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A rare genetic disease characterized by facial dysmorphism with malar hypoplasia and high forehead, immunodeficiency resulting in recurrent infections, impaired growth (with normal growth hormone production and response) resulting in short stature, and livedo affecting face and extremities. Immunological analyzes show low memory B-cell and naïve T cell counts, decreased T cell proliferation, and reduced IgM, IgG2 and IgG4 titers. Patients do not exhibit increased susceptibility to cancer.
Features include always present findings: Decreased circulating total IgM; and very common findings: Short stature and Immunodeficiency. 13 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Lungs and breathing | 3 | Recurrent lower respiratory tract infections, Bronchiectasis, Recurrent upper respiratory tract infections |
POLE function has not been fully characterized.
Facial dysmorphism-immunodeficiency-livedo-short stature syndrome is associated with mutations in the POLE gene on chromosome 12.
Genetic testing for POLE is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for facial dysmorphism-immunodeficiency-livedo-short stature syndrome has been reported in the published literature.
Phenotype severity distribution: 1 always present feature, 2 very common features, 6 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for facial dysmorphism-immunodeficiency-livedo-short stature syndrome.
202 publications have been identified in PubMed for facial dysmorphism-immunodeficiency-livedo-short stature syndrome. Kisho has analyzed 37 by research type. Research spans Case Report / Case Series (43%), Basic Science / Preclinical (19%), and Epidemiology / Natural History (16%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 16 |
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 5:35 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Blood and immune system
3 |
Recurrent lower respiratory tract infections, Recurrent upper respiratory tract infections, Immunodeficiency |
Bones and joints | 1 | Bone pain |
Growth and development | 1 | Short stature |
Head and neck | 1 | Relative macrocephaly |
Skin | 1 | Telangiectases of the cheeks |
Laboratory research | 7 | 19% |
Disease patterns and progression | 6 | 16% |
Research summaries | 5 | 14% |
Clinical study results | 2 | 5% |
Testing and diagnosis research | 1 | 3% |
Anderson EN (2026). [PMID: 41468891](https://pubmed.ncbi.nlm.nih.gov/41468891/). *Am J Hum Genet*. [Case Report / Case Series]
Bongurala AR (2026). [PMID: 38861638](https://pubmed.ncbi.nlm.nih.gov/38861638/). *Unknown Journal*. [Case Report / Case Series]
Kolkiran A (2026). [PMID: 41795723](https://pubmed.ncbi.nlm.nih.gov/41795723/). *Eur J Pediatr*. [Case Report / Case Series]
Scalco RC (2026). [PMID: 41543974](https://pubmed.ncbi.nlm.nih.gov/41543974/). *Eur J Endocrinol*. [Review / Meta-Analysis]
Sharma L (2026). [PMID: 30335302](https://pubmed.ncbi.nlm.nih.gov/30335302/). *Unknown Journal*. [Epidemiology / Natural History]
Jat NS (2026). [PMID: 35593847](https://pubmed.ncbi.nlm.nih.gov/35593847/). *Unknown Journal*. [Epidemiology / Natural History]
Ngulube MM (2026). [PMID: 40198060](https://pubmed.ncbi.nlm.nih.gov/40198060/). *Unknown Journal*. [Case Report / Case Series]
Toulia I (2025). [PMID: 40491736](https://pubmed.ncbi.nlm.nih.gov/40491736/). *World J Clin Pediatr*. [Case Report / Case Series]
Serra G (2025). [PMID: 39985057](https://pubmed.ncbi.nlm.nih.gov/39985057/). *Ital J Pediatr*. [Case Report / Case Series]
Kim SY (2025). [PMID: 39513527](https://pubmed.ncbi.nlm.nih.gov/39513527/). *Am J Med Genet A*. [Case Report / Case Series]