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Start free with EleplanX small rings syndrome
ORPHA:96201Malformation syndrome
What it is
X small rings is a rare chromosome X structural anomaly, with highly variable phenotype, principally characterized by developmental delay, intellectual disability, short stature, craniofacial dysmorphism (incl. microcephaly, facial asymmetry, hypertelorism, long palpebral fissures, epicanthus, low-set or malrotated ears, broad nose with a flat nasal bridge, anteverted nares, long philtrum, thin upper lip, high arched palate, micrognathia) and skeletal anomalies (e.g. cubitus valgus, talipes equinovarus). Patients may also present heart malformations (e.g. ventricular septal defects, mitral valve stenosis), sacral dimple, soft tissue syndactyly, pigmented nevi, and seizures.
Key facts
- Age of onset
- Antenatal, Neonatal
- Classified as
- Malformation syndrome
Signs and symptoms
Very common80–99%
29- Abnormal facial shape
- Anteverted nares
- Aortic root aneurysm
- Bicuspid aortic valve
- Coarse facial features
- Congenital stationary night blindness
- Cutaneous syndactyly
- Epicanthus
- Feeding difficulties
- Global developmental delay
- Growth delay
- Hypertelorism
- Intellectual disability
- Intellectual disability, severe
- Long palpebral fissure
- Long philtrum
- Low posterior hairline
- Mitral stenosis
- Neonatal hypotonia
- Osteoporosis
- Premature ovarian insufficiency
- Primary amenorrhea
- Protruding ear
- Reduced bone mineral density
- Short neck
- Strabismus
- Thin upper lip vermilion
- Toe syndactyly
- Ventricular septal defect
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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