Neurodevelopmental Disorder with Dysmorphic Facies and Distal Skeletal Anomalies, also known as neddfsa, is related to contractures, pterygia, and spondylocarpotarsal fusion syndrome 1a and hypermobile ehlers-danlos syndrome. An important gene associated with Neurodevelopmental Disorder with Dysmorphic Facies and Distal Skeletal Anomalies is ZMIZ1 (Zinc Finger MIZ-Type Containing 1). Affiliated tissues include eye and kidney, and related phenotypes are intellectual disability and delayed speech and language development