raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1253

Ascher syndrome

Synonyms: Blepharochalasis-double lip syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Not applicable
Age of onset
Neonatal
Status
active

A very rare syndrome characterized by a combination of blepharochalasis, double lip, and non-toxic thyroid enlargement (seen in 10-50% of cases), although the occurrence of all three signs at presentation is uncommon. Hypertrophy of the mucosal zone of the lip with persistence of the horizontal sulcus between cutaneous and mucosal zones gives an appearance of double lip, with the upper lip being frequently involved. Blepharochalasis, or episodic edema of eyelid, appears around puberty, is present in 80% of cases, is usually bilateral, and can rarely lead to vision impairment and other ocular complications. Most cases are sporadic, but familial cases (with a possible autosomal dominant inheritance) have also been reported.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAscher syndromeBlepharochalasis-double lip syndrome
frSyndrome d'AscherSyndrome de blépharochalasis-lèvre double
deAscher-SyndromBlepharochalasie-Doppelte Lippe-Syndrom
esSíndrome de AscherBlefarocalasia - labio doble · Blefarocalasia-labio doble · Síndrome de blefarocalasia-labio doble
itSindrome di AscherSindrome blefarocalasi-labbro doppio
nlSyndroom van AscherBlefarochalasie - dubbele lip-syndroom
ptSíndrome Ascher
plZespół AscheraZespół zwiotczenia powiek i podwójnej wargi
csAscherův syndromBlepharochalasis-double lip syndrom · Syndrom zahrnující blefarochalázu a dvojitý ret
ukСиндром АшераСиндром блефарохалазії - подвійної губи
zhAscher综合征眼睑皮肤松弛-双唇综合征
trAscher sendromuBlefarokalazis-çift dudak sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM109900Evalidated
ICD-10Q87.0NTBTattributedvalidated
ICD-11LD27.YNTBTindexvalidated
MONDO0007198Evalidated
MeSHC562742Evalidated
UMLSC0339085Evalidated
GARD201Evalidated

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 (5):

No children.

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Genes

0 direct

Orphanet records no gene directly on this code.

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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families50 casesWorldwideCase(s)Validated8994475[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

12 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000492Abnormal eyelid morphology
HP:0000177Abnormality of upper lip
HP:0000581Blepharophimosis
HP:0012724Upper eyelid edema
Frequent (79-30%)
HP:0000853Goiter
HP:0000821Hypothyroidism
HP:0000508Ptosis
HP:0000505Visual impairment
Occasional (29-5%)
HP:0004097Deviation of finger
HP:0000218High palate
HP:0000316Hypertelorism
HP:0000445Wide nose

Run the differential on the 4 obligate / very frequent terms

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Sources for this card