raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1297

Branchio-oculo-facial syndrome

Synonyms: BOFS

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

A rare, dominantly inherited multiple congenital anomalies syndrome characterized by highly variable clinical phenotype involving the three main affected systems: branchial (cutaneous) defects, ophthalmic malformations and facial anomalies. Additional features can be present.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBranchio-oculo-facial syndromeBOFS
frSyndrome branchio-oculo-facial= en
deBranchio-okulo-faziales SyndromBOFS · Lee-Root-Fenske-Syndrom
esSíndrome branquio-óculo-facialSíndrome de Lee-Root-Fenske
itSindrome branchio-oculo-facciale= en
nlBranchio-oculo-faciaal syndroom= en
ptSíndrome branquio-óculo-facial= en
plZespół skrzelowo-oczno-twarzowy= en
csBranchiookulofaciální syndrom= en
ukБранхіо-окуло-фаціальний синдром= en
zh鳃眼面综合征= en
trBranchio-okülo-yüz sendromu= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM113620Evalidated
ICD-10Q18.8NTBTattributedvalidated
ICD-11LD2F.1YNTBTindexvalidated
MONDO0007235Evalidated
UMLSC0376524Evalidated
GARD3212Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TFAP2ADisease-causing germline mutation(s) inAssessedHGNC:11742ENSG000001372031075806p24.3transcription factor AP-2 alpha21634087[PMID]_18423521[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families150 casesWorldwideCase(s)Validated21634087[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_21634087[PMID]

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

37 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000377Abnormal pinna morphology
HP:0000987Atypical scarring of skin
HP:0000589Coloboma
HP:0000405Conductive hearing impairment
HP:0002002Deep philtrum
HP:0000232Everted lower lip vermilion
HP:0001028Hemangioma
HP:0004464Postauricular pit
HP:0000358Posteriorly rotated ears
HP:0004467Preauricular pit
HP:0008606Supraauricular pit
Frequent (79-30%)
HP:0002167Abnormality of speech or vocalization
HP:0000455Broad nasal tip
HP:0000268Dolichocephaly
HP:0100798Fingernail dysplasia
HP:0000218High palate
HP:0001611Hypernasal speech
HP:0001511Intrauterine growth retardation
HP:0000612Iris coloboma
HP:0000691Microdontia
HP:0000579Nasolacrimal duct obstruction
HP:0100335Non-midline cleft of the upper lip
HP:0002216Premature graying of hair
HP:0004322Short stature
HP:0009804Tooth agenesis
HP:0000582Upslanted palpebral fissure
HP:0000431Wide nasal bridge
Occasional (29-5%)
HP:0000518Cataract
HP:0000126Hydronephrosis
HP:0000482Microcornea
HP:0000003Multicystic kidney dysplasia
HP:0000202Orofacial cleft
HP:0001177Preaxial hand polydactyly
HP:0000508Ptosis
HP:0000104Renal agenesis
HP:0000486Strabismus
HP:0100268Upper lip pit

Run the differential on the 11 obligate / very frequent terms

7

Sources for this card