raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:10

48,XXYY syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Not applicable, Unknown
Age of onset
Adolescent, Childhood, Infancy, Neonatal
Status
active

A rare sex chromosome number anomaly disorder characterized, genetically, by the presence of an extra X and Y chromosome in males and, clinically, by tall stature, dysfunctional testes associated with infertility and insufficient testosterone production, cognitive, affective and social functioning impairments, global developmental delay, and an increased risk of congenital malformations.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
en48,XXYY syndrome
frSyndrome 48,XXYY
de48,XXYY-Syndrom
esSíndrome 48,XXYY
itSindrome 48,XXYY
nl48,XXYY-syndroom48,XXYY
ptSíndrome 48,XXYY
plZespół 48,XXYY
csSyndrom 48,XXYY
uk48,XXYY синдром
zh48,XXYY综合征
tr48, XXYY sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10Q98.8NTBTattributedvalidated
ICD-11LD50.3YNTBTindexvalidated
MONDO0015028Evalidated
MeSHD007713Evalidated
UMLSC2936741Evalidated
GARD5677Evalidated
MedDRA10048230Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (5):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0001.9 / 100 000EuropeValue and classValidated[EXPERT]_568179[PMID]_14477077[PMID]_2090319[PMID]
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

61 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002167Abnormality of speech or vocalization
HP:0000027Azoospermia
HP:0008734Decreased testicular size
HP:0001263Global developmental delay
HP:0000815Hypergonadotropic hypogonadism
HP:0000789Infertility
HP:0001249Intellectual disability
Frequent (79-30%)
HP:0000682Abnormality of dental enamel
HP:0003043Abnormality of the shoulder
HP:0000739Anxiety
HP:0002099Asthma
HP:0007018Attention deficit hyperactivity disorder
HP:0000581Blepharophimosis
HP:0000670Carious teeth
HP:0000389Chronic otitis media
HP:0004209Clinodactyly of the 5th finger
HP:0002019Constipation
HP:0000684Delayed eruption of teeth
HP:0000716Depression
HP:0003042Elbow dislocation
HP:0000286Epicanthus
HP:0008872Feeding difficulties in infancy
HP:0005469Flat occiput
HP:0000771Gynecomastia
HP:0000316Hypertelorism
HP:0001252Hypotonia
HP:0001382Joint hypermobility
HP:0001513Obesity
HP:0010807Open bite
HP:0001763Pes planus
HP:0002974Radioulnar synostosis
HP:0002205Recurrent respiratory infections
HP:0000486Strabismus
HP:0000098Tall stature
HP:0000679Taurodontia
HP:0000179Thick lower lip vermilion
HP:0001337Tremor
HP:0000582Upslanted palpebral fissure
Occasional (29-5%)
HP:0030680Abnormal cardiovascular system morphology
HP:0000733Abnormal repetitive mannerisms
HP:0002104Apnea
HP:0001251Ataxia
HP:0000717Autism
HP:0012802Broad jaw
HP:0000175Cleft palate
HP:0000028Cryptorchidism
HP:0001260Dysarthria
HP:0000324Facial asymmetry
HP:0002020Gastroesophageal reflux
HP:0001385Hip dysplasia
HP:0008736Hypoplasia of penis
HP:0000023Inguinal hernia
HP:0000276Long face
HP:0002665Lymphoma
HP:0000639Nystagmus
HP:0000709Psychosis
HP:0002650Scoliosis
HP:0001250Seizure
HP:0001883Talipes
HP:0005978Type II diabetes mellitus
HP:0002119Ventriculomegaly

Run the differential on the 7 obligate / very frequent terms

7

Sources for this card