raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3132

Say-Barber-Miller syndrome

Synonyms: Microcephaly-hypogammaglobulinemia-abnormal immunity syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Unknown
Age of onset
Antenatal, Infancy, Neonatal
Status
active

A rare multiple congenital anomalies/dysmorphic syndrome characterized by microcephaly, developmental delay and intellectual disability, postnatal growth retardation, dysmorphic craniofacial features (including sloping forehead, beaked nose, large and protruding ears, micrognathia, high-arched palate, and craniosynostosis), immunologic abnormalities with transient hypogammaglobulinemia in infancy and defective chemotaxis leading to recurrent infections, as well as autoimmune/autoinflammatory phenomena. Skeletal anomalies and hypogonadism have also been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSay-Barber-Miller syndromeMicrocephaly-hypogammaglobulinemia-abnormal immunity syndrome
frSyndrome de Say-Barber-MillerSyndrome de microcéphalie-hypogammaglobulinémie-immunité anormale
deSay-Barber-Miller-SyndromMikrozephalie - Hypogammablobulinämie - Immundefekt
esSíndrome de Say-Barber-MillerMicrocefalia-hipogammaglobulinemia-inmunodeficiencia
itSindrome di Say-Barber-MillerMicrocefalia - ipogammaglobulinemia - anomalie immunitarie
nlSyndroom van Say-Barber-MillerMicrocefalie - hypogammaglobulinemie - abnormale immuniteit-syndroom
ptSíndrome Say-Barber-MillerSíndrome de microcefalia-hipogamaglobulinemia-imunodeficiência
plZespół Saya, Barbera i MilleraMałogłowie - hipogammaglobulinemia - nieprawidłowa odporność
csSayův-Barberové-Millerův syndromSyndrom zahrnující mikrocefalii, hypogamaglobulinémii a abnormální imunitu · Say-Barber-Millerův syndrom
ukСиндром Сай-Барбера-МіллераСиндром мікроцефалії-гіпогаммаглобулінемії- порушеного імунітету
zhSay-Barber-Miller综合征小头畸形-低丙球蛋白血症-免疫异常综合征
trSay-Barber-Miller sendromuMikrosefali-hipogammaglobulinemi-anormal bağışıklık sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM251240Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-114A01.0YNTBTindexvalidated
MONDO0009620Evalidated
MeSHC536618Evalidated
UMLSC2931267Evalidated
GARD239Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated3746838[PMID]_8728697[PMID]_19108857[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_3746838[PMID]_8728697[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

57 annotations · validated 2019-03-14
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0001263Global developmental delay
HP:0000252Microcephaly
HP:0005432Transient hypogammaglobulinemia of infancy
Frequent (79-30%)
HP:0000444Convex nasal ridge
HP:0001363Craniosynostosis
HP:0004313Decreased circulating antibody level
HP:0000750Delayed speech and language development
HP:0002987Elbow flexion contracture
HP:0012219Erythema nodosum
HP:0000218High palate
HP:0000135Hypogonadism
HP:0040238Impaired neutrophil chemotaxis
HP:0006380Knee flexion contracture
HP:0000400Macrotia
HP:0000347Micrognathia
HP:0002654Multiple epiphyseal dysplasia
HP:0012490Panniculitis
HP:0003065Patellar hypoplasia
HP:0000426Prominent nasal bridge
HP:0000411Protruding ear
HP:0005001Recurrent patellar dislocation
HP:0002650Scoliosis
HP:0000340Sloping forehead
Occasional (29-5%)
HP:0002843Abnormal T cell morphology
HP:0009553Abnormality of the hairline
HP:0011448Ankle clonus
HP:0003487Babinski sign
HP:0000455Broad nasal tip
HP:0000670Carious teeth
HP:0000028Cryptorchidism
HP:0004315Decreased circulating IgG level
HP:0000490Deeply set eye
HP:0000964Eczematoid dermatitis
HP:0011431Fetal fifth finger clinodactyly
HP:0007034Generalized hyperreflexia
HP:0002553Highly arched eyebrow
HP:0002827Hip dislocation
HP:0001007Hirsutism
HP:0000316Hypertelorism
HP:0007105Infantile encephalopathy
HP:0031008Lingual dystonia
HP:0006895Lower limb hypertonia
HP:0000608Macular degeneration
HP:0000648Optic atrophy
HP:0000358Posteriorly rotated ears
HP:0000510Rod-cone dystrophy
HP:0001583Rotary nystagmus
HP:0004322Short stature
HP:0045075Sparse eyebrow
HP:0002313Spastic paraparesis
HP:0001772Talipes equinovalgus
HP:0000233Thin vermilion border
HP:0005659Thoracic kyphoscoliosis
HP:0000692Tooth malposition
HP:0001193Ulnar deviation of the hand or of fingers of the hand
HP:0000582Upslanted palpebral fissure

Run the differential on the 4 obligate / very frequent terms

Annotation source: 19108857[PMID]_10189087[PMID]_10733244[PMID]_8728697[PMID]_3746838[PMID]

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Sources for this card