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Living with CBL-related disorder

A genetic condition with features like Noonan syndrome and a higher chance of a childhood blood disorder called JMML.

Understanding CBL-related disorder

CBL-related disorder is a rare genetic condition with Noonan-like features and a higher chance of developing juvenile myelomonocytic leukemia (JMML).

Features can include facial differences, developmental delay, low muscle tone, and a small head. Some people have heart defects, skin and hair differences, or short stature. The Noonan-like features can be subtle. It begins in the newborn and infant years.

Signs & symptoms

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

  • Small head (microcephaly)
  • Broad forehead
  • Delayed speech and language
  • Loose joints (joint hypermobility)
  • Drooping upper eyelid (ptosis)
  • Light brown skin spots (cafe-au-lait spots)

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, cancer specialists and genetic specialists.

  3. Consider genetic testing

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

  4. Connect with expert centers

    Children's Cardiomyopathy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Cancer specialists (oncologists); Genetic specialists (geneticists)
Expert care
Expert lists: Children's Cardiomyopathy Foundation
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 Children's Cardiomyopathy 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 CBL genetic testing confirm the diagnosis?
How often should blood tests check for JMML?
Does my child need heart checks?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesCBL

Changes in the CBL gene cause this condition. It is inherited in an autosomal dominant way, so one changed copy of the gene can cause it.

GeneticNeurological

Also known as: cbl mutation-associated syndrome; cbl syndrome; noonan syndrome-like disorder with jmml; noonan syndrome-like disorder with juvenile myelomonocytic leukaemia; noonan syndrome-like disorder with juvenile myelomonocytic leukemia; noonan syndrome-like disorder without juvenile myelomonocytic leukemia

Patient organizations

Broader rare-disease groups

Source: NIH GARD · CBL-related disorderGARD ID 17577 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with CBL-related disorder.

Explore the CBL-related disorder blog

Explore research for CBL-related disorder

Explore actively recruiting CBL-related disorder studies with HealthSpark.

HealthSpark

Find actively recruiting studies for CBL-related disorder with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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