raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1018

X-linked Alport syndrome-diffuse leiomyomatosis

Synonyms: Xq22.3 microdeletion syndrome

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
X-linked dominant
Age of onset
Adolescent, Adult, Childhood
Status
active

A rare renal disease characterized by the association of X-linked Alport syndrome (glomerular nephropathy, sensorineural deafness and ocular anomalies) and benign proliferation of visceral smooth muscle cells along the gastrointestinal, respiratory, and female genital tracts and clinically manifests with dysphagia, dyspnea, cough, stridor, postprandial vomiting, retrosternal or epigastric pain, recurrent pneumonia, and clitoral hypertrophy in females.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked Alport syndrome-diffuse leiomyomatosisXq22.3 microdeletion syndrome
frSyndrome d'Alport lié à l'X-léiomyomatose diffuseMicrodélétion Xq22.3
deX-chromosomales Alport-Syndrom mit diffuser LeiomyomatoseMikrodeletionssyndrom Xq22.3
esSíndrome de Alport ligado al cromosoma X-leiomiomatosis difusaSíndrome de microdeleción Xq22.3
itSindrome di Alport legata all'X-leiomiomatosi diffusaSindrome da microdelezione Xq22.3
nlX-gebonden syndroom van Alport - diffuse leiomyomatoseXq22.3-microdeletiesyndroom
ptSíndrome Alport ligada ao X-leiomiomatose difusa
plZespół Alporta związany z chromosomem X-rozlana mięśniakowatość macicyZespół mikrodelecji Xq22.3
csX-vázaná difuzní leiomyomatóza s Alportovým syndromemXq22.3 mikrodeleční syndrom
ukХ-зчеплений синдром Альпорта - дифузний лейоміоматозСиндром мікроделеції Xq22.3
zhX连锁Alport综合征-弥漫性平滑肌瘤病Xq22.3 微缺失综合征
trX'e bağlı Alport sendromu-diffüz leiomiyomatozXq22.3 mikrodelesyon sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM150700BTNTvalidated
OMIM308940Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD2H.YNTBTindexvalidated
MONDO0010641Evalidated
UMLSC4511693Evalidated
GARD2432Evalidated

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 (2):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
COL4A5Role in the phenotype ofAssessedHGNC:2207ENSG00000188153303630Xq22.3collagen type IV alpha 5 chain20951201[PMID]
COL4A6Role in the phenotype ofAssessedHGNC:2208ENSG00000197565303631Xq22.3collagen type IV alpha 6 chain20951201[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidated[EXPERT]

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

39 annotations · validated 2020-12-17
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002031Abnormal esophagus morphology
HP:0002015Dysphagia
HP:0100751Esophageal neoplasm
HP:0012718Morphological abnormality of the gastrointestinal tract
Frequent (79-30%)
HP:0000478Abnormality of the eye
HP:0010460Abnormality of the female genitalia
HP:0002571Achalasia
HP:0000518Cataract
HP:0100749Chest pain
HP:0012622Chronic kidney disease
HP:0006756Diffuse leiomyomatosis
HP:0410281Dyspepsia
HP:0001508Failure to thrive
HP:0002020Gastroesophageal reflux
HP:0000790Hematuria
HP:0100771Hypoperistalsis
HP:0000112Nephropathy
HP:0000093Proteinuria
HP:0000407Sensorineural hearing impairment
HP:0003262Smooth muscle antibody positivity
HP:0002013Vomiting
Occasional (29-5%)
HP:0012252Abnormal respiratory system morphology
HP:0011501Anterior lenticonus
HP:0011951Aspiration pneumonia
HP:0012735Cough
HP:0002094Dyspnea
HP:0010450Esophageal stenosis
HP:0010614Fibroma
HP:0000491Keratitis
HP:0000545Myopia
HP:0040288Nasogastric tube feeding
HP:0032141Precordial pain
HP:0002205Recurrent respiratory infections
HP:0003774Stage 5 chronic kidney disease
HP:0006524Tracheobronchial leiomyomatosis
HP:0010784Uterine neoplasm
HP:0100650Vaginal neoplasm
HP:0030416Vulvar neoplasm
HP:0001824Weight loss

Run the differential on the 4 obligate / very frequent terms

Annotation source: 3153032[PMID]_30322718[PMID]_23765124[PMID]_28275241[PMID]

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Sources for this card