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GTR Home > Conditions/Phenotypes > Myhre syndrome


Excerpted from the GeneReview: Myhre Syndrome
Myhre syndrome is a multisystem connective tissue disorder involving the skin and the cardiovascular, respiratory, gastrointestinal, and musculoskeletal systems. Affected individuals may experience progressive and proliferative fibrosis. Fibrosis may occur spontaneously or following trauma, invasive medical procedures, or surgery, often resulting in significant complications. Characteristic facial features are found in almost all affected individuals and are more apparent in older children and adults. Cardiovascular issues can include aortic hypoplasia and stenosis, congenital heart defects, pericardial involvement, and restrictive cardiomyopathy. Joint limitations may progress with age and resemble mild joint contractures. Most individuals have developmental delay / cognitive impairment, typically in the mild-to-moderate range. Other findings may include autism spectrum disorder, conductive or mixed hearing loss, short stature, refractive errors, premature puberty, recurrent respiratory infections, mechanical respiratory issues (choanal stenosis, laryngeal narrowing), and stenosis of the upper gastrointestinal tract.

Genes See tests for all associated and related genes

  • Also known as: DPC4, JIP, MADH4, MYHRS, SMAD4
    Summary: SMAD family member 4

Clinical features


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