intellectual developmental disorder with nasal speech, dysmorphic facies, and variable skeletal anomalies (EFO_0010630) is an autosomal dominant disorder characterized by delayed development, speech delay with nasal speech, and characteristic facial features including upslanted palpebral fissures, anteverted nares, a thin upper lip, and micrognathia. Some patients may have skeletal anomalies, such as brachydactyly, toe syndactyly and flat feet.