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

Carey-Fineman-Ziter syndrome


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Other Names:
Carey Fineman Ziter syndrome; CFZ syndrome; Moebius sequence, Robin complex, and hypotonia; Carey Fineman Ziter syndrome; CFZ syndrome; Moebius sequence, Robin complex, and hypotonia; Myopathy, congenital nonprogressive with Moebius and Robin sequences; Carey-Fineman-Ziter syndrome; Myopathy-Moebius-Robin syndrome; Congenital nonprogressive myopathy with Moebius and Robin sequences; CFZS See More
Categories:

Carey-Fineman-Ziter syndrome (CFZS) is a very rare genetic muscular disorder present at birth (congenital myopathy) characterized by facial weakness or paralysis, and a small or retracted chin and cleft palate (Pierre-Robin sequence), among other symptoms.[1][2][3]  CFZS is caused by mutations in the gene MYMK that encodes a protein necessary for muscle development.[3] Treatment depends on the symptoms. In one case report a patient with scoliosis was treated with a rod placement. [1]
Last updated: 7/6/2017

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 65 |
Medical Terms Other Names
Learn More:
HPO ID
80%-99% of people have these symptoms
Anteverted nares
Nasal tip, upturned
Upturned nasal tip
Upturned nose
Upturned nostrils
[ more ]
0000463
Aplasia/Hypoplasia of the tongue 0010295
Brachydactyly
Short fingers or toes
0001156
Downslanted palpebral fissures
Downward slanting of the opening between the eyelids
0000494
Epicanthus
Eye folds
Prominent eye folds
[ more ]
0000286
Facial palsy
Bell's palsy
0010628
Impaired ocular abduction 0000634
Long philtrum 0000343
Micrognathia
Little lower jaw
Small jaw
Small lower jaw
[ more ]
0000347
Muscular hypotonia
Low or weak muscle tone
0001252
Pierre-Robin sequence 0000201
Ptosis
Drooping upper eyelid
0000508
Short nose
Decreased length of nose
Shortened nose
[ more ]
0003196
Skeletal muscle atrophy
Muscle degeneration
Muscle wasting
[ more ]
0003202
Thin vermilion border
Decreased volume of lip
Thin lips
[ more ]
0000233
30%-79% of people have these symptoms
Cleft palate
Cleft roof of mouth
0000175
Glossoptosis
Retraction of the tongue
0000162
High palate
Elevated palate
Increased palatal height
[ more ]
0000218
Intellectual disability
Mental retardation
Mental retardation, nonspecific
Mental-retardation
Mental deficiency
[ more ]
0001249
Microcephaly
Abnormally small skull
Decreased circumference of cranium
Decreased size of skull
Reduced head circumference
Small head circumference
[ more ]
0000252
Scoliosis 0002650
Short stature
Decreased body height
Small stature
[ more ]
0004322
Talipes equinovarus
Club feet
Club foot
Clubfeet
Clubfoot
[ more ]
0001762
5%-29% of people have these symptoms
Aplasia of the pectoralis major muscle 0009751
Aplasia/Hypoplasia of the cerebellum
Absent/small cerebellum
Absent/underdeveloped cerebellum
[ more ]
0007360
Cerebral calcification
Abnormal deposits of calcium in the brain
0002514
Glandular hypospadias 0000807
Global developmental delay 0001263
Hydronephrosis 0000126
Hypertensive crisis 0100735
Laryngeal stenosis 0001602
Myopathy
Muscle tissue disease
0003198
Ulnar deviation of finger
Finger bends toward pinky
0009465
Ventriculomegaly 0002119
1%-4% of people have these symptoms
Cataract
Clouding of the lens of the eye
Cloudy lens
[ more ]
0000518
Glaucoma 0000501
Percent of people who have these symptoms is not available through HPO
Abnormal cardiac septum morphology 0001671
Autosomal recessive inheritance 0000007
Broad nasal tip
Broad tip of nose
Broad, upturned nose
Increased breadth of nasal tip
Increased breadth of tip of nose
Increased width of nasal tip
Increased width of tip of nose
Nasal tip, broad
Nasal tip, wide
Wide tip of nose
[ more ]
0000455
Cryptorchidism
Undescended testes
Undescended testis
[ more ]
0000028
Decreased fetal movement
Less than 10 fetal movements in 12 hours
0001558
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
Dysphagia
Poor swallowing
Swallowing difficulties
Swallowing difficulty
[ more ]
0002015
Elevated serum creatine kinase
Elevated blood creatine phosphokinase
Elevated circulating creatine phosphokinase
Elevated creatine kinase
Elevated serum CPK
Elevated serum creatine phosphokinase
High serum creatine kinase
Increased CPK
Increased creatine kinase
Increased creatine phosphokinase
Increased serum CK
Increased serum creatine kinase
Increased serum creatine phosphokinase
[ more ]
0003236
Failure to thrive
Faltering weight
Weight faltering
[ more ]
0001508
Feeding difficulties
Feeding problems
Poor feeding
[ more ]
0011968
Flexion contracture
Flexed joint that cannot be straightened
0001371
Gastroesophageal reflux
Acid reflux
Acid reflux disease
Heartburn
[ more ]
0002020
Generalized hypotonia
Decreased muscle tone
Low muscle tone
[ more ]
0001290
Growth delay
Delayed growth
Growth deficiency
Growth failure
Growth retardation
Poor growth
Retarded growth
[ more ]
0001510
Hypoplasia of the brainstem
Small brainstem
Underdeveloped brainstem
[ more ]
0002365
Infantile onset
Onset in first year of life
Onset in infancy
[ more ]
0003593
Macrocephaly
Increased size of skull
Large head
Large head circumference
[ more ]
0000256
Microglossia
Abnormally small tongue
Underdevelopment of the tongue
[ more ]
0000171
Motor delay 0001270
Oculomotor nerve palsy 0012246
Ophthalmoplegia
Eye muscle paralysis
0000602
Pectoralis hypoplasia
Small pec muscle
Underdeveloped pec muscle
[ more ]
0008998
Plagiocephaly
Flat head syndrome
Flattening of skull
Rhomboid shaped skull
[ more ]
0001357
Respiratory insufficiency
Respiratory impairment
0002093
Retrognathia
Receding chin
Receding lower jaw
Weak chin
Weak jaw
[ more ]
0000278
Severe muscular hypotonia
Severely decreased muscle tone
0006829
Slow progression
Signs and symptoms worsen slowly with time
0003677
Tapered finger
Tapered fingertips
Tapering fingers
[ more ]
0001182
Trismus
Lockjaw
0000211
Showing of 65 |
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


Support and advocacy groups can help you connect with other patients and families, and they can provide valuable services. Many develop patient-centered information and are the driving force behind research for better treatments and possible cures. They can direct you to research, resources, and services. Many organizations also have experts who serve as medical advisors or provide lists of doctors/clinics. Visit the group’s website or contact them to learn about the services they offer. Inclusion on this list is not an endorsement by GARD.

Organizations Supporting this Disease


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.

Where to Start

  • The Muscular Dystrophy Association has developed a resource called "Facts About Myopathies" that discusses commonly asked questions regarding myopathies. Click on the link above to view this information page.

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 Carey-Fineman-Ziter syndrome. Click on the link to view a sample search on this topic.

Questions sent to GARD may be posted here if the information could be helpful to others. We remove all identifying information when posting a question to protect your privacy. If you do not want your question posted, please let us know.


  1. Carey-Fineman-Ziter syndrome. Orphanet. 2006; http://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=1358.
  2. Carey-Fineman-Ziter syndrome. Online Mendelian Inheritance in Man (OMIM). 2016; http://omim.org/entry/254940.
  3. Di Gioia SA, Connors S, Matsunami N, et al.. A defect in myoblast fusion underlies Carey-Fineman-Ziter syndrome. Nature Communications 8, Article number. July 6, 2017; 16077 (2017):http://www.nature.com/articles/ncomms16077.