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IDDGIP is an autosomal dominant syndromic neurodevelopmental disorder characterized by delayed psychomotor development, intellectual disability with speech delay, and behavioral abnormalities. Most patients have variable additional features, including feeding and gastrointestinal difficulties, high pain threshold and/or hypersensitivity to sound, and dysmorphic features, including mild facial abnormalities, strabismus, and small hands and feet (summary by {1:Jansen et al., 2017}).
Features include always present findings: Hyperacusis; and very common findings: Short foot, Thin upper lip vermilion, Intellectual disability, and Posteriorly rotated ears and others. 34 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 7 | Anxiety, Intellectual disability, Broad-based gait |
PPM1D function has not been fully characterized.
Intellectual developmental disorder with gastrointestinal difficulties and high pain threshold is associated with mutations in the PPM1D gene on chromosome 17.
Genetic testing for PPM1D is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 always present feature, 5 very common features, 15 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for intellectual developmental disorder with gastrointestinal difficulties and high pain threshold.
5 publications have been identified in PubMed for intellectual developmental disorder with gastrointestinal difficulties and high pain threshold. Research spans Basic Science / Preclinical (40%), Review / Meta-Analysis (20%), and Case Report / Case Series (20%).
Vettiatil D (2025). [PMID: 40894167](https://pubmed.ncbi.nlm.nih.gov/40894167/). *medRxiv*. [Basic Science / Preclinical]
Merida De la Torre FJ (2025). [PMID: 40630121](https://pubmed.ncbi.nlm.nih.gov/40630121/). *Front Genet*. [Case Report / Case Series]
Li BUK (2025). [PMID: 39789960](https://pubmed.ncbi.nlm.nih.gov/39789960/). *Neurogastroenterol Motil*. [Review / Meta-Analysis]
Pizzol A (2025). [PMID: 39494522](https://pubmed.ncbi.nlm.nih.gov/39494522/). *Am J Med Genet A*. [Epidemiology / Natural History]
Cunningham JL (2025). [PMID: 39396515](https://pubmed.ncbi.nlm.nih.gov/39396515/). *Dev Neurosci*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 6:52 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Digestive system
4 |
Gastroesophageal reflux, Constipation, Vomiting |
Arms and legs | 2 | Short foot, Small hand |
Heart and blood vessels | 2 | Ventricular septal defect, Bicuspid aortic valve |
Skin | 1 | Small nail |
Eyes | 1 | Strabismus |
Growth and development | 1 | Short stature |
Muscles | 1 | Low muscle tone (hypotonia) |
Blood and immune system | 1 | Recurrent infections |
Bones and joints | 1 | Excessive inward curvature of the lower spine (hyperlordosis) |
Head and neck | 1 | Thin upper lip vermilion |