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Living with Say-Barber-Miller syndrome

A rare syndrome with a small head, developmental delay, facial differences, and immune system problems that can cause repeated infections.

Understanding Say-Barber-Miller syndrome

Say-Barber-Miller syndrome is a rare syndrome with many differences present from birth.

Features include a small head, developmental delay, intellectual disability, and slow growth after birth. Facial features include a sloping forehead, a beaked nose, large ears, and a small jaw. Immune differences can lead to repeated infections, and autoimmune or inflammatory problems occur. Skeletal differences and low hormone activity have been reported.

Signs & symptoms

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

  • Global developmental delay
  • Small head size (microcephaly)
  • Early fusion of skull bones (craniosynostosis)
  • Delayed speech
  • Immune cell movement problems (impaired neutrophil chemotaxis)
  • Tight elbows and knees (contractures)

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, brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  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); 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
Is genetic testing available for this condition?
How should the immune system and infections be watched?
What therapies can support development?

Quick facts

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

It is autosomal recessive, so a child inherits a changed copy of a gene from each parent. GARD does not name a gene.

GeneticNeurological

Also known as: microcephaly with chemotactic defect and transient hypogammaglobulinemia; microcephaly-hypogammaglobulinemia-abnormal immunity syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Say-Barber-Miller syndromeGARD ID 239 · 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 Say-Barber-Miller syndrome.

Explore the Say-Barber-Miller syndrome blog

Explore research for Say-Barber-Miller syndrome

Explore actively recruiting Say-Barber-Miller syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Say-Barber-Miller 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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