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Living with Richieri Costa-Pereira syndrome

A rare genetic syndrome with short height, a small lower jaw and cleft, hand and foot differences, and breathing and feeding trouble in infancy.

Understanding Richieri Costa-Pereira syndrome

Richieri Costa-Pereira syndrome is a rare genetic syndrome that causes short height, jaw differences, and hand and foot differences.

Features include Robin sequence (a small lower jaw with breathing and feeding trouble), a cleft in the lower jaw, small or missing thumbs, and clubfoot. Ears may be low set and the palate highly arched. It has been described in 14 Brazilian families and in one unrelated French patient. It starts at birth or in infancy.

Signs & symptoms

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

  • Robin sequence
  • Cleft lower jaw (cleft mandible)
  • Small or missing thumbs
  • Clubfoot
  • Feeding trouble in infancy
  • Breathing trouble in newborns

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, ear, nose, and throat specialists and genetic specialists.

  3. Consider genetic testing

    Changes in EIF4A3 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

    World Craniofacial Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Expert lists: World Craniofacial 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 World Craniofacial Foundation 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
Should we have genetic testing for the EIF4A3 gene?
What support could help with feeding and breathing?
Which specialists should care for jaw, hand, and foot differences?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesEIF4A3

It is caused by changes in the EIF4A3 gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

Genetic

Also known as: richieri costa pereira syndrome; robin sequence with cleft mandible and limb anomalies; robin sequence with cleft mandible and limb anomalies syndrome; short stature-pierre robin sequence-cleft mandible-hand anomalies clubfoot syndrome; short stature-pierre robin syndrome-cleft mandible-hand anomalies clubfoot syndrome; short stature, pierre robin sequence, cleft mandible, hand anomalies, clubfoot syndrome

Patient organizations

Source: NIH GARD · Richieri Costa-Pereira syndromeGARD ID 4718 · 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 Richieri Costa-Pereira syndrome.

Explore the Richieri Costa-Pereira syndrome blog

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