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Start free with EleplanCongenital progressive bone marrow failure-B-cell immunodeficiency-skeletal dysplasia syndrome
ORPHA:508542Disease
Also called MYSM1 deficiency
What it is
A rare multiple congenital anomalies/dysmorphic syndrome characterized by early-onset progressive bone marrow failure with anemia, leukopenia, mild thrombopenia, and myelodysplastic features, as well as non-hematologic manifestations, such as developmental delay, cataracts, facial dysmorphism, short stature, and skeletal anomalies. Immunodeficiency primarily affects B-cells and may lead to increased susceptibility to infections. Additional reported features include dry skin and eczema, cardiac anomalies, hearing loss, and reduction of cerebral volume on brain imaging.
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
Common30–79%
17- Abnormal facial shape
- Cerebral hypoplasia
- Coarse facial features
- Congestive heart failure
- Decreased total B cell count
- Decreased total neutrophil count
- Erythroid dysplasia
- Intellectual disability
- Leukopenia
- Lymphopenia
- Megakaryocyte dysplasia
- Myelodysplasia
- Neurodevelopmental delay
- Recurrent upper respiratory tract infections
- Reticulocytopenia
- Short stature
- Thrombocytopenia
Sometimes5–29%
19- Abnormal thorax morphology
- Brachydactyly
- Broad clavicles
- Cataract
- Delayed eruption of teeth
- Dry skin
- Eczematoid dermatitis
- Gingival overgrowth
and 11 more in this range
These 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.
Gene
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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