raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1454

Joubert syndrome with hepatic defect

Synonyms: COACH syndrome · Cerebellar vermis hypoplasia-oligophrenia-congenital ataxia-coloboma-hepatic fibrosis · Gentile syndrome · JS-H · Joubert syndrome with congenital hepatic fibrosis

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Neonatal
Status
active

Joubert syndrome with hepatic defect is a very rare subtype of Joubert syndrome and related disorders (JSRD) characterized by the neurological features of JS associated with congenital hepatic fibrosis (CHF).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enJoubert syndrome with hepatic defectCOACH syndrome · Cerebellar vermis hypoplasia-oligophrenia-congenital ataxia-coloboma-hepatic fibrosis · Gentile syndrome · JS-H · Joubert syndrome with congenital hepatic fibrosis
frSyndrome de Joubert avec atteinte hépatiqueJS-H · Syndrome COACH · Syndrome d'hypoplasie du vermis cérébelleux-oligophrénie-ataxie congénitale-colobome-fibrose hépatique · Syndrome de Gentile
deJoubert-Syndrom mit hepatischem DefektCOACH-Syndrom · Gentile-Syndrom · Hypo/Aplasie des Kleinhirnwurms - Oligophrenie - kongenitale Ataxie - Kolobom - Leberfibrose · JS-H · Joubert-Syndrom mit kongenitaler hepatischer Fibrose
esSíndrome de Joubert con defecto hepáticoHipoplasia del vermis cerebeloso-oligofrenia-ataxia congénita-coloboma-fibrosis hepática · JS-H · Síndrome COACH · Síndrome Gentile · Síndrome de Joubert con fibrosis hepática congénita
itSindrome di Joubert con difetto epaticoIpoplasia del verme cerebellare - oligofrenia - atassia congenita - coloboma - fibrosi epatica · JS-H · Sindrome COACH · Sindrome di Gentile · Sindrome di Joubert con fibrosi epatica congenita
nlSyndroom van Joubert met hepatisch defectCOACH-syndroom · Cerebellaire vermishypoplasie - oligofrenie - congenitale ataxie - coloboom - leverfibrose · JS-H · Syndroom van Gentile · Syndroom van Joubert met congenitale leverfibrose · Syndroom van Joubert met leverafwijking
ptSíndrome Joubert com defeito hepáticoSíndrome COACH
plZespół Joubert z wadą wątrobyHipoplazja robaka możdżku - oligofrenia - ataksja wrodzona - coloboma - zwłóknienie wątroby · JS-H · Zespół COACH · Zespół Gentile · Zespół Joubert z wrodzonym zwłóknieniem wątroby
csJoubertův syndrom s vrozenou jaterní fibrózouCOACH syndrom · Gentileho syndrom · JS-H · Hypoplázie mozečkové vermis, oligofrenie, vrozená ataxie, kolobom a jaterní fibróza · Joubertův syndrom s postižením jater
ukСиндром Жубера з печінковою недостатністюГіпоплазія червяка мозочка-олігофренія-вроджена атаксія-колобома-фіброз печінки · Синдром COACH · Синдром Жентиля · Синдром Жубера з вродженим фіброзом печінки · JS-H
zhJoubert综合征伴肝缺损小脑蚓部发育不良-智力发育不全-先天性共济失调-眼部分缺损-肝纤维化
trKaraciğer defektli Joubert sendromuJS-H · COACH sendromu · Gentile sendromu · Doğumsal hepatik fibrozlu Joubert sendromu · Serebellar vermis hipoplazi-oligofreni-Doğumsal ataksi-kolobom-hepatik fibroz

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM216360BTNTvalidated
OMIM619111BTNTvalidated
OMIM619113BTNTvalidated
ICD-10Q04.3NTBTattributedvalidated
ICD-11LD20.0YNTBTindexvalidated
MONDO0100349Evalidated
MeSHC536430Evalidated
UMLSC1857662Evalidated
GARD1410Evalidated

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 (7):

No children.

4

Genes

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CC2D2ADisease-causing germline mutation(s) inAssessedHGNC:29253ENSG000000483426120134p15.32coiled-coil and C2 domain containing 2A19574260[PMID]_20301500[PMID]
INPP5EDisease-causing germline mutation(s) inAssessedHGNC:21474ENSG000001483846130379q34.3inositol polyphosphate-5-phosphatase E20301500[PMID]_19668216[PMID]
RPGRIP1LDisease-causing germline mutation(s) inAssessedHGNC:29168ENSG0000010349461093716q12.2RPGRIP1 like19574260[PMID]_20301500[PMID]
TMEM67Disease-causing germline mutation(s) inAssessedHGNC:28396ENSG000001649536098848q22.1transmembrane protein 6719574260[PMID]_17160906[PMID]_20615230[PMID]_20301500[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families8 casesWorldwideCase(s)ValidatedORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

48 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002793Abnormal pattern of respiration
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0002104Apnea
HP:0001251Ataxia
HP:0001320Cerebellar vermis hypoplasia
HP:0002612Congenital hepatic fibrosis
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0002240Hepatomegaly
HP:0001252Hypotonia
HP:0002342Intellectual disability, moderate
HP:0005248Intrahepatic biliary atresia
HP:0000657Oculomotor apraxia
Frequent (79-30%)
HP:0004422Biparietal narrowing
HP:0000567Chorioretinal coloboma
HP:0008872Feeding difficulties in infancy
HP:0001288Gait disturbance
HP:0001347Hyperreflexia
HP:0000612Iris coloboma
HP:0000276Long face
HP:0000112Nephropathy
HP:0000639Nystagmus
HP:0000588Optic disc coloboma
HP:0000505Visual impairment
Occasional (29-5%)
HP:0002269Abnormality of neuronal migration
HP:0000864Abnormality of the hypothalamus-pituitary axis
HP:0000463Anteverted nares
HP:0007370Aplasia/Hypoplasia of the corpus callosum
HP:0100626Chronic hepatic failure
HP:0001394Cirrhosis
HP:0002553Highly arched eyebrow
HP:0000238Hydrocephalus
HP:0000023Inguinal hernia
HP:0000369Low-set ears
HP:0000256Macrocephaly
HP:0000003Multicystic kidney dysplasia
HP:0002896Neoplasm of the liver
HP:0002085Occipital encephalocele
HP:0000202Orofacial cleft
HP:0001409Portal hypertension
HP:0001162Postaxial hand polydactyly
HP:0000426Prominent nasal bridge
HP:0000508Ptosis
HP:0000083Renal insufficiency
HP:0002650Scoliosis
HP:0001250Seizure
HP:0001744Splenomegaly
HP:0000486Strabismus
HP:0001337Tremor

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card