raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1435

Xq21 microdeletion syndrome

Synonyms: Ayazi syndrome · Del(X)(q21) · Monosomy Xq21

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

An X-linked retinal dystrophy characterized by choroideremia, causing in affected males progressive nyctalopia and eventual central blindness. Obesity, moderate intellectual disability and congenital mixed (sensorineural and conductive) deafness are also observed. Female carriers show typical retinal changes indicative of the choroideremia carrier state.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enXq21 microdeletion syndromeAyazi syndrome · Del(X)(q21) · Monosomy Xq21
frSyndrome de microdélétion Xq21Del(X)(q21) · Monosomie Xq21 · Syndrome d'Ayazi
deMikrodeletionssyndrom Xq21Ayazi-Syndrom · Del(X)(q21) · Monosomie Xq21
esSíndrome de microdeleción Xq21Del(X)(q21) · Monosomía Xq21 · Síndrome de Ayazi
itCoroideremia - obesità - sorditàSindrome di Ayasi
nlXq21-microdeletiesyndroomDel(X)(q21) · Monosomie Xq21 · Syndroom van Ayazi
ptSíndrome de microdeleção Xq21Síndrome Ayazi
plzespół mikrodelecji Xq21Zespół Ayazi
csSyndrom zahrnující choroideremii, hluchotu a obezituAyaziho syndrom
ukСиндром мікроделеції Xq21Синдром Аязі · Del(X)(q21) · Моносомія Xq21
zhXq21微缺失综合征Ayazi综合征
trXq21 mikrodelesyon sendromuDel (X) (q21) · Monozomi Xq21 · Ayazi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM303110Evalidated
ICD-10Q93.5NTBTattributedvalidated
MONDO0010558Evalidated
MeSHC537793Evalidated
UMLSC1844836Evalidated
GARD369Evalidated

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 (3):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
POU3F4Disease-causing germline mutation(s) inAssessedHGNC:9217ENSG00000196767300039Xq21.1POU class 3 homeobox 417935254[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families13 casesWorldwideCase(s)Validated7258279[PMID]_2624260[PMID]_17935254[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_7258279[PMID]_2624260[PMID]_17935254[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.

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HPO phenotypes

39 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000532Chorioretinal abnormality
HP:0200065Chorioretinal degenerationDiagnostic criterion
HP:0001139Choroideremia
HP:0000407Sensorineural hearing impairment
Frequent (79-30%)
HP:0000375Abnormal cochlea morphology
HP:0005109Abnormality of the Achilles tendon
HP:0011448Ankle clonus
HP:0000830Anterior hypopituitarismDiagnostic criterion
HP:0001251Ataxia
HP:0008619Bilateral sensorineural hearing impairment
HP:0000405Conductive hearing impairment
HP:0000824Decreased response to growth hormone stimulation test
HP:0002750Delayed skeletal maturation
HP:0004458Dilatated internal auditory canal
HP:0002066Gait ataxia
HP:0001263Global developmental delay
HP:0001510Growth delay
HP:0001347Hyperreflexia
HP:0001256Intellectual disability, mild
HP:0001513Obesity
HP:0000648Optic atrophy
HP:0007994Peripheral visual field loss
HP:0008245Pituitary hypothyroidism
HP:0008897Postnatal growth retardation
HP:0007675Progressive night blindness
HP:0007663Reduced visual acuity
HP:0007937Reticular pigmentary degeneration
HP:0000381Stapes ankylosis
HP:0030532Visual acuity test abnormality
Occasional (29-5%)
HP:0002075Dysdiadochokinesis
HP:0000822Hypertension
HP:0000639Nystagmus
HP:0001920Renal artery stenosis
HP:0001250Seizure
HP:0000486Strabismus
HP:0003484Upper limb muscle weakness
Excluded (0%)
HP:0011748Adrenocorticotropic hormone deficiency
HP:0010625Anterior pituitary dysgenesis
HP:0000863Central diabetes insipidus

Run the differential on the 4 obligate / very frequent terms

Annotation source: 26175800[PMID]_22037486[PMID]_17339581[PMID]_7825582[PMID]_2624260[PMID]

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Sources for this card