raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1465

Coffin-Siris syndrome

Synonyms: CSS

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

A rare genetic syndromic intellectual disability of broad phenotypic range characterized by developmental delay and variable clinical features which most commonly, but not consistently, include aplasia or hypoplasia of the distal phalanx or nail of the fifth digit, and coarse facial features.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCoffin-Siris syndromeCSS
frSyndrome de Coffin-Siris= en
deCoffin-Siris-Syndrom= en
esSíndrome de Coffin-Siris= en
itSindrome di Coffin-Siris= en
nlSyndroom van Coffin-Siris= en
ptSíndrome Coffin-Siris
plZespół Coffina i Siris= en
csCoffinův-Sirisův syndromCSS · Coffin-Sirisův syndrom
ukСиндром Коффіна-Сіріса= en
zhCoffin-Siris综合征= en
trCoffin-Siris sendromu= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM135900BTNTvalidated
OMIM614607BTNTvalidated
OMIM614608BTNTvalidated
OMIM614609BTNTvalidated
OMIM615866BTNTvalidated
OMIM616938BTNTvalidated
OMIM617808BTNTvalidated
OMIM618027BTNTvalidated
OMIM618362BTNTvalidated
OMIM618506BTNTvalidated
OMIM618779BTNTvalidated
OMIM619325BTNTvalidated
ICD-10Q87.1NTBTattributedvalidated
ICD-11LD27.0YNTBTindexvalidated
MONDO0015452Evalidated
MeSHC536436Evalidated
UMLSC0265338Evalidated
GARD6124Evalidated
MedDRA10083941Evalidated

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.

4

Genes

11 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ARID2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:18037ENSG0000018907960953912q12AT-rich interaction domain 228124119[PMID]
ARID1ADisease-causing germline mutation(s) inAssessedHGNC:11110ENSG000001177136030241p36.11AT-rich interaction domain 1A23556151[PMID]
ARID1BDisease-causing germline mutation(s) inAssessedHGNC:18040ENSG000000496186145566q25.3AT-rich interaction domain 1B23556151[PMID]
DPF2Disease-causing germline mutation(s) inAssessedHGNC:9964ENSG0000013388460167111q13.1double PHD fingers 229429572[PMID]
SMARCA4Disease-causing germline mutation(s) inAssessedHGNC:11100ENSG0000012761660325419p13.2SWI/SNF related BAF chromatin remodeling complex subunit ATPase 423556151[PMID]
SMARCB1Disease-causing germline mutation(s) inAssessedHGNC:11103ENSG0000009995660160722q11.23SWI/SNF related BAF chromatin remodeling complex subunit B123556151[PMID]
SMARCC2Disease-causing germline mutation(s) inAssessedHGNC:11105ENSG0000013961360173412q13.2SWI/SNF related BAF chromatin remodeling complex subunit C230580808[PMID]
SMARCD1Disease-causing germline mutation(s) inAssessedHGNC:11106ENSG0000006611760173512q13.12SWI/SNF related BAF chromatin remodeling complex subunit D130879640[PMID]
SMARCE1Disease-causing germline mutation(s) inAssessedHGNC:11109ENSG0000007358460311117q21.2SWI/SNF related BAF chromatin remodeling complex subunit E123556151[PMID]_23906836[PMID]_23929686[PMID]
SOX11Disease-causing germline mutation(s) inAssessedHGNC:11191ENSG000001768876008982p25.2SRY-box transcription factor 1124886874[PMID]
SOX4Disease-causing germline mutation(s) inAssessedHGNC:11200ENSG000001247661844306p22.3SRY-box transcription factor 430661722[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families190 casesWorldwideCase(s)Validated22711679[PMID]_11170086[PMID]_23906836[PMID]_24092917[PMID]_23929686[PMID]
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

65 annotations · validated 2021-04-14
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000280Coarse facial features
HP:0011968Feeding difficulties
HP:0000998Hypertrichosis
HP:0011231Prominent eyelashes
HP:0001792Small nail
HP:0000574Thick eyebrow
HP:0000179Thick lower lip vermilion
HP:0000154Wide mouth
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0001627Abnormal heart morphology
HP:0000119Abnormality of the genitourinary system
HP:0000463Anteverted nares
HP:0011951Aspiration pneumonia
HP:0000708Atypical behavior
HP:0000455Broad nasal tip
HP:0000289Broad philtrum
HP:0030084Clinodactyly
HP:0000028Cryptorchidism
HP:0000684Delayed eruption of teeth
HP:0002750Delayed skeletal maturation
HP:0005280Depressed nasal bridge
HP:0008947Floppy infant
HP:0001510Growth delay
HP:0000365Hearing impairment
HP:0001007Hirsutism
HP:0008398Hypoplastic fifth fingernail
HP:0011937Hypoplastic fifth toenail
HP:0002342Intellectual disability, moderate
HP:0010864Intellectual disability, severe
HP:0001382Joint hypermobility
HP:0000294Low anterior hairline
HP:0008897Postnatal growth retardation
HP:0000508Ptosis
HP:0002719Recurrent infections
HP:0002788Recurrent upper respiratory tract infections
HP:0002650Scoliosis
HP:0001250Seizure
HP:0009237Short 5th finger
HP:0003196Short nose
HP:0002209Sparse scalp hair
HP:0000486Strabismus
HP:0009928Thick nasal alae
HP:0000219Thin upper lip vermilion
HP:0000505Visual impairment
HP:0012810Wide nasal base
Occasional (29-5%)
HP:0001344Absent speech
HP:0001274Agenesis of corpus callosum
HP:0000718Aggressive behavior
HP:0001631Atrial septal defect
HP:0000729Autistic behavior
HP:0001305Dandy-Walker malformation
HP:0100790Hernia
HP:0000085Horseshoe kidney
HP:0000752Hyperactivity
HP:0000047Hypospadias
HP:0000545Myopia
HP:0012523Oral aversion
HP:0001643Patent ductus arteriosus
HP:0009879Simplified gyral pattern
HP:0001636Tetralogy of Fallot
HP:0001629Ventricular septal defect
Very rare (<4-1%)
HP:0002884Hepatoblastoma
HP:0001511Intrauterine growth retardation
HP:0000252Microcephaly
HP:0002895Papillary thyroid carcinoma

Run the differential on the 8 obligate / very frequent terms

Annotation source: 23556151[PMID]

7

Sources for this card