raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:138

CHARGE syndrome

Synonyms: CHARGE association · Coloboma-heart defects-atresia choanae-retardation of growth and development-genitourinary problems-ear abnormalities syndrome · Hall-Hittner syndrome

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

A multiple congenital anomaly characterized by a broad phenotype with Coloboma, Choanal atresia/stenosis, Cranial nerve dysfunction, and Characteristic external and inner ears (known as the major 4 C's).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCHARGE syndromeCHARGE association · Coloboma-heart defects-atresia choanae-retardation of growth and development-genitourinary problems-ear abnormalities syndrome · Hall-Hittner syndrome
frSyndrome CHARGEAssociation CHARGE · Syndrome de Hall-Hittner
deCHARGE-SyndromCHARGE-Assoziation · Hall-Hittner-Syndrom · Kolobom-Herzdefekte-Choanalatresie Wachstums- und Entwicklungsretardierung-Urogenitale Störungen-Ohranomalien-Syndrom
esSíndrome CHARGEAsociación CHARGE · Síndrome de Hall-Hittner · Síndrome de coloboma-defectos cardíacos-atresia coanal-retraso del crecimiento y del desarrollo-problemas genitourinarios-anomalías del oído
itSindrome CHARGEAssociazione CHARGE · Sindrome coloboma-cardiopatia-atresia delle coane-ritardo della crescita e dello sviluppo-disturbi urogenitali-anomalie auricolari · Sindrome di Hall-Hittner
nlCHARGE-syndroomCHARGE-associatie · Coloboom - hartdefecten - choane atresie - groei- en ontwikkelingsachterstand - urogenitale problemen - oorafwijkingen-syndroom · Syndroom van Hall-Hittner
ptSíndrome CHARGEAssociação CHARGE · Síndrome Hall-Hittner · Síndrome coloboma-defeitos cardíacos-atrésia das coanas-atraso do crescimento e desenvolvimento-problemas genitourinários-anomalias do pavilhão auricular
plZespół CHARGEAsocjacja CHARGE · Coloboma - wady serca - zarośnięcie nozdzy tylnych - opóźnienie wzrostu i rozwoju - wady układu moczowo-płciowego - wady uszu · Zespół Hall i Hittnera
csCHARGE syndromCHARGE asociace · Syndrom zahrnující kolobom, srdeční defekty, atrézii choan, růstovou retardaci, opoždění vývoje, anomálie močopohlavního ústrojí a abnormality ucha · Hallův-Hittnerův syndrom · Hall-Hittnerův syndrom
ukСиндром CHARGEАсоціація CHARGE · Синдром колобоми - вади серця - атрезії вушних раковин - затримки росту і розвитку - сечостатевх проблем - вушних аномалій · Синдром Холла-Хіттнера
zhCHARGE综合征眼组成部分缺损-先天性心脏病-鼻后孔闭锁-生长发育迟缓-生殖器异常-耳部异常综合征
trCHARGE sendromuCHARGE ilişkilendirmesi · Hall-Hittner sendromu · Kolobom-kalp defekti-koana atrezisi-büyüme ve gelişme geriliği-genitoüriner problemler-kulak anormallikleri sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM214800Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-115A61.0NTBTindexvalidated
MONDO0008965Evalidated
MeSHD058747Evalidated
UMLSC0265354Evalidated
GARD29Evalidated
MedDRA10064063Evalidated

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 (12):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SEMA3ECandidate gene tested inNot yet assessedHGNC:10727ENSG000001703816081667q21.11semaphorin 3E15235037[PMID]
CHD7Disease-causing germline mutation(s) inAssessedHGNC:20626ENSG000001713166088928q12.2chromodomain helicase DNA binding protein 720301296[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0003.5 / 100 000CanadaValue and classValidated15637722[PMID]
Prevalence at birth1-9 / 100 0006.5 / 100 000WorldwideValue and classNot yet validated16959034[PMID]
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET
Point prevalence1-9 / 100 0009 / 100 000EuropeValue and classValidatedEuropean Medicines Agency 2019[OTHER]

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

94 annotations · validated 2023-10-25
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001291Abnormal cranial nerve morphologyDiagnostic criterion
HP:0000377Abnormal pinna morphologyDiagnostic criterion
HP:0000359Abnormality of the inner earDiagnostic criterion
HP:0000458AnosmiaDiagnostic criterion
HP:0009906Aplasia/Hypoplasia of the earlobesDiagnostic criterion
HP:0000589ColobomaDiagnostic criterion
HP:0000028CryptorchidismDiagnostic criterion
HP:0000823Delayed pubertyDiagnostic criterion
HP:0008872Feeding difficulties in infancy
HP:0001263Global developmental delayDiagnostic criterion
HP:0000365Hearing impairmentDiagnostic criterion
HP:0000044Hypogonadotropic hypogonadism
HP:0011382Hypoplasia of the semicircular canal
HP:0000612Iris colobomaDiagnostic criterion
HP:0000054MicropenisDiagnostic criterion
HP:0000396Overfolded helix
Frequent (79-30%)
HP:0001646Abnormal aortic valve morphology
HP:0001671Abnormal cardiac septum morphology
HP:0030680Abnormal cardiovascular system morphologyDiagnostic criterion
HP:0000008Abnormal morphology of female internal genitaliaDiagnostic criterion
HP:0100736Abnormality of the soft palate
HP:0000528Anophthalmia
HP:0000830Anterior hypopituitarism
HP:0007018Attention deficit hyperactivity disorder
HP:0000717Autism
HP:0000048Bifid scrotum
HP:0010751Chin dimple
HP:0000453Choanal atresiaDiagnostic criterion
HP:0000567Chorioretinal colobomaDiagnostic criterion
HP:0000722Compulsive behaviors
HP:0000684Delayed eruption of teeth
HP:0005280Depressed nasal bridge
HP:0005113Dilatation of the aortic arch
HP:0002015DysphagiaDiagnostic criterion
HP:0000324Facial asymmetry
HP:0010628Facial palsyDiagnostic criterion
HP:0002020Gastroesophageal reflux
HP:0001252HypotoniaDiagnostic criterion
HP:0001249Intellectual disability
HP:0011611Interrupted aortic arch
HP:0000066Labial hypoplasiaDiagnostic criterion
HP:0000568MicrophthalmiaDiagnostic criterion
HP:0000275Narrow face
HP:0000160Narrow mouth
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0001643Patent ductus arteriosus
HP:0001561Polyhydramnios
HP:0000358Posteriorly rotated earsDiagnostic criterion
HP:0008897Postnatal growth retardation
HP:0000508Ptosis
HP:0004322Short statureDiagnostic criterion
HP:0000486Strabismus
HP:0001636Tetralogy of Fallot
Occasional (29-5%)
HP:0000772Abnormal rib morphology
HP:0004348Abnormality of bone mineral density
HP:0010978Abnormality of immune system physiology
HP:0000834Abnormality of the adrenal glands
HP:0000478Abnormality of the eye
HP:0002992Abnormality of tibia morphology
HP:0000504Abnormality of vision
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0002410Aqueductal stenosis
HP:0010443Bifid femur
HP:0001156Brachydactyly
HP:0000175Cleft palateDiagnostic criterion
HP:0000204Cleft upper lipDiagnostic criterion
HP:0004209Clinodactyly of the 5th finger
HP:0006824Cranial nerve paralysis
HP:0001305Dandy-Walker malformation
HP:0000286Epicanthus
HP:0000625Eyelid colobomaDiagnostic criterion
HP:0002937Hemivertebrae
HP:0002553Highly arched eyebrow
HP:0001360Holoprosencephaly
HP:0000085Horseshoe kidney
HP:0000126Hydronephrosis
HP:0000316Hypertelorism
HP:0010669Hypoplasia of the zygomatic bone
HP:0001511Intrauterine growth retardation
HP:0000632Lacrimation abnormality
HP:0001601Laryngomalacia
HP:0000252Microcephaly
HP:0008551Microtia
HP:0000384Preauricular skin tag
HP:0002093Respiratory insufficiency
HP:0002650Scoliosis
HP:0001883Talipes
HP:0002575Tracheoesophageal fistulaDiagnostic criterion
HP:0001537Umbilical hernia
HP:0000076Vesicoureteral reflux
Very rare (<4-1%)
HP:0001539Omphalocele
HP:0010442Polydactyly
HP:0000465Webbed neck

Run the differential on the 12 obligate / very frequent terms

Annotation source: 21378379[PMID]_9545604[PMID]

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Sources for this card