In 2015, a p.Arg822Gln substitution in IFIH1 was shown to cause Singleton Merten syndrome (SMS), an autosomal dominant trait variably characterized by a deforming arthropathy, abnormal tooth development and cardiac valve calcification, again in association with enhanced type I interferon signaling (Rutsch et al., 2015). This evidence concerns the gene IFIH1 and Smith-Magenis syndrome.