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X-linked colobomatous microphthalmia-microcephaly-intellectual disability-short stature syndrome is a rare syndromic microphthalmia disorder characterized by microphthalmia with coloboma (which may involve the iris, cilary body, choroid, retina and/or optic nerve), microcephaly, short stature and intellectual disability. Other eye abnormalities such as pendular nystagmus, esotropia and ptosis may also be present. Additional associated abnormalities include kyphoscoliosis, anteverted pinnae with minimal convolutions, diastema of the incisors and congenital pes varus.
Features include always present findings: Kyphoscoliosis, Global developmental delay, Microcornea, and Anteverted ears and others; and common findings: Microcephaly and Short stature.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 2 | Global developmental delay, Intellectual disability |
HMGB3 encodes high mobility group box 3 (200 aa). Multifunctional protein with various roles in different cellular compartments. May act in a redox sensitive manner. Highest expression in Cells EBV-transformed lymphocytes (27.9 TPM) and Cells Cultured fibroblasts (24.7 TPM).
X-linked colobomatous microphthalmia-microcephaly-intellectual disability-short stature syndrome is associated with mutations in the HMGB3 gene on chromosome X.
HMGB3 is classified as a druggable target with score 0.0.
Genetic testing for HMGB3 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 12 always present features, 2 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 1:50 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about X-linked colobomatous microphthalmia-microcephaly-intellectual disability-short stature syndrome
2 |
Pendular nystagmus, Ptosis |
Bones and joints | 1 | Kyphoscoliosis |
Head and neck | 1 | Microcephaly |
Growth and development | 1 | Short stature |