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A progressive disorder involving connective tissue, bone, retina, ear, and brain, characterized by early-onset retinal degeneration, sensorineural hearing loss, microcephaly, intellectual disability, and skeletal dysplasia with scoliosis and short stature.
Features include: Delayed epiphyseal ossification, Bone spicule pigmentation of the retina, Retinal pigment epithelial mottling, and Microcephaly and 8 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 3 | Retinal pigment epithelial mottling, Retinal degeneration, Optic disc pallor |
PISD function has not been fully characterized.
Liberfarb syndrome has been associated with mutations in the PISD gene on chromosome 22.
Genetic testing for PISD is available. Testing is considered supportive for diagnosis.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Liberfarb syndrome.
6 publications have been identified in PubMed for Liberfarb syndrome. Research spans Review / Meta-Analysis (50%), Case Report / Case Series (17%), and Basic Science / Preclinical (17%).
Shi Z (2026). [PMID: 41812924](https://pubmed.ncbi.nlm.nih.gov/41812924/). *J Nutr*. [Review / Meta-Analysis]
Kavita K (2025). [PMID: 40783389](https://pubmed.ncbi.nlm.nih.gov/40783389/). *Nat Commun*. [Basic Science / Preclinical]
Marta A (2025). [PMID: 39939324](https://pubmed.ncbi.nlm.nih.gov/39939324/). *NPJ Genom Med*. [Epidemiology / Natural History]
Messina M (2025). [PMID: 38872485](https://pubmed.ncbi.nlm.nih.gov/38872485/). *J Inherit Metab Dis*. [Review / Meta-Analysis]
Aagaard Nolting L (2024). [PMID: 38801004](https://pubmed.ncbi.nlm.nih.gov/38801004/). *Clin Genet*. [Case Report / Case Series]
Makio T (2024). [PMID: 39070058](https://pubmed.ncbi.nlm.nih.gov/39070058/). *Contact (Thousand Oaks)*. [Review / Meta-Analysis]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 11:54 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Liberfarb syndrome
2 |
Bone spicule pigmentation of the retina, Sideways curvature of the spine (scoliosis) |
Brain and nerves | 2 | Global developmental delay, Intellectual disability |
Head and neck | 1 | Microcephaly |
Growth and development | 1 | Short stature |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |