raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:163956

X-linked intellectual disability, Nascimento type

Synonyms: X-linked intellectual disability-nail dystrophy-seizures syndrome

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy
Status
active

X-linked intellectual disability, Nascimento type is a rare X-linked intellectual disability syndrome characterized by intellectual disability (with severe speech impairment), a myxedematous appearance, dysmorphic facial features (including large head, synophrys, prominent supraorbital ridges, almond-shaped and deep-set eyes, large ears, wide mouth with everted lower lip and downturned lip corners), low posterior hairline, short, broad neck, marked general hirsutism and abnormal hair whorls, skin changes (e.g. dry skin or hypopigmented spots), widely spaced nipples, obesity, micropenis, onychodystrophy and seizures.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked intellectual disability, Nascimento typeX-linked intellectual disability-nail dystrophy-seizures syndrome
frDéficience intellectuelle liée à l'X type NascimentoSyndrome de déficience intellectuelle liée à l'X-dystrophie des ongles-épilepsie
deIntelligenzminderung, X-chromosomale, Typ NascimentoX-chromosomale Intelligenzminderung-Nageldystrophie-Krämpfe-Syndrom
esDiscapacidad intelectual ligada al cromosoma X tipo NascimentoSíndrome de discapacidad intelectual-distrofia ungueal-crisis ligado al cromosoma X
itDisabilità intellettiva legata all'X, tipo NascimentoSindrome disabilità intellettiva-distrofia ungueale-crisi epilettiche legata all'X
nlX-gebonden intellectuele achterstand, Nascimento-typeX-gebonden intellectuele achterstand - nageldystrofie - epileptische aanvallen-syndroom
ptPerturbação do desenvolvimento intelectual ligada ao X, tipo NascimentoPerturbação do desenvolvimento intelectual ligada ao X-distrofia das unhas-convulsões
plNiepełnosprawność intelektualna sprzężona z chromosomem X, typ NascimentoNiepełnosprawność intelektualna sprzężona z chromosomem X - dystrofia paznokci - napady padaczkowe
csX-vázaná mentální retardace, Nascimentové typSyndrom zahrnující X-vázanou mentální retardaci, dystrofii nehtů a záchvaty
ukХ-зчеплена розумова відсталість, тип НасіментоХ-зчеплений синдром розумової відсталості-нігтьової дистрофії-судом
zhNascimento 型X连锁型智力障碍综合征X连锁智力障碍-指甲营养不良-癫痫综合征
trX'e bağlı zihinsel yetersizlik, Nascimento tipiX'e bağlı zihinsel yetersizlik-tırnak distrofisi-nöbetler sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300860Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD90NTBTattributedvalidated
MONDO0010461Evalidated
UMLSC4512071Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
UBE2ADisease-causing germline mutation(s) inAssessedHGNC:12472ENSG00000077721312180Xq24ubiquitin conjugating enzyme E2 A16909393[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families8 casesWorldwideCase(s)Validated20412111[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20412111[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

64 annotations · validated 2019-08-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002194Delayed gross motor development
HP:0000958Dry skin
HP:0009765Low hanging columella
HP:0002465Poor speech
HP:0000154Wide mouth
Frequent (79-30%)
HP:0002500Abnormal cerebral white matter morphology
HP:0000718Aggressive behavior
HP:0000475Broad neck
HP:0012450Chronic constipation
HP:0005280Depressed nasal bridge
HP:0002714Downturned corners of mouth
HP:0010529Echolalia
HP:0002230Generalized hirsutism
HP:0000316Hypertelorism
HP:0007103Hypointensity of cerebral white matter on MRI
HP:0010864Intellectual disability, severe
HP:0002162Low posterior hairline
HP:0000256Macrocephaly
HP:0000054Micropenis
HP:0003265Neonatal hyperbilirubinemia
HP:0001761Pes cavus
HP:0001250Seizure
HP:0001773Short foot
HP:0000664Synophrys
HP:0000233Thin vermilion border
HP:0000582Upslanted palpebral fissure
HP:0001629Ventricular septal defect
HP:0000076Vesicoureteral reflux
HP:0006610Wide intermamillary distance
Occasional (29-5%)
HP:0010721Abnormal hair whorl
HP:0005345Abnormal vena cava morphology
HP:0001776Bilateral talipes equinovarus
HP:0100760Clubbing of toes
HP:0000722Compulsive behaviors
HP:0000028Cryptorchidism
HP:0001875Decreased total neutrophil count
HP:0002002Deep philtrum
HP:0000519Developmental cataract
HP:0001719Double outlet right ventricle
HP:0000365Hearing impairment
HP:0000348High forehead
HP:0012110Hypoplasia of the pons
HP:0000047Hypospadias
HP:0002342Intellectual disability, moderate
HP:0030311Lower extremity joint dislocation
HP:0011913Lumbar hypertrichosis
HP:0000400Macrotia
HP:0011800Midface retrusion
HP:0001718Mitral stenosis
HP:0008404Nail dystrophy
HP:0001562Oligohydramnios
HP:0001845Overlapping toe
HP:0007509Patchy hypo- and hyperpigmentation
HP:0001643Patent ductus arteriosus
HP:0001655Patent foramen ovale
HP:0004969Peripheral pulmonary artery stenosis
HP:0004467Preauricular pit
HP:0002092Pulmonary arterial hypertension
HP:0100838Recurrent cutaneous abscess formation
HP:0410018Recurrent ear infections
HP:0002205Recurrent respiratory infections
HP:0000486Strabismus
HP:0001636Tetralogy of Fallot
HP:0000430Underdeveloped nasal alae

Run the differential on the 5 obligate / very frequent terms

Annotation source: 24053514[PMID]_28611923[PMID]_20412111[PMID]_16909393[PMID]

7

Sources for this card