raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1466

COFS syndrome

Synonyms: Cerebrooculofacioskeletal syndrome · Pena-Shokeir syndrome type 2

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

Cerebrooculofacioskeletal (COFS) syndrome is a rare genetic disorder, belonging to a family of diseases of DNA repair, characterized by a severe sensorineural involvement.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCOFS syndromeCerebrooculofacioskeletal syndrome · Pena-Shokeir syndrome type 2
frSyndrome COFSSyndrome cérébro-oculo-facio-squelettique · Syndrome de Pena-Shokeir type 2
deCOFS-SyndromPena-Shokeir-Syndrom Typ 2 · Zerebro-okulo-fazio-skelettales Syndrom
esSíndrome COFSSíndrome cerebro óculo facio esquelético · Síndrome de Pena-Shokeir tipo 2
itSindrome COFSSindrome cerebro-oculo-facio-scheletrica · Sindrome di Pena-Shokeir, tipo 2
nlCOFS-syndroomCerebro-oculofacioskeletaal syndroom · Syndroom van Pena-Shokeir type 2
ptSíndrome COFSSíndrome Pena-Shokeir tipo 2 · Síndrome cerebro-óculo-facio-esquelético
plZespół COFSZespół mózgowo-oczno-twarzowo-szkieletowy · Zespół Pena i Shokeira typu 2
csCOFS syndromCerebrookulofacioskeletální syndrom · Penův-Shokeirův syndrom, typ 2 · Pena-Shokeirův syndrom, typ 2
ukСиндром COFSЦереброокулофаціально-скелетний синдром · Синдром Пена-Шокіра, тип 2
zhCOFS综合征脑眼面骨综合征
trCOFS sendromuPena-Shokeir sendromu tip 2 · Serebrookülofasiyoskeletal sendrom

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM214150BTNTvalidated
OMIM278780BTNTvalidated
OMIM610756BTNTvalidated
OMIM610758BTNTvalidated
OMIM616570BTNTvalidated
ICD-10Q87.1NTBTattributedvalidated
ICD-11LD2BNTBTindexvalidated
MONDO0008926Evalidated
UMLSC5399761Evalidated
GARD6027Evalidated

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

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ERCC1Disease-causing germline mutation(s) inAssessedHGNC:3433ENSG0000001206112638019q13.32ERCC excision repair 1, endonuclease non-catalytic subunit17273966[PMID]
ERCC2Disease-causing germline mutation(s) inAssessedHGNC:3434ENSG0000010488412634019q13.32ERCC excision repair 2, TFIIH core complex helicase subunit11443545[PMID]
ERCC5Disease-causing germline mutation(s) inAssessedHGNC:3437ENSG0000013489913353013q33.1ERCC excision repair 5, endonuclease24700531[PMID]
ERCC6Disease-causing germline mutation(s) inAssessedHGNC:3438ENSG0000022583060941310q11.23ERCC excision repair 6, chromatin remodeling factor20301516[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families20 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

33 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0005105Abnormal nasal morphology
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0002804Arthrogryposis multiplex congenita
HP:0100490Camptodactyly of finger
HP:0000518Cataract
HP:0002514Cerebral calcification
HP:0002120Cerebral cortical atrophy
HP:0001522Death in infancy
HP:0000232Everted lower lip vermilion
HP:0008872Feeding difficulties in infancy
HP:0001276Hypertonia
HP:0001252Hypotonia
HP:0001387Joint stiffness
HP:0000252Microcephaly
HP:0000347Micrognathia
HP:0000568Microphthalmia
HP:0005487Prominent metopic ridge
HP:0011344Severe global developmental delay
HP:0004322Short stature
HP:0000431Wide nasal bridge
Frequent (79-30%)
HP:0010978Abnormality of immune system physiology
HP:0000992Cutaneous photosensitivity
HP:0000135Hypogonadism
HP:0001511Intrauterine growth retardation
HP:0001315Reduced tendon reflexes
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
HP:0000470Short neck
HP:0000505Visual impairment
Occasional (29-5%)
HP:0007703Abnormality of retinal pigmentation
HP:0000648Optic atrophy
HP:0009830Peripheral neuropathy
HP:0001883Talipes

Run the differential on the 12 obligate / very frequent terms

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Sources for this card