raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1447

Ring chromosome 4 syndrome

Synonyms: Syndrome r(4) · r(4) syndrome · Ring 4 · Ring chromosome 4

Type
Malformation syndrome
Group
Disorder
Age of onset
Infancy, Neonatal
Status
active

Autosomal anomaly characterized by variable clinical features, most commonly including significant intrauterine and postnatal growth retardation, developmental delay, intellectual disability, microcephaly, and dysmorphic facial features. Some less frequent features are cleft lip and/or cleft palate, congenital cardiovascular, gastrointestinal and genitourinary system anomalies.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enRing chromosome 4 syndromeSyndrome r(4) · r(4) syndrome · Ring 4 · Ring chromosome 4
frSyndrome du chromosome 4 en anneauChromosome 4 en anneau
deRingchromosom-4-SyndromRingchromosom 4
esSíndrome del cromosoma 4 en anilloAnillo 4 · Cromosoma 4 en anillo · Síndrome r(4)
itCromosoma 4 ad anello
nlRingchromosoom 4-syndroomRing 4 · Ringchromosoom 4 · r(4)-syndroom
ptSíndrome do cromossoma 4 em anelAnel do cromossoma 4
plChromosom pierścieniowy 4= en
csRing chromozom 4= en
ukСиндром кільцевої хромосоми 4синдром r(4) · Кільце 4 · Кільцева хромосома 4 · Синдром r(4)
zh环状4号染色体综合征r(4)综合征
trHalka kromozom 4 sendromuHalka 4 · Sendrom r (4) · r(4) sendromu · Halka kromozomu 4

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10Q93.2NTBTattributedvalidated
ICD-11LD7YNTBTindexvalidated
MONDO0015439Evalidated
MeSHC537636Evalidated
UMLSC0265407Evalidated
GARD1339Evalidated

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 (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families20 casesWorldwideCase(s)Validated27610251[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27610251[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

4 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001171Split hand
Frequent (79-30%)
HP:0006501Aplasia/Hypoplasia of the radius
Occasional (29-5%)
HP:0040071Abnormal morphology of ulna
HP:0002817Abnormality of the upper limb

Run the differential on the 1 obligate / very frequent terms

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Sources for this card