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Living with Syndromic X-linked intellectual disability Shashi type

An X-linked condition with moderate intellectual disability, obesity, large testes, and distinct facial features.

Understanding Syndromic X-linked intellectual disability Shashi type

Syndromic X-linked intellectual disability, Shashi type is a rare X-linked condition with moderate intellectual disability and obesity.

People have large testes (macroorchidism) and a distinct face with large ears, a prominent lower lip, and puffy eyelids. Speech is delayed. It has been described in nine boys from two families. Signs may begin in the newborn or infant years.

Signs & symptoms

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

  • Moderate intellectual disability
  • Delayed speech
  • Obesity
  • Large testes
  • Large ears and prominent lower lip
  • Puffy eyelids

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 brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in RBMX 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
Brain and nervous system specialists (neurologists); 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 FACES: The National Craniofacial Association
  • 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
What speech therapy options are available?
How can we support healthy weight?
Would RBMX gene testing help our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesRBMX

Changes in the RBMX gene cause this condition. It is X-linked, meaning the gene is on the X chromosome.

GeneticNeurological

Also known as: intellectual developmental disorder, syndromic 11, shashi type, x-linked recessive; intellectual developmental disorder, x-linked, syndromic 11; intellectual disability, x-linked, syndromic 11, shashi type; mrxs11; shashi x-linked intellectual disability syndrome; smrxs

Patient organizations

Source: NIH GARD · Syndromic X-linked intellectual disability Shashi typeGARD ID 4119 · 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 Syndromic X-linked intellectual disability Shashi type.

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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