National Center for Advancing and Translational Sciences Genetic and Rare Diseases Information Center, a program of the National Center for Advancing and Translational Sciences

Smith-Fineman-Myers syndrome



Other Names:
SFMS
Categories:

The following summary is from Orphanet, a European reference portal for information on rare diseases and orphan drugs.
orphanet

Orpha Number: 93974

Definition
An X-linked mental retardation (XLMR) syndrome belonging to the group of conditions characterised by the association of intellectual deficit with hypotonic facies (Mental retardation, X-linked-hypotonic facies).

Epidemiology
Prevalence is unknown. Since its initial description in 1980, SFMS has been described in males from 11 families and in one isolated case.

Clinical description
SFMS is characterised by facial dysmorphism (slanted palpebral fissures, narrow face, micrognathia, patulous lower lip, flat or small philtrum, and alternating exotropia and ptosis), short stature, early hypotonia and later hypertonia, prominent upper central incisors, foot deformities (pes planus, metatarsus varus, equinovarus), psychomotor retardation, and behavioural problems.

Etiology
In most cases the syndrome is caused by mutations in the ATRX gene (Xq13.3), however, the causative gene in a large Chinese family with SFMS has been mapped to a 19.8 Mb interval on Xq25.

Genetic counseling
Transmission is X-linked recessive.

Visit the Orphanet disease page for more resources.
Last updated: 5/1/2008

This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. Use the HPO ID to access more in-depth information about a symptom.

Showing of 95 |
Medical Terms Other Names
Learn More:
HPO ID
80%-99% of people have these symptoms
Intellectual disability
Mental deficiency
Mental retardation
Mental retardation, nonspecific
Mental-retardation
[ more ]
0001249
30%-79% of people have these symptoms
Absent mastoid 0012761
Bilateral ptosis
Drooping of both upper eyelids
0001488
Brachycephaly
Short and broad skull
0000248
Bridged palmar crease
Bridged palm line
0011310
Cerebral cortical atrophy
Decrease in size of the outer layer of the brain due to loss of brain cells
0002120
Cleft palate
Cleft roof of mouth
0000175
Clubbing of fingers
Clubbed fingers
Clubbing (hands)
Finger clubbing
[ more ]
0100759
Cryptorchidism
Undescended testes
Undescended testis
[ more ]
0000028
Delayed speech and language development
Deficiency of speech development
Delayed language development
Delayed speech
Delayed speech acquisition
Delayed speech development
Impaired speech and language development
Impaired speech development
Language delay
Language delayed
Language development deficit
Late-onset speech development
Poor language development
Speech and language delay
Speech and language difficulties
Speech delay
[ more ]
0000750
Difficulty walking
Difficulty in walking
0002355
Dolichocephaly
Long, narrow head
Tall and narrow skull
[ more ]
0000268
Downslanted palpebral fissures
Downward slanting of the opening between the eyelids
0000494
Dysphasia 0002357
Exotropia
Outward facing eye ball
0000577
Hyperactivity
More active than typical
0000752
Hyperreflexia
Increased reflexes
0001347
Hypertelorism
Wide-set eyes
Widely spaced eyes
[ more ]
0000316
Impairment of activities of daily living 0031058
Infantile muscular hypotonia
Decreased muscle tone in infant
0008947
Metatarsus adductus
Front half of foot turns inward
0001840
Micrognathia
Little lower jaw
Small jaw
Small lower jaw
[ more ]
0000347
Narrow face
Decreased breadth of face
Decreased width of face
[ more ]
0000275
Overjet
Protrusion of upper teeth in front of lower teeth
0011095
Persistence of primary teeth
Delayed loss of baby teeth
Failure to lose baby teeth
Retained baby teeth
[ more ]
0006335
Pes planus
Flat feet
Flat foot
[ more ]
0001763
Restlessness 0000711
Seizure 0001250
Severe global developmental delay 0011344
Short stature
Decreased body height
Small stature
[ more ]
0004322
Sloping forehead
Inclined forehead
Receding forehead
[ more ]
0000340
Wide mouth
Broad mouth
Large mouth
[ more ]
0000154
Widely-spaced maxillary central incisors
Gap between upper front teeth
Wide gap between upper central incisors
Widely spaced upper incisors
[ more ]
0001566
5%-29% of people have these symptoms
Asplenia
Absent spleen
0001746
Delayed skeletal maturation
Delayed bone maturation
Delayed skeletal development
[ more ]
0002750
Excessive femoral anteversion 0012427
Inguinal hernia 0000023
Lumbar scoliosis 0004626
Obesity
Having too much body fat
0001513
Posteriorly rotated ears
Ears rotated toward back of head
0000358
Spastic diplegia 0001264
Thoracic scoliosis 0002943
Percent of people who have these symptoms is not available through HPO
Abnormality of blood and blood-forming tissues 0001871
Anteverted nares
Nasal tip, upturned
Upturned nasal tip
Upturned nose
Upturned nostrils
[ more ]
0000463
Brachydactyly
Short fingers or toes
0001156
Clinodactyly
Permanent curving of the finger
0030084
Coarse facial features
Coarse facial appearance
0000280
Constipation 0002019
Decreased testicular size
Small testes
Small testis
[ more ]
0008734
Depressed nasal bridge
Depressed bridge of nose
Flat bridge of nose
Flat nasal bridge
Flat, nasal bridge
Flattened nasal bridge
Low nasal bridge
Low nasal root
[ more ]
0005280
Drooling
Dribbling
0002307
Epicanthus
Eye folds
Prominent eye folds
[ more ]
0000286
Gastroesophageal reflux
Acid reflux
Acid reflux disease
Heartburn
[ more ]
0002020
Genu valgum
Knock knees
0002857
High palate
Elevated palate
Increased palatal height
[ more ]
0000218
Hypogonadism
Decreased activity of gonads
0000135
Hypoplastic philtrum 0005326
Hypospadias 0000047
Intellectual disability, progressive
Mental retardation, progressive
Progressive mental retardation
[ more ]
0006887
Intellectual disability, severe
Early and severe mental retardation
Mental retardation, severe
Severe mental retardation
[ more ]
0010864
Kyphoscoliosis 0002751
Lower limb hypertonia 0006895
Low-set ears
Low set ears
Lowset ears
[ more ]
0000369
Macroglossia
Abnormally large tongue
Increased size of tongue
Large tongue
[ more ]
0000158
Malar flattening
Zygomatic flattening
0000272
Microcephaly
Abnormally small skull
Decreased circumference of cranium
Decreased size of skull
Reduced head circumference
Small head circumference
[ more ]
0000252
Micropenis
Short penis
Small penis
[ more ]
0000054
Microtia
Small ears
Underdeveloped ears
[ more ]
0008551
Midface retrusion
Decreased size of midface
Midface deficiency
Underdevelopment of midface
[ more ]
0011800
Narrow forehead
Decreased width of the forehead
0000341
Open mouth
Gaped jawed appearance
Gaped mouthed appearance
Slack jawed appearance
[ more ]
0000194
Optic atrophy 0000648
Paroxysmal bursts of laughter 0000749
Protruding tongue
Prominent tongue
Tongue sticking out of mouth
[ more ]
0010808
Ptosis
Drooping upper eyelid
0000508
Radial deviation of finger 0009466
Renal hypoplasia
Small kidneys
Underdeveloped kidneys
[ more ]
0000089
Scrotal hypoplasia
Smaller than typical growth of scrotum
0000046
Sensorineural hearing impairment 0000407
Short neck
Decreased length of neck
0000470
Short upper lip
Decreased height of upper lip
Decreased vertical length of upper lip
Shortening of upper lip
[ more ]
0000188
Slender finger
Narrow fingers
Slender fingers
thin fingers
[ more ]
0001238
Talipes calcaneovalgus 0001884
Talipes equinovarus
Club feet
Club foot
Clubfeet
Clubfoot
[ more ]
0001762
Tapered finger
Tapered fingertips
Tapering fingers
[ more ]
0001182
Tented upper lip vermilion 0010804
Thick lower lip vermilion
Increased volume of lower lip
Plump lower lip
Prominent lower lip
[ more ]
0000179
Thin upper lip vermilion
Thin upper lip
0000219
Triangular nasal tip
Triangular shaped tip of nose
0000451
Upslanted palpebral fissure
Upward slanting of the opening between the eyelids
0000582
U-Shaped upper lip vermilion
Carp-like mouth
Carp-shaped mouth
Fish mouth
Large, carp-shaped mouth
Wide, carp-shaped mouth
[ more ]
0010806
Vesicoureteral reflux 0000076
Vomiting
Throwing up
0002013
Wide nasal bridge
Broad nasal bridge
Broad nasal root
Broadened nasal bridge
Increased breadth of bridge of nose
Increased breadth of nasal bridge
Increased width of bridge of nose
Increased width of nasal bridge
Nasal bridge broad
Wide bridge of nose
Widened nasal bridge
[ more ]
0000431
X-linked recessive inheritance 0001419
Showing of 95 |
Last updated: 7/1/2020

If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. You may find these specialists through advocacy organizations, clinical trials, or articles published in medical journals. You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments.

If you can’t find a specialist in your local area, try contacting national or international specialists. They may be able to refer you to someone they know through conferences or research efforts. Some specialists may be willing to consult with you or your local doctors over the phone or by email if you can't travel to them for care.

You can find more tips in our guide, How to Find a Disease Specialist. We also encourage you to explore the rest of this page to find resources that can help you find specialists.

Healthcare Resources


These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.

In-Depth Information

  • The Monarch Initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. Monarch’s tools are designed to make it easier to compare the signs and symptoms (phenotypes) of different diseases and discover common features. This initiative is a collaboration between several academic institutions across the world and is funded by the National Institutes of Health. Visit the website to explore the biology of this condition.
  • Online Mendelian Inheritance in Man (OMIM) is a catalog of human genes and genetic disorders. Each entry has a summary of related medical articles. It is meant for health care professionals and researchers. OMIM is maintained by Johns Hopkins University School of Medicine. 
  • Orphanet is a European reference portal for information on rare diseases and orphan drugs. Access to this database is free of charge.
  • PubMed is a searchable database of medical literature and lists journal articles that discuss Smith-Fineman-Myers syndrome. Click on the link to view a sample search on this topic.

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