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ORPHA:3134Malformation syndrome
What it is
A rare multiple congenital anomalies syndrome characterized by variable skeletal abnormalities (including craniostenosis, pectus carinatum, short sternum, joint hyperextensibility, and anbnormal vertebrae), cutis laxa with excessive skin folds around the cheek, chin and neck, ambiguous genitalia with a micropenis and perineal hypospadia, an umbilical hernia, intellectual disability, premature aged appearance, and cardiac enlargement involving either the ventricles or atria. Facial dysmorphism is variable and can include multiple hair whorls, ptsosis, high and broad nasal root, low set ears and small chin. Enamel hypocalcification, abnormal modelling of tubular bones, and reduced cutis laxa may become apparent later on. There have been no further descriptions in the literature since 1989.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy, Neonatal
- Inheritance
- X-linked recessive
- 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
Common30–79%
30- Abnormal form of the vertebral bodies
- Bifid scrotum
- Coarse facial features
- Craniosynostosis
- Cryptorchidism
- Cutis laxa
- Diastasis recti
- Downslanted palpebral fissures
- Enamel hypoplasia
- Epicanthus
- Hepatocellular adenoma
- Hypocalcification of dental enamel
- Inguinal hernia
- Intellectual disability, mild
- Joint hypermobility
- Long philtrum
- Low posterior hairline
- Micropenis
- Pectus carinatum
- Perineal hypospadias
- Posteriorly rotated ears
- Ptosis
- Short neck
- Short sternum
- Sparse hair
- Strabismus
- Umbilical hernia
- Webbed neck
- Wide intermamillary distance
- Wide nasal base
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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