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Living with Lamb-Shaffer syndrome

A genetic condition with developmental and speech delay, intellectual disability, and distinctive facial features.

Understanding Lamb-Shaffer syndrome

Lamb-Shaffer syndrome is a rare genetic condition with developmental and speech delay and variable intellectual disability.

Facial features can include a prominent forehead, skin folds at the inner eye corners, strabismus, a depressed nasal bridge, and a small jaw. Behavior concerns such as stereotypies, aggression, anxiety, and autism spectrum disorder have been reported. Some people have bone differences such as scoliosis or seizures. It is noticed in infancy.

Signs & symptoms

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

  • Developmental delay
  • Delayed speech
  • Intellectual disability
  • Low muscle tone
  • Delayed walking
  • Eyes that do not line up (strabismus)

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 brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in SOX5 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
Brain and nervous system specialists (neurologists); 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 Simons Searchlight
  • 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 genetic testing for the SOX5 gene confirm the diagnosis?
What therapies can help with speech and learning?
Should we watch for seizures or spine curves?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Dominant
GenesSOX5

Changes in the SOX5 gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene is enough to cause it.

GeneticNeurological

Also known as: lamb shaffer syndrome; lamb-shaffer syndrome; lamshf; lamshf; sox5 haploinsufficiency syndrome

Patient organizations

Source: NIH GARD · Lamb-Shaffer syndromeGARD ID 22211 · 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 Lamb-Shaffer syndrome.

Explore the Lamb-Shaffer syndrome blog

Explore research for Lamb-Shaffer syndrome

Explore actively recruiting Lamb-Shaffer syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Lamb-Shaffer syndrome 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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