All five patients had developmental delay, postaxial polydactyly, subtle cleft of the upper lip, hypotonia, and MTS, but notably without renal and retinal anomalies or significant obesity, and they shared the same mutation c.535C>G(p.Q179E) in <i>IFT74</i>, and c.853G>T(p.E285<sup>*</sup>) that we found was a new mutation in <i>IFT74</i> that related with Joubert syndrome. This evidence concerns the gene IFT74 and Global developmental delay.