raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:116

Beckwith-Wiedemann syndrome

Synonyms: BWS · Exomphalos-macroglossia-gigantism syndrome · Wiedemann-Beckwith syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant, Unknown
Age of onset
Antenatal, Neonatal
Status
active

A rare imprinting disorder characterized by pre- and postnatal overgrowth, macroglossia, abdominal wall defects and an elevated tumor risk. The clinical expression is variable, ranging from lateralised overgrowth to a pronounced clinical presentation.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBeckwith-Wiedemann syndromeBWS · Exomphalos-macroglossia-gigantism syndrome · Wiedemann-Beckwith syndrome
frSyndrome de Beckwith-WiedemannBWS · Syndrome d'omphalocèle-macroglossie-gigantisme · Syndrome de Wiedemann-Beckwith
deBeckwith-Wiedemann-SyndromBWS · Exomphalos - Makroglossie - Gigantismus · Wiedemann-Beckwith-Syndrom
esSíndrome de Beckwith-WiedemannOnfalocele-macroglosia-gigantismo · SBW · Síndrome de Wiedemann-Beckwith
itSindrome di Beckwith-WiedemannBWS · Disomia uniparentale paterna del cromosoma 11, tipo in mosaico · Disomia uniparentale paterna del cromosoma 11, tipo mosaico · Esonfalo - macroglossia - gigantismo · Sindrome di Wiedemann-Beckwith
nlSyndroom van Beckwith-WiedemannBWS · Exomphalos - macroglossie - gigantisme-syndroom · Syndroom van Wiedemann-Beckwith
ptSíndrome Beckwith-WiedemannSíndrome Wiedemann-Beckwith · Síndrome de exonfalos-macroglossia-gigantismo
plZespół Beckwitha i WiedemannaBWS · Przepuklina pępowinowa - makroglosja - gigantyzm · Zespół Wiedemanna i Beckwitha
csBeckwithův-Wiedemannův syndromBWS · Syndrom zahrnující exomphalus, makroglosii a gigantismus · EMG syndrom · Wiedemannův-Beckwithův syndrom · Beckwith-Wiedemannův syndrom · Wiedemann-Beckwithův syndrom
ukСиндром Беквіта-ВідеманаBWS · Синдром екзомфалос-макроглосія-гігантизм · Синдром Відемана-Беквіта
zhBeckwith-Wiedemann综合征脐凸出-舌肥大-巨人症综合征
trBeckwith-Wiedemann sendromuBWS · Wiedemann-Beckwith sendromu · Ekzomfal-makroglosi-jigantism sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM130650Evalidated
ICD-10Q87.3NTBTinclusionvalidated
ICD-11LD2CNTBTindexvalidated
MONDO0007534Evalidated
MeSHD001506Evalidated
UMLSC0004903Evalidated
GARD3343Evalidated
MedDRA10050344Evalidated

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 (9):

Children (6):

4

Genes

0 direct · 5 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CDKN1CORPHA:231120Beckwith-Wiedemann syndrome due to CDKN1C mutationDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:1786ENSG0000012975760085611p15.4cyclin dependent kinase inhibitor 1C26077438[PMID]_20803657[PMID]_20301568[PMID]
H19ORPHA:231117Beckwith-Wiedemann syndrome due to imprinting defect of 11p15Role in the phenotype ofAssessedHGNC:4713ENSG0000013060010328011p15.5H19 imprinted maternally expressed transcript21863054[PMID]_20803657[PMID]_20301568[PMID]
H19ORPHA:231127Beckwith-Wiedemann syndrome due to 11p15 microdeletionRole in the phenotype ofAssessedHGNC:4713ENSG0000013060010328011p15.5H19 imprinted maternally expressed transcript15314640[PMID]
IGF2ORPHA:231117Beckwith-Wiedemann syndrome due to imprinting defect of 11p15Role in the phenotype ofAssessedHGNC:5466ENSG0000016724414747011p15.5insulin like growth factor 221863054[PMID]_20803657[PMID]_20301568[PMID]
KCNQ1OT1ORPHA:231117Beckwith-Wiedemann syndrome due to imprinting defect of 11p15Role in the phenotype ofAssessedHGNC:6295ENSG0000026982160411511p15.5KCNQ1 opposite strand/antisense transcript 112019213[PMID]_20803657[PMID]_20301568[PMID]
5

Prevalence and incidence

6 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0003.5 / 100 000EuropeValue and classValidatedEUROCAT European surveillance of congenital anomalies 2005-2012[OTHER]
Prevalence at birth1-9 / 100 0001.3 / 100 000SpainValue and classValidated10199027[PMID]
Prevalence at birth1-9 / 100 0005.25 / 100 000JapanValue and classValidated2092586[PMID]_7424972[PMID]_ORPHANET
Prevalence at birth1-9 / 100 0007.4 / 100 000JamaicaValue and classValidated5434588[PMID]
Prevalence at birth1-5 / 10 00010 / 100 000ItalyValue and classValidated23918458[PMID]
Point prevalence1-5 / 10 000—EuropeClass 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

85 annotations · validated 2024-02-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001520Large for gestational ageDiagnostic criterion
HP:0002664Neoplasm
HP:0000098Tall stature
Frequent (79-30%)
HP:0000309Abnormal midface morphology
HP:0000363Abnormality of earlobe
HP:0005616Accelerated skeletal maturationDiagnostic criterion
HP:0009908Anterior creases of earlobe
HP:0100555Asymmetric growth
HP:0001139Choroideremia
HP:0000280Coarse facial features
HP:0000776Congenital diaphragmatic hernia
HP:0000105Enlarged kidney
HP:0001738Exocrine pancreatic insufficiency
HP:0001528HemihypertrophyDiagnostic criterion
HP:0002150Hypercalciuria
HP:0000842Hyperinsulinemia
HP:0001943Hypoglycemia
HP:0100876Infra-orbital creaseDiagnostic criterion
HP:0006267Large placentaDiagnostic criterion
HP:0031510Linear earlobe crease
HP:0011417Long umbilical cord
HP:0000158MacroglossiaDiagnostic criterion
HP:0000303Mandibular prognathia
HP:0000995Melanocytic nevus
HP:0011800Midface retrusion
HP:0008659Multiple small medullary renal cysts
HP:0001998Neonatal hypoglycemia
HP:0000121Nephrocalcinosis
HP:0000112Nephropathy
HP:0001052Nevus flammeus
HP:0001513Obesity
HP:0001539OmphaloceleDiagnostic criterion
HP:0001561PolyhydramniosDiagnostic criterion
HP:0004464Postauricular pit
HP:0008523Posterior helix pitDiagnostic criterion
HP:0001622Premature birth
HP:0000269Prominent occiput
HP:0000520Proptosis
HP:0001582Redundant skin
HP:0030720Subchorionic septal cyst
HP:0001537Umbilical hernia
HP:0003271VisceromegalyDiagnostic criterion
HP:0000154Wide mouth
Occasional (29-5%)
HP:0030680Abnormal cardiovascular system morphology
HP:0012090Abnormal pancreas morphology
HP:0002167Abnormality of speech or vocalization
HP:0006744Adrenocortical carcinoma
HP:0008186Adrenocortical cytomegalyPathognomonic sign
HP:0001640Cardiomegaly
HP:0000175Cleft palate
HP:0008676Congenital megaureter
HP:0000028Cryptorchidism
HP:0002194Delayed gross motor development
HP:0001540Diastasis rectiDiagnostic criterion
HP:0006254Elevated alpha-fetoprotein
HP:0000329Facial hemangiomaDiagnostic criterion
HP:0008872Feeding difficulties in infancy
HP:0000150Gonadoblastoma
HP:0002884HepatoblastomaDiagnostic criterion
HP:0002240Hepatomegaly
HP:0001639Hypertrophic cardiomyopathy
HP:0000821Hypothyroidism
HP:0000023Inguinal hernia
HP:0000239Large fontanelles
HP:0030255Large intestinal polyposis
HP:0100243Leiomyosarcoma
HP:0005562Multiple renal cysts
HP:0002667NephroblastomaDiagnostic criterion
HP:0000787Nephrolithiasis
HP:0003006NeuroblastomaDiagnostic criterion
HP:0012758Neurodevelopmental delay
HP:0000362Otosclerosis
HP:0001901Polycythemia
HP:0005487Prominent metopic ridge
HP:0002859RhabdomyosarcomaDiagnostic criterion
HP:0010535Sleep apnea
HP:0001744Splenomegaly
HP:0000219Thin upper lip vermilion
HP:0000073Ureteral duplication
HP:0100589Urogenital fistula
HP:0000076Vesicoureteral reflux
HP:0000260Wide anterior fontanel
Very rare (<4-1%)
HP:0002308Chiari malformation
HP:0000365Hearing impairment
HP:0000852Pseudohypoparathyroidism

Run the differential on the 3 obligate / very frequent terms

Annotation source: 20301568[PMID]_842515[PMID]_1872243[PMID]_7604127[PMID]_9083309[PMID]_10755868[PMID]_11124932[PMID]_12584548[PMID]_12970646[PMID]_14568801[PMID]_15580204[PMID]_15811927[PMID]_16370286[PMID]_25085994[PMID]_26367199[PMID]_22015620[PMID]_14231762[PMID]

7

Sources for this card