and oxygen dips to plan airway care. -
Olfactory evoked potentials or smell testing (when older)
Research/tertiary centers may test olfactory function; in arhinia, objective smell is absent. -
EEG (only if seizures or brain concerns)
Not routine, but used if there are events suggesting seizures or associated brain malformations.
E) Imaging Tests
-
CT scan of facial bones and sinuses
CT maps bony anatomy, confirms absence of nasal cavities/turbinates/choanae, and helps surgeons plan reconstruction. IJHSR -
MRI of face/brain (± pituitary)
MRI shows soft tissues, olfactory bulbs/tracts, pituitary, and brain. It also assesses associated anomalies in BAMS and supports endocrine planning. IJHSR -
Prenatal ultrasound
Experienced centers may detect severe nasal underdevelopment before birth, prompting delivery planning in a hospital with airway support. ScienceDirect -
Fetal MRI (selected cases)
Provides a clearer map of facial and brain structures in utero to coordinate perinatal airway strategy. ScienceDirect -
Chest X-ray (neonatal distress)
Checks for aspiration, lung expansion, and lines/tubes during NICU care. AIJCR -
Ophthalmic imaging/exam under anesthesia
If eye malformations are suspected, detailed evaluation helps protect vision. PubMed -
3-D photography/scan for craniofacial planning
Non-invasive surface mapping helps plan staged reconstruction and follow growth.
Non-pharmacological treatments (therapy & other measures)
-
Neonatal airway management (positioning, oropharyngeal airway, rarely tracheostomy) to maintain oxygenation until definitive plans are set. Purpose: keep baby breathing safely. Mechanism: bypasses absent nasal conduit. SAGE Journals
-
Feeding support (special nipples, pacing; temporary NG/OG tube as needed). Purpose: safe nutrition while oral/nasal coordination is limited. Mechanism: reduces work of feeding. SAGE Journals
-
Humidified air & saline instillation (if any nasopharyngeal opening exists). Purpose: reduce crusting; Mechanism: moisture keeps mucosa healthy. PMC
-
Ophthalmology care (tear-duct care, lubrication, vision optimization; ocular prosthetics if anophthalmia). Purpose: protect vision and surface. PubMed
-
Speech-language therapy (velopharyngeal and resonance coaching post-op). Purpose: optimize speech when anatomy is unusual. PMC
-
Feeding/swallow therapy (OT/SLP). Purpose: reduce aspiration; Mechanism: adaptive strategies and textures. SAGE Journals
-
Craniofacial surgical planning (team conference: plastics/ENT/maxillofacial/anesthesia). Purpose: agree on timing and sequence. Mechanism: coordinated staged plan. PMC
-
Psychosocial support & counseling (child and family). Purpose: reduce anxiety, support coping, address appearance-related stress. PubMed
-
Orthodontics/orthopedics of the face (when older). Purpose: align bite; Mechanism: appliances guiding growth. PMC
-
Sleep hygiene & positional therapy if snoring/OSA features. Purpose: improve sleep quality; Mechanism: posture and routine. SAGE Journals
-
Physiotherapy for chest clearance during respiratory infections. Purpose: keep lungs clear; Mechanism: airway clearance techniques. SAGE Journals
-
Genetic counseling for families. Purpose: explain cause/recurrence risk (usually low de novo). PubMed
-
Educational support (IEP/vision services if eye findings). Purpose: maximize learning. PubMed
-
Dermatologic/wound care after grafts/flaps. Purpose: healthy healing. PMC
-
Scar management (massage/silicone/pressure). Purpose: improve cosmesis and movement. PMC
-
Pre- and postoperative photography/3D planning. Purpose: set goals and monitor outcomes. PMC
-
Nasal stents/splints after reconstruction. Purpose: maintain created airway; Mechanism: scaffold while healing. PMC
-
Sun protection of grafted skin. Purpose: protect color/texture of flaps. PMC
-
Developmental surveillance (motor, language, social). Purpose: catch issues early; Mechanism: regular screenings. SAGE Journals
-
Transition-to-adult-care planning, including endocrine follow-up in BAMS. Purpose: continuity of care into adulthood. MedlinePlus
Drug treatments
Because arrhinia is structural, medicines do not “fix” the nose. Drugs are used for airway comfort, infection control, eye protection, postoperative care, and endocrine issues in BAMS. Always individualize dosing to age/weight and local guidelines.
-
Isotonic saline drops/gel (topical) – Class: emollient/irrigant; Dose: PRN. Time: daily care. Purpose: moisture & crust control. Mechanism: hydrates mucosa. Side effects: brief stinging. PMC
-
Lubricating eye drops/ointment – Class: ocular lubricants; Dose: PRN. Purpose: corneal surface protection when microphthalmia/tear-duct issues. Side effects: blur briefly. PubMed
-
Antibiotics (systemic) when infection is diagnosed – Class: per culture/local guideline; Dose: weight-based. Purpose: treat pneumonia/otitis/sinusitis (if sinuses present). Risks: allergy, resistance; avoid routine prophylaxis. SAGE Journals
-
Analgesics (acetaminophen/ibuprofen where age-appropriate) – Class: analgesic/NSAID; Dose: standard pediatric dosing. Purpose: postoperative pain/fever. Risks: liver (acetaminophen), GI/renal (NSAID). PMC
-
Topical antibiotic ointments (short course) on incisions – Class: topical antimicrobial; Purpose: wound care per surgeon. Risks: contact dermatitis/resistance. PMC
-
Steroid nasal drops (only if an internal airway exists and surgeon advises) – Class: topical corticosteroid; Purpose: reduce edema/granulation post-op. Risks: mucosal irritation; avoid unsupervised use. PMC
-
Proton-pump inhibitor/H2 blocker – Class: acid suppression; Purpose: reduce reflux-related airway irritation in selected infants with GERD contributing to breathing issues. Risks: gut flora changes; use only if true GERD. SAGE Journals
-
Antiemetics (peri-anesthesia) – Class: ondansetron etc.; Purpose: reduce postoperative nausea/vomiting that can stress facial repairs. Risks: rare QT effects. PMC
-
Intravenous fluids/perioperative antibiotics – Class: supportive; Purpose: safe anesthesia & surgical infection prophylaxis per institutional protocol. Risks: as per agents used. PMC
-
Decongestants (generally avoided in infants; rarely indicated) – Class: sympathomimetics; Purpose: limited role; many babies have no nasal lumen. Risks: hypertension, irritability—usually not recommended. PMC
-
Antihistamines (select cases of atopy in older children) – Class: H1 blocker; Purpose: reduce allergic symptoms if relevant. Risks: sedation/dryness. PMC
-
GnRH therapy or sex-steroid induction (BAMS) – Class: endocrine replacement (GnRH pulses, testosterone/estrogen per age). Purpose: start and maintain puberty; Mechanism: replace missing hypothalamic/pituitary signaling. Risks: per agent (e.g., epiphyseal effects, mood). MedlinePlus
-
Calcium + Vitamin D (if deficient or during puberty induction) – Class: supplements; Purpose: bone health. Risks: hypercalcemia if overdosed. MedlinePlus
-
Lubricating eye gels at night – Class: thicker ocular lubricants; Purpose: overnight protection for exposure risks. Side effects: blurred vision. PubMed
-
Topical silicone/oncology-grade gels for scars – Class: silicone elastomer; Purpose: reduce hypertrophic scarring after grafts. Risks: minimal. PMC
-
Short systemic steroids (rare, surgeon-directed) – Class: corticosteroid; Purpose: reduce severe post-op edema. Risks: immunosuppression, glucose effects—not routine. PMC
-
Antibiotic eye drops (if ocular surface infection occurs). Class: topical antimicrobial. Risks: resistance—culture when possible. PubMed
-
Nasal mupirocin (if stents/internal skin colonization per surgeon) – Class: topical antibiotic; Purpose: decolonization. Risks: resistance/irritation. PMC
-
Analgesic adjuncts (acetaminophen + regional blocks peri-op) – Purpose: multimodal pain control. Risks: agent-specific. PMC
-
Vaccines on schedule – Class: immunizations; Purpose: reduce respiratory infection burden that can complicate airway care; standard of care, not disease-specific. SAGE Journals
Dietary molecular supplements
-
Vitamin D – supports bone health during growth/puberty; dose per local pediatric guidance and labs. Mechanism: calcium absorption/regulation. MedlinePlus
-
Calcium – pairs with vitamin D for bone accrual. Dose individualized. MedlinePlus
-
Iron (if iron-deficiency anemia) – improves oxygen delivery and development. Dose: weight-based after labs. SAGE Journals
-
Omega-3 fatty acids – general support for ocular surface/tear film and inflammation modulation; pediatric dosing varies. PubMed
-
Vitamin A – use with caution; supports ocular surface but overdose is harmful; only when deficient and clinician-directed. PubMed
-
Folate/B12 – treat documented deficiencies impacting growth and hematology. SAGE Journals
-
Zinc – for poor wound healing where deficiency exists; lab-guided. PMC
-
Selenium – antioxidant support only if deficient; avoid routine use. SAGE Journals
-
Probiotics (peri-antibiotic periods if tolerated) – gut microbiome support; strain-specific evidence; avoid in severely immunocompromised hosts. SAGE Journals
-
Multivitamin – general coverage in picky eaters after surgery; not a substitute for nutrition. SAGE Journals
Immunity booster / regenerative / stem-cell drugs
There are no approved immune-booster pills, regenerative medicines, or stem-cell drugs that treat arrhinia or regrow a normal human nose in clinical practice today. Using such products outside trials can be risky or fraudulent. Safer, evidence-based alternatives that do improve resilience include: keeping vaccinations up to date, correcting vitamin D/iron deficiencies, optimizing sleep/nutrition, and treating endocrine issues (e.g., GnRH/sex-steroid therapy in BAMS) under specialist care. MedlinePlus
Surgeries
-
Airway creation/maintenance (e.g., temporary oral airway, rare tracheostomy) – to secure breathing in the newborn and before reconstruction. SAGE Journals
-
Staged nasal reconstruction (most common strategy) using local flaps, cartilage/bone grafts, and skin; staged to allow growth and safer healing. Goal: build a stable, functional airway and normal-appearing nose. PMC
-
Simultaneous internal + external reconstruction (selected centers) – fewer stages but higher complexity; chosen case-by-case. PMC
-
Maxillary advancement/Le Fort osteotomy or distraction – lengthens midface, creates space for an internal nasal cavity, and improves proportions. PMC
-
Post-reconstruction stenting and revisions – maintains new airway and refines shape/function as the child grows. PMC
Prevention tips
Arrhinia is usually not preventable because it’s driven by early embryonic events and often de novo genetics. Still, families can: pursue preconception health, avoid known teratogens (alcohol, certain drugs), manage maternal illnesses, take prenatal folate per guidelines, get early anomaly scans and fetal MRI when advised, seek genetic counseling if there’s a history of craniofacial anomalies, deliver at a tertiary center if arrhinia is suspected prenatally, and enroll in multidisciplinary follow-up after birth (these steps don’t “prevent” arrhinia, but they prevent complications). PubMed+3Radiopaedia+3SAGE Journals+3
When to see doctors (red flags)
Immediately at birth if nose is absent/underdeveloped; anytime there is trouble breathing, poor feeding/weight gain, blue spells, snoring/pauses in sleep, frequent chest or ear infections, eye irritation or corneal exposure, or signs of delayed puberty (no testicular enlargement by ~11–12 years in boys; no breast development by ~11–13 in girls). If arrhinia is suspected in pregnancy, request fetal MRI and delivery planning at a center with neonatal airway and craniofacial teams. SAGE Journals+1
What to eat and what to avoid
Eat: age-appropriate balanced diet rich in protein (healing), fruits/vegetables (micronutrients), whole grains (energy), healthy fats, and adequate calcium/vitamin D for bone health—especially if endocrine therapy is needed. Avoid/limit: choking-risk textures during feeding therapy phases; ultra-processed, high-sugar drinks that displace nutrition; unapproved “stem-cell” or “immune-booster” products marketed online. Follow local pediatric dietitian guidance during perioperative periods. MedlinePlus
FAQs
-
Is arrhinia fatal? Not usually, if the airway is secured and feeding is supported; many children do well with staged reconstruction. SAGE Journals
-
Can you smell with arrhinia? Often not; olfactory bulbs/tracts may be absent. PubMed
-
Is intelligence affected? Typically normal, including in many BAMS reports. PubMed
-
Is it inherited? Most cases are de novo; recurrence risk is generally low but ask genetics. PubMed
-
Can it be seen before birth? Sometimes—fetal MRI and detailed ultrasound can detect it in the second trimester. SAGE Journals+1
-
What age is surgery done? Staging varies by team and child needs; some reconstructions start in later childhood to balance growth and safety. PMC
-
Will my child need a tracheostomy? Rarely; only if other methods cannot secure the airway safely. SAGE Journals
-
Is there a single operation to fix everything? Usually staged surgeries give safer, better outcomes than one big operation. PMC
-
Are eye problems common? Yes in BAMS (microphthalmia, tear-duct issues). PubMed
-
What about puberty? BAMS often has hypogonadotropic hypogonadism; endocrine therapy can induce normal puberty. MedlinePlus
-
Will my child be able to play and go to school? With airway stability and support, yes—plan for vision and speech services if needed. PubMed
-
Are there miracle pills or stem cells? No approved pills or stem-cell treatments rebuild a nose; avoid unproven therapies. PMC
-
Does it affect life span? When managed well, life expectancy can be near normal; risk relates to airway/feeding complications and associated anomalies. SAGE Journals
-
Can adults be diagnosed? Yes—some BAMS cases are recognized later, especially for pubertal issues and characteristic facial/ocular findings. PubMed
-
Where should we be treated? At a craniofacial center with ENT/plastic surgery, ophthalmology, genetics, endocrinology, speech/feeding, and pediatric anesthesia. PMC
Disclaimer: Each person’s journey is unique, treatment plan, life style, food habit, hormonal condition, immune system, chronic disease condition, geological location, weather and previous medical history is also unique. So always seek the best advice from a qualified medical professional or health care provider before trying any treatments to ensure to find out the best plan for you. This guide is for general information and educational purposes only. Regular check-ups and awareness can help to manage and prevent complications associated with these diseases conditions. If you or someone are suffering from this disease condition bookmark this website or share with someone who might find it useful! Boost your knowledge and stay ahead in your health journey. We always try to ensure that the content is regularly updated to reflect the latest medical research and treatment options. Thank you for giving your valuable time to read the article.
The article is written by Team RxHarun and reviewed by the Rx Editorial Board Members
Last Updated: September 22, 2025.