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Living with Mulibrey nanism syndrome

A rare genetic condition with slow growth and differences in the muscles, liver, brain, and eyes, and sometimes the heart lining.

Understanding Mulibrey nanism syndrome

Mulibrey nanism syndrome is a rare genetic condition that causes profound growth delay and differences in the muscles, liver, brain, and eyes.

MULIBREY stands for muscle, liver, brain, and eye, and nanism is another word for dwarfism. Signs may include constrictive pericarditis (a stiff heart lining), low birth weight, short stature, severe growth delays, low muscle tone, an enlarged liver, and yellow discoloration of the eyes in infancy. It can appear at a variety of ages.

Signs & symptoms

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

  • Short stature and slow growth
  • Slow growth before birth
  • Enlarged liver
  • Large head (macrocephaly)
  • High-pitched voice
  • Reduced tendon reflexes

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 and genetic specialists.

  3. Consider genetic testing

    Changes in TRIM37 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); 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 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 TRIM37 gene confirm this diagnosis?
How should the heart be monitored?
Which specialists should follow growth, the liver, and the eyes?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Recessive
GenesTRIM37

This condition is caused by changes in the TRIM37 gene. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: mul; mulibrey dwarfism; mulibrey growth disorder; mulibrey nanism; muscle-liver-brain-eye nanism; muscle, liver, brain, eye nanism syndrome

Patient organizations

Source: NIH GARD · Mulibrey nanism syndromeGARD ID 95 · 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 Mulibrey nanism syndrome.

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Explore research for Mulibrey nanism syndrome

Explore actively recruiting Mulibrey nanism syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Mulibrey nanism 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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