raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1299

Branchioskeletogenital syndrome

Synonyms: BSG syndrome · Elsahy-Waters syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive, X-linked dominant
Age of onset
Neonatal
Status
active

Branchioskeletogenital syndrome is a rare multiple congenital anomalies/dysmorphic syndrome characterized by moderate intellectual disability, distinctive craniofacial features (including brachycephaly, facial asymmetry, marked hypertelorism, blepharochalasis, proptosis, a broad nose with concave nasal ridge and bulbous nasal tip, midface hypoplasia, bifid uvula or partial cleft palate, and prognathism), progressive dental anomalies (dentigerous cysts, radicular dentin dysplasia and early tooth loss), vertebral fusions (particularly of C2-C3), and hypospadias. Hearing loss is an additional observed feature.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBranchioskeletogenital syndromeBSG syndrome · Elsahy-Waters syndrome
frSyndrome branchiosquelettogénitalSyndrome BSG · Syndrome Elsahy-Waters
deBranchio-skeleto-genitales SyndromBSG-Syndrom · Elsahy-Waters-Syndrom
esSíndrome branquio-esqueleto-genitalSíndrome BSG · Síndrome de Elsahy-Waters
itSindrome branchio-scheletro-genitaleSindrome BSG
nlBranchioskeletogenitaal syndroomBSG-syndroom · Syndroom van Elsahy-Waters
ptSíndrome braquio-esqueleto-genital
plZespół skrzelowo-szkieletowo-płciowyZespół BSG · Zespół BSG · Zespół Elsahy i Watersa
csBranchioskeletogenitální syndromBSG syndrom
ukБранхіоскелетогенітальний синдромСиндром BSG · Синдром Елсахі-Уотерса
zh鳃骨生殖器综合征Elsahy-Waters综合征
trBrankioskeletogenital sendromuBSG sendromu · Elsahy-Waters sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM211380Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD2F.1YNTBTindexvalidated
MONDO0008885Evalidated
MeSHC537084Evalidated
UMLSC0809936Evalidated
GARD955Evalidated

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.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CDH11Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:1750ENSG0000014093760002316q21cadherin 1128988429[PMID]_29271567[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families7 casesWorldwideCase(s)Validated5141271[PMID]_9843000[PMID]_20949527[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_5141271[PMID]_9843000[PMID]_20949527[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

55 annotations · validated 2017-04-05
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000309Abnormal midface morphology
HP:0010299Abnormality of dentin
HP:0000164Abnormality of the dentition
HP:0002679Abnormality of the sella turcica
HP:0008516Abnormality of the vertebral spinous processes
HP:0010724Advanced pneumatization of the mastoid process
HP:0009907Attached earlobe
HP:0000193Bifid uvula
HP:0010749Blepharochalasis
HP:0000248Brachycephaly
HP:0000455Broad nasal tip
HP:0000670Carious teeth
HP:0005280Depressed nasal bridge
HP:0002714Downturned corners of mouth
HP:0012368Flat face
HP:0000348High forehead
HP:0002553Highly arched eyebrow
HP:0000316Hypertelorism
HP:0000327Hypoplasia of the maxilla
HP:0002342Intellectual disability, moderate
HP:0009748Large earlobe
HP:0000303Mandibular prognathia
HP:0000252Microcephaly
HP:0000054Micropenis
HP:0000767Pectus excavatum
HP:0000808Penoscrotal hypospadias
HP:0000607Periorbital wrinkles
HP:0000307Pointed chin
HP:0000520Proptosis
HP:0011072Rootless teeth
HP:0000470Short neck
HP:0000486Strabismus
HP:0000176Submucous cleft hard palate
HP:0000664Synophrys
HP:0000506Telecanthus
HP:0002684Thickened calvaria
HP:0100334Unilateral cleft palate
Frequent (79-30%)
HP:0003319Abnormality of the cervical spine
HP:0001363Craniosynostosis
HP:0000494Downslanted palpebral fissures
HP:0000410Mixed hearing impairment
HP:0006480Premature loss of teeth
HP:0000322Short philtrum
HP:0000233Thin vermilion border
HP:0003423Thoracolumbar kyphoscoliosis
Occasional (29-5%)
HP:0000625Eyelid coloboma
HP:0001250Seizure
HP:0000071Ureteral stenosis
Very rare (<4-1%)
HP:0000042Absent external genitalia
HP:0002561Absent nipple
HP:0009818Amelia involving the lower limbs
HP:0001545Anteriorly placed anus
HP:0002836Bladder exstrophy
HP:0001537Umbilical hernia
HP:0009814Upper limb peromelia

Run the differential on the 12 obligate / very frequent terms

Annotation source: 20949527[PMID]_6575818[PMID]_7625440[PMID]_5141271[PMID]

7

Sources for this card