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Living with Short stature-optic atrophy-Pelger-Huët anomaly syndrome

A rare genetic condition with very short height, vision loss from optic nerve damage and facial differences, with typical intelligence.

Understanding Short stature-optic atrophy-Pelger-Huët anomaly syndrome

Short stature-optic atrophy-Pelger-Huet anomaly syndrome is a rare genetic condition that causes severe short stature and vision problems.

Children grow slowly after birth and have short limbs, short fingers and a face that can look older than their age. Both optic nerves are damaged, which reduces color vision and sharpness. Intelligence is normal. White blood cells have an unusual shape (Pelger-Huet anomaly). Skin may be loose. Liver failure triggered by fever has occasionally been reported. Signs start in the newborn and infant period.

Signs & symptoms

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

  • Slow growth after birth
  • Optic atrophy (vision loss)
  • Nearsightedness (myopia)
  • Bulging eyes
  • Loose, inelastic skin
  • Low muscle tone (hypotonia)

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, eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in NBAS 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
Bone and joint specialists (orthopedists or orthopedic surgeons); Eye disease specialists (ophthalmologists); 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 rare disease patient organizations for support
  • 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 of the NBAS gene confirm this diagnosis?
What should we do if my child gets a fever?
How often should the eyes and liver be checked?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesNBAS

GARD lists changes in the NBAS gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

Genetic

Also known as: short stature with optic atrophy and pelger-huët anomaly syndrome; short stature, optic nerve atrophy, and pelger-huet anomaly; soph syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Short stature-optic atrophy-Pelger-Huët anomaly syndromeGARD ID 10945 · 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 Short stature-optic atrophy-Pelger-Huët anomaly syndrome.

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