raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:163976

X-linked intellectual disability, Van Esch type

Type
Malformation syndrome
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy, Neonatal
Status
active

A rare, genetic, syndromic intellectual disability characterized by developmental delay, mild to moderate intellectual disability, low birth weight, moderate to severe short stature, microcephaly and variable hypergonadotropic hypogonadism. Mild facial dismorphism include upslanted palpebral fissures and prominent nasal bridge.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked intellectual disability, Van Esch type
frDéficience intellectuelle liée à l'X type Van Esch
deIntelligenzminderung, X-chromosomale, Typ Van Esch
esDiscapacidad intelectual ligada al cromosoma X tipo Van Esch
itDisabilità intellettiva legata all'X tipo Van Esch
nlX-gebonden intellectuele achterstand, Van Esch-type
ptPerturbação do desenvolvimento intelectual ligada ao X, tipo Van Esch
plNiepełnosprawność intelektualna sprzężona z chromosomem X, typ Van Escha
csX-vázaná mentální retardace, Van Eschové typ
ukХ-зчеплена розумова відсталість, тип Ван Еша
zhVan Esch 型X连锁型智力障碍综合征
trX'e bağlı zihinsel yetersizlik, Van Esch tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM301030Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD90NTBTattributedvalidated
MONDO0015601Evalidated
UMLSC4305072Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
POLA1Disease-causing germline mutation(s) inAssessedHGNC:9173ENSG00000101868312040Xp22.11-p21.3DNA polymerase alpha 1, catalytic subunit31006512[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_16053905[PMID]
Cases/families7 casesWorldwideCase(s)Validated16053905[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

21 annotations · validated 2016-04-13
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008187Absence of secondary sex characteristics
HP:0007018Attention deficit hyperactivity disorder
HP:0000028Cryptorchidism
HP:0008734Decreased testicular size
HP:0002750Delayed skeletal maturation
HP:0001508Failure to thrive
HP:0000815Hypergonadotropic hypogonadism
HP:0001256Intellectual disability, mild
HP:0001511Intrauterine growth retardation
HP:0000026Male hypogonadism
HP:0000252Microcephaly
HP:0008551Microtia
HP:0012760Reduced social responsiveness
HP:0012646Retractile testis
HP:0000278Retrognathia
HP:0004322Short stature
HP:0005978Type II diabetes mellitus
Frequent (79-30%)
HP:0040171Decreased serum testosterone concentration
HP:0000837Increased circulating gonadotropin level
Occasional (29-5%)
HP:0004209Clinodactyly of the 5th finger
HP:0004440Coronal craniosynostosis

Run the differential on the 12 obligate / very frequent terms

Annotation source: 16053905[PMID]

7

Sources for this card