raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1627

Deletion 5q35 syndrome

Synonyms: Del (5)(q35) · Del (5)(qter) · Distal 5q deletion · Monosomy 5q35 · Telomeric deletion 5q

Type
Malformation syndrome
Group
Disorder
Inheritance
Not applicable, Unknown
Age of onset
Antenatal, Neonatal
Status
active

Deletion 5q35 refers to the different congenital malformation syndromes resulting from deletions of variable extent of the terminal part of the long arm of chromosome 5 (5q), spanning the region from 5q35.1 to 5q35.3 . The most significant anomaly is a recurring deletion in 5q35.2 comprising the <i>NSD1</i> gene that causes Sotos syndrome that is characterized by cardinal features including excessive growth during childhood, macrocephaly, distinctive facial gestalt and various degrees of learning difficulty. Subtelomeric deletions of the terminal 3.5 Mb region on 5q35.3 are very rare, characterized by prenatal lymphedema with increased nuchal translucency, pronounced muscular hypotonia in infancy, borderline intelligence, postnatal short stature due to growth hormone deficiency, and a variety of minor anomalies such as mildly bell-shaped chest, minor congenital heart defects and a distinct facial gestalt. Larger deletions including bands 5q35.1, 5q35.2 and 5q35.3 cause a more severe phenotype that associates severe developmental delay with microcephaly, and significant cardiac defects (e.g. atrial septal defect with/without atrioventricular conduction defects, Ebstein anomaly, tetralogy of Fallot) linked to haploinsufficiency of <i>NKX2.5</i> (5q35.1). Various combinations of signs may result from deletions of variable extent depending on the genes comprised in the deleted segment.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enDeletion 5q35 syndromeDel (5)(q35) · Del (5)(qter) · Distal 5q deletion · Monosomy 5q35 · Telomeric deletion 5q
frSyndrome de délétion 5q35Del (5)(q35) · Del (5)(qter) · Délétion distale 5q · Délétion télomérique 5q · Monosomie 5q35
deDeletion 5q35Monosomie 5q35 · Telomere Deletion 5q · Del (5)(q35) · Del (5)(qter) · Distale Deletion 5q
esSíndrome de deleción 5q35Del (5)(q35) · Del (5)(qter) · Deleción terminal 5q · Monosomía 5q35
itSindrome delezione 5q35Del (5)(q35) · Del (5)(qter) · Delezione 5q distale · Delezione 5q telomerica · Monosomia 5q35
nlDeletie 5q35-syndroomDel (5)(q35) · Del (5)(qter) · Distale 5q deletie · Monosomie 5q35 · Telomerische deletie 5q
ptSíndrome de deleção 5q35Monossomia 5q35
plZespół delecji 5q35Del (5)(q35) · Del (5)(qter) · Dystalna delecja 5q · Monosomia 5q35 · Telomerowa delecja 5q
csDelece 5q35Del (5)(q35) · Del (5)(qter) · Distální 5q delece · Monozomie 5q35 · Telomerická delece 5q
ukДелеція 5q35Del (5)(q35) · Del (5)(qter) · Дистальна делеція 5q · Моносомія 5q35 · Делеція теломерної ділянки 5q
zh5q35缺失5号染色体长臂末端着丝粒缺失
trDelesyon 5q35Del(5)(q35) · Del(5)(qter) · Monozomi 5q35 · Distal 5q delesyonu · Telomerik delesyon 5q

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10Q93.5NTBTattributedvalidated
ICD-11LD44.50NTBTindexvalidated
MONDO0015571Evalidated
MeSHC537647Evalidated
UMLSC2931574Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NKX2-5Role in the phenotype ofAssessedHGNC:2488ENSG000001830726005845q35.1NK2 homeobox 517910075[PMID]
NSD1Role in the phenotype ofAssessedHGNC:14234ENSG000001656716066815q35.3nuclear receptor binding SET domain protein 117910075[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 casesWorldwideCase(s)Validated11562936[PMID]_[EXPERT]
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.

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HPO phenotypes

14 annotations · validated 2024-12-11
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001627Abnormal heart morphology
Frequent (79-30%)
HP:0000286Epicanthus
HP:0001531Failure to thrive in infancy
HP:0000316Hypertelorism
HP:0002557Hypoplastic nipples
HP:0001252Hypotonia
HP:0010880Increased nuchal translucency
HP:0002751Kyphoscoliosis
HP:0000239Large fontanelles
HP:0000256Macrocephaly
HP:0001270Motor delay
HP:0000768Pectus carinatum
HP:0008897Postnatal growth retardation
HP:0000470Short neck

Run the differential on the 1 obligate / very frequent terms

Annotation source: 12900893[PMID]_17910075[PMID]

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Sources for this card