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Living with Roifman syndrome

A rare genetic condition that affects growth, bones, the eyes, the immune system, and learning.

Understanding Roifman syndrome

Roifman syndrome is a rare genetic condition that affects the bones and the immune system (an immuno-osseous dysplasia).

It is linked to slow growth before and after birth, retina disease, a small head size, intellectual disability, and distinct facial features. It begins during pregnancy or in the newborn period.

Signs & symptoms

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

  • Slow growth after birth
  • Small head size (microcephaly)
  • Retina damage (retinal dystrophy)
  • Moderate intellectual disability
  • Bone-end differences (epiphyseal dysplasia)
  • Enlarged liver and spleen

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 allergy and immune system specialists, bone and joint specialists, brain and nervous system 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

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Bone and joint specialists (orthopedists or orthopedic surgeons); Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Immune Deficiency 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 Immune Deficiency Foundation
  • 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 RNU4ATAC gene?
How should the immune system and infections be monitored?
Which specialists should follow eyes and bones?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Recessive
GenesRNU4ATAC

It is caused by changes in the RNU4ATAC gene. It is autosomal recessive, so a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: rfmn; spondyloepiphyseal dysplasia-retinal dystrophy-immunodeficiency syndrome; spondyloepiphyseal dysplasia, retinal dystrophy, and antibody deficiency; spondyloepiphyseal dysplasia, retinal dystrophy, immunodeficiency syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Roifman syndromeGARD ID 9163 · 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 Roifman syndrome.

Explore the Roifman syndrome blog

Explore research for Roifman syndrome

Explore actively recruiting Roifman syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Roifman syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • 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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