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Living with Microcephalic osteodysplastic primordial dwarfism types I and III

A rare genetic condition with slow growth before and after birth, a small head, bone differences, and brain differences.

Understanding Microcephalic osteodysplastic primordial dwarfism types I and III

Microcephalic osteodysplastic primordial dwarfism types I and III is a genetic condition marked by slow growth, a small head, and differences in bone growth.

It also involves distinct facial features and brain differences. Other signs include sparse hair and eyebrows, dry skin, short limbs, hip and elbow dislocation, seizures, and intellectual disability. It starts in pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Slow growth before and after birth
  • Small head (microcephaly)
  • Short limbs and bone differences
  • Absent collarbone
  • Kidney differences
  • Breathing difficulty

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 RNU4ATAC 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

    Little People of America 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); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Little People of America
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 Little People of America
  • 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
Should family members have RNU4ATAC genetic testing?
Which specialists should follow growth, brain, and bones?
What supports can help with seizures and development?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesRNU4ATAC

Changes in the RNU4ATAC gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: microcephalic osteodysplastic primordial dwarfism taybi linder type; microcephalic osteodysplastic primordial dwarfism, taybi-linder type; mopd types i and iii; primordial microcephalic dwarfism crachami type; primordial microcephalic dwarfism, crachami type; taybi linder syndrome

Patient organizations

Source: NIH GARD · Microcephalic osteodysplastic primordial dwarfism types I and IIIGARD ID 5120 · 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 Microcephalic osteodysplastic primordial dwarfism types I and III.

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