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Living with Micrognathia-recurrent infections-behavioral abnormalities-mild intellectual disability syndrome

A rare genetic syndrome with a small lower jaw, mild learning challenges, behavior differences, and frequent infections.

Understanding Micrognathia-recurrent infections-behavioral abnormalities-mild intellectual disability syndrome

Micrognathia-recurrent infections-behavioral abnormalities-mild intellectual disability syndrome is a rare genetic syndrome with a small lower jaw and learning and behavior differences.

People have mild global developmental delay, intellectual disability or learning difficulties, and behavior concerns such as autistic, hyperactive, or aggressive behavior. Facial features and finger shape differ from person to person, and recurrent infections and skeletal differences are possible. Signs are seen in the newborn period.

Signs & symptoms

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

  • Small lower jaw (micrognathia)
  • Mild intellectual disability
  • Delays in reaching developmental milestones
  • Autistic or other behavior differences
  • Recurrent infections
  • Feeding difficulties in infancy

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 TRIO 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 and other patient organizations
  • 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 TRIO gene confirm this diagnosis?
How can behavior and learning be supported?
Should we check for immune problems because of repeated infections?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant
GenesTRIO

This condition is caused by changes in the TRIO gene. It is autosomal dominant, which means a changed copy of the gene from one parent can be enough to cause it.

GeneticNeurological

Also known as: autosomal dominant intellectual disability 44; intellectual developmental disorder, autosomal dominant 44, with microcephaly; mebas; mercer-ba syndrome; mrd44; trio-related intellectual disability

Patient organizations

  • Simons SearchlightMicrognathia-recurrent infections-behavioral abnormalities-mild intellectual disability syndrome · United States
  • Team TRIOMicrognathia-recurrent infections-behavioral abnormalities-mild intellectual disability syndrome · United States
Source: NIH GARD · Micrognathia-recurrent infections-behavioral abnormalities-mild intellectual disability syndromeGARD ID 17850 · 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 Micrognathia-recurrent infections-behavioral abnormalities-mild intellectual disability syndrome.

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