raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1738

Trisomy 4p syndrome

Synonyms: Duplication 4p · Duplication of the short arm of chromosome 4 · Trisomy of the short arm of chromosome 4

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

Trisomy 4p is a rare chromosomal anomaly syndrome, resulting from the partial duplication of the short arm of chromosome 4, with a highly variable phenotype, typically characterized by pre- and postnatal growth delay, psychomotor developmental delay and craniofacial dysmorphism (microcephaly, prominent glabelle, hypertelorism, enlarged ears with abnormal helix and antihelix, bulbous nose with flat or depressed nasal bridge, long philtrum, retrognathia with pointed chin). Additional features include skeletal (rocker bottom feet, arachnodactyly, camptodactyly) and renal malformations, cardiac defects, ocular abnormalities and abnormal genitalia in males.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTrisomy 4p syndromeDuplication 4p · Duplication of the short arm of chromosome 4 · Trisomy of the short arm of chromosome 4
frSyndrome de trisomie 4pDuplication 4p · Trisomie du bras court du chromosome 4
deTrisomie 4pChromosom 4, Trisomie des kurzen Arms · Duplikation 4p · Chromosom 4, Duplikation des kurzen Arms
esSíndrome de trisomía 4pDuplicación 4p · Duplicación del brazo corto del cromosoma 4 · Trisomía del brazo corto del cromosoma 4
itSindroe trisomia 4pDuplicazione 4p · Duplicazione del braccio corto del cromosoma 4 · Trisomia del braccio corto del cromosoma 4
nlTrisomie 4p-syndroomDuplicatie 4p · Duplicatie van de korte arm van chromosoom 4 · Trisomie van de korte arm van chromosoom 4
ptTrissomia 4pDuplicação 4p · Trissomia 4p
plZespół trisomii 4pDuplikacja 4p · Duplikacja krótkiego ramienia chromosomu 4 · Trisomia krótkiego ramienia chromosomu 4
csTrizomie 4pDuplikace 4p · Duplikace krátkého raménka chromozomu 4 · Trizomie krátkého raménka chromozomu 4
ukТрисомія 4рДуплікація 4p · Дуплікація короткого плеча хромосоми 4 · Трисомія короткого плеча хромосоми 4
zh4号染色体短臂三体4号染色体短臂三体
trTrizomi 4pDuplikasyon 4p · 4. kromozomun kısa kolunun trizomisi · 4. kromozomun kısa kolunun duplikasyonu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10Q92.2NTBTattributedvalidated
ICD-11LD41.31NTBTattributedvalidated
MONDO0015767Evalidated
MeSHC537643Evalidated
UMLSC0265405Evalidated
GARD6091Evalidated
MedDRA10080079Evalidated

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

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families85 casesWorldwideCase(s)Validated12239731[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_12239731[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.

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HPO phenotypes

30 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0010720Abnormal hair pattern
HP:0000174Abnormal palate morphology
HP:0002916Abnormality of chromosome segregation
HP:0009738Abnormality of the antihelix
HP:0000164Abnormality of the dentition
HP:0000670Carious teeth
HP:0100543Cognitive impairment
HP:0005280Depressed nasal bridge
HP:0000316Hypertelorism
HP:0001252Hypotonia
HP:0000294Low anterior hairline
HP:0000400Macrotia
HP:0000252Microcephaly
HP:0000358Posteriorly rotated ears
HP:0000311Round face
HP:0000470Short neck
HP:0004322Short stature
HP:0000319Smooth philtrum
HP:0000574Thick eyebrow
HP:0006610Wide intermamillary distance
Frequent (79-30%)
HP:0100490Camptodactyly of finger
HP:0000028Cryptorchidism
HP:0002750Delayed skeletal maturation
HP:0002650Scoliosis
HP:0000486Strabismus
Occasional (29-5%)
HP:0030680Abnormal cardiovascular system morphology
HP:0000581Blepharophimosis
HP:0000047Hypospadias
HP:0001177Preaxial hand polydactyly
HP:0004059Radial club hand

Run the differential on the 12 obligate / very frequent terms

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Sources for this card