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Living with Blepharophimosis - intellectual disability syndrome, SBBYS type

A rare genetic syndrome with a mask-like face, thyroid and skeleton differences, and delayed development.

Understanding Blepharophimosis - intellectual disability syndrome, SBBYS type

Blepharophimosis - intellectual disability syndrome, SBBYS type is a rare genetic syndrome with a typical face, small head, low thyroid function, and delayed development.

Signs can begin during pregnancy, at birth, or in infancy. The face can look mask-like, with narrow, droopy eyelids and tear duct differences. Other signs include extra fingers, long thumbs and big toes, low muscle tone, intellectual disability, and sometimes heart defects. Males often have kidney or genital differences.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Delays in overall development
  • Intellectual disability
  • Small head (microcephaly)
  • Heart defects
  • Feeding difficulties and slow growth
  • Thyroid in an unusual place

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists, brain and nervous system specialists, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in KAT6B are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with KAT6A Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can KAT6B gene testing confirm the diagnosis?
How will thyroid function be checked and managed?
Should my child have a heart and kidney evaluation?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant
GenesKAT6B

Changes in the KAT6B gene cause this condition. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticNeurologicalEndocrineUrinary and Reproductive

Also known as: blepharophimosis-intellectual deficit syndrome, say-barber/biesecker/young-simpson type; blepharophimosis-intellectual disability syndrome, sbbys type; blepharophimosis, intellectual disability syndrome, say-barber-biesecker-young-simpson type; hypothyroidism-dysmorphism-postaxial polydactyly-intellectual disability syndrome; hypothyroidism, dysmorphism, postaxial polydactyly, intellectual disability syndrome; mental retardation unusual facies hypothyroidism

Patient organizations

  • KAT6A FoundationBlepharophimosis - intellectual disability syndrome, SBBYS type · United States
Source: NIH GARD · Blepharophimosis - intellectual disability syndrome, SBBYS typeGARD ID 16618 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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