raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:11

Pentasomy X syndrome

Synonyms: 49,XXXXX syndrome · Penta-X · Poly-X

Type
Malformation syndrome
Group
Disorder
Age of onset
Neonatal
Status
active

A rare sex-chromosome number anomaly characterized by the presence of five X chromosomes in females instead of the usual two. Patients present with global developmental delay, intellectual disability, musculoskeletal abnormalities (mostly small hands and feet, camptodactyly, clinodactyly, radioulnar synostosis), and craniofacial anomalies (such as microcephaly, plagiocephaly, upslanting palpebral fissures, hypertelorism, flat nasal bridge, ear malformations, microganthia). Cardiovascular malformations can sometimes be present as well as immunoglobulin anomalies and an increased susceptibility to infections. External genitalia are generally normal but gonadal dysfunction has been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPentasomy X syndrome49,XXXXX syndrome · Penta-X · Poly-X
frSyndrome de pentasomie xPenta-X · Poly-X · Syndrome 49,XXXXX
dePentasomie X49,XXXXX-Syndrom · Penta-X-Syndrom · Poly-X-Syndrom
esSíndrome de pentasomía XPenta-X · Poli-X · Síndrome 49,XXXXX
itSindrome pentasomia XPenta-X · Poli-X · Sindrome 49,XXXXX
nlPentasomie X-syndroom49,XXXXX-syndroom · Penta-X · Poly-X
ptPentassomia XSíndrome 49,XXXXX · Síndrome Penta X
plZespół pantasomii chromosomu XPenta X · Poli X · Zespół 49,XXXXX
csPentazomie X49,XXXXX syndrom · Penta-X · Poly-X
ukПентасомія X49,XXXXX синдром · Пента-Х · Poly-X
zhX染色体五倍体49,XXXXX综合征
trPentazomi XPoly-X · Penta-X · 49, XXXXX sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10Q97.1NTBTattributedvalidated
ICD-11LD50.YNTBTindexvalidated
MONDO0015228Evalidated
MeSHC535319Evalidated
UMLSC2937419Evalidated
GARD5678Evalidated

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

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
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.

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HPO phenotypes

22 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001252Hypotonia
HP:0000358Posteriorly rotated ears
Frequent (79-30%)
HP:0100490Camptodactyly of finger
HP:0004209Clinodactyly of the 5th finger
HP:0001263Global developmental delay
HP:0000316Hypertelorism
HP:0001249Intellectual disability
HP:0000252Microcephaly
HP:0000347Micrognathia
HP:0001357Plagiocephaly
HP:0002974Radioulnar synostosis
HP:0001773Short foot
HP:0004322Short stature
HP:0200055Small hand
HP:0000486Strabismus
HP:0000582Upslanted palpebral fissure
HP:0000431Wide nasal bridge
Occasional (29-5%)
HP:0001671Abnormal cardiac septum morphology
HP:0010978Abnormality of immune system physiology
HP:0000823Delayed puberty
HP:0001385Hip dysplasia
HP:0001643Patent ductus arteriosus

Run the differential on the 2 obligate / very frequent terms

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Sources for this card