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Start free with EleplanSay-Barber-Miller syndrome
ORPHA:3132Malformation syndrome
Also called Microcephaly-hypogammaglobulinemia-abnormal immunity syndrome
What it is
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.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Antenatal, Infancy, Neonatal
- Inheritance
- Unknown
- Classified as
- Malformation syndrome
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
Very common80–99%
4Common30–79%
20- Convex nasal ridge
- Craniosynostosis
- Decreased circulating antibody level
- Delayed speech and language development
- Elbow flexion contracture
- Erythema nodosum
- High palate
- Hypogonadism
- Impaired neutrophil chemotaxis
- Knee flexion contracture
- Macrotia
- Micrognathia
- Multiple epiphyseal dysplasia
- Panniculitis
- Patellar hypoplasia
- Prominent nasal bridge
- Protruding ear
- Recurrent patellar dislocation
- Scoliosis
- Sloping forehead
Sometimes5–29%
33- Abnormality of the hairline
- Abnormal T cell morphology
- Ankle clonus
- Babinski sign
- Broad nasal tip
- Carious teeth
- Cryptorchidism
- Decreased circulating IgG level
and 25 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.
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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