raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1724

Mosaic trisomy 20 syndrome

Synonyms: Mosaic trisomy chromosome 20 · Trisomy 20 mosaicism

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

Mosaic trisomy 20 is a rare chromosomal anomaly syndrome with a highly variable phenotype ranging from normal (in the majority of cases) to a mild, subtle phenotype principally characterized by spinal abnormalities (i.e. stenosis, vertebral fusion, and kyphosis), hypotonia, lifelong constipation, sloped shoulders, skin pigmentation abnormalities (i.e. linear and whorled nevoid hypermelanosis) and significant learning disabilities despite normal intelligence. More severe phenotypes, with patients presenting psychomotor and speech delay, mild facial dysmorphism, cardiac (i.e. ventricular septal defect, dysplastic tricuspid mitral valve) and renal anomalies (e.g. horseshoe kidneys), have also been reported.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMosaic trisomy 20 syndromeMosaic trisomy chromosome 20 · Trisomy 20 mosaicism
frSyndrome de trisomie 20 en mosaïque
deMosaik-Trisomie 20Mosaik-Trisomie Chromosom 20
esSíndrome de trisomía 20 en mosaicoTrisomía del cromosoma 20 en mosaico
itSindrome trisomia 20 in mosaicoTrisomia del cromosoma 20 in mosaico · Trisomia 20 in mosaico
nlMozaïektrisomie 20-syndroomMozaïektrisomie chromosoom 20 · Trisomie 20 mozaïcisme
ptTrissomia 20 em mosaico
plZespół mozaikowej trisomii chromosomu 20= en
csMozaika trizomie 20= en
ukМозаїчна трисомія 20Мозаїчна трисомія хромосоми 20 · Трисомія 20 мозаїцизм
zh20号染色体嵌合三体20号染色体嵌合三体
trMozaik trizomi 20Trizomi 20 mozaisizmi · Mozaik trizomi kromozomu 20

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10Q92.1NTBTattributedvalidated
ICD-11LD40.YNTBTattributedvalidated
MONDO0015764Evalidated
MeSHC535372Evalidated
UMLSC0265479Evalidated

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 (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET_23548241[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

39 annotations · validated 2020-12-10
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008947Floppy infant
Frequent (79-30%)
HP:0002143Abnormality of the spinal cord
HP:0012450Chronic constipation
HP:0007483Depigmentation/hyperpigmentation of skin
HP:0200021Down-sloping shoulders
HP:0007535Hypopigmented streaks
HP:0011342Mild global developmental delay
HP:0000278Retrognathia
Occasional (29-5%)
HP:0001633Abnormal mitral valve morphology
HP:0000077Abnormality of the kidney
HP:0410030Cleft lip
HP:0000175Cleft palate
HP:0030084Clinodactyly
HP:0004484Craniofacial asymmetry
HP:0000028Cryptorchidism
HP:0000750Delayed speech and language development
HP:0001260Dysarthria
HP:0030732Dysplastic tricuspid valve
HP:0002949Fused cervical vertebrae
HP:0000365Hearing impairment
HP:0000085Horseshoe kidney
HP:0001252Hypotonia
HP:0001511Intrauterine growth retardation
HP:0002808Kyphosis
HP:0006394Limited pronation/supination of forearm
HP:0000472Long neck
HP:0000347Micrognathia
HP:0001270Motor delay
HP:0000774Narrow chest
HP:0002650Scoliosis
HP:0001328Specific learning disability
HP:0003416Spinal canal stenosis
HP:0000486Strabismus
HP:0000582Upslanted palpebral fissure
HP:0001629Ventricular septal defect
HP:0002948Vertebral fusion
HP:0003422Vertebral segmentation defect
HP:0006610Wide intermamillary distance
Excluded (0%)
HP:0001249Intellectual disability

Run the differential on the 1 obligate / very frequent terms

Annotation source: 18203170[PMID]

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Sources for this card