raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:191

Cockayne syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
All ages
Status
active

Cockayne syndrome (CS) is a multisystem condition characterized by short stature, a characteristic facial appearance, premature aging, photosensitivity, progressive neurological dysfunction, and intellectual deficit.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCockayne syndrome
frSyndrome de Cockayne
deCockayne-Syndrom
esSíndrome de Cockayne
itSindrome di Cockayne
nlSyndroom van Cockayne
ptSíndrome Cockayne
plZespół Cockayne
csCockayneův syndrom
ukСиндром Кокейна
zh科凯恩综合征
trCockayne sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM133540BTNTvalidated
OMIM214150BTNTvalidated
OMIM216400BTNTvalidated
OMIM278780BTNTvalidated
OMIM610756BTNTvalidated
OMIM610758BTNTvalidated
OMIM616570BTNTvalidated
ICD-10Q87.1NTBTinclusionvalidated
ICD-11LD2BNTBTindexvalidated
MONDO0016006Evalidated
MeSHD003057Evalidated
UMLSC0009207Evalidated
GARD6122Evalidated
MedDRA10009835Evalidated

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 (11):

Children (4):

4

Genes

0 direct · 12 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ERCC6ORPHA:90321Cockayne syndrome type 1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:3438ENSG0000022583060941310q11.23ERCC excision repair 6, chromatin remodeling factor20301516[PMID]
ERCC6ORPHA:90322Cockayne syndrome type 2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:3438ENSG0000022583060941310q11.23ERCC excision repair 6, chromatin remodeling factor20301516[PMID]
ERCC6ORPHA:90324Cockayne syndrome type 3Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:3438ENSG0000022583060941310q11.23ERCC excision repair 6, chromatin remodeling factor20301516[PMID]
ERCC1ORPHA:1466COFS syndromeDisease-causing germline mutation(s) inAssessedHGNC:3433ENSG0000001206112638019q13.32ERCC excision repair 1, endonuclease non-catalytic subunit17273966[PMID]
ERCC1ORPHA:90322Cockayne syndrome type 2Disease-causing germline mutation(s) inAssessedHGNC:3433ENSG0000001206112638019q13.32ERCC excision repair 1, endonuclease non-catalytic subunit23623389[PMID]
ERCC2ORPHA:1466COFS syndromeDisease-causing germline mutation(s) inAssessedHGNC:3434ENSG0000010488412634019q13.32ERCC excision repair 2, TFIIH core complex helicase subunit11443545[PMID]
ERCC4ORPHA:90321Cockayne syndrome type 1Disease-causing germline mutation(s) inAssessedHGNC:3436ENSG0000017559513352016p13.12ERCC excision repair 4, endonuclease catalytic subunit23623389[PMID]
ERCC5ORPHA:1466COFS syndromeDisease-causing germline mutation(s) inAssessedHGNC:3437ENSG0000013489913353013q33.1ERCC excision repair 5, endonuclease24700531[PMID]
ERCC6ORPHA:1466COFS syndromeDisease-causing germline mutation(s) inAssessedHGNC:3438ENSG0000022583060941310q11.23ERCC excision repair 6, chromatin remodeling factor20301516[PMID]
ERCC8ORPHA:90321Cockayne syndrome type 1Disease-causing germline mutation(s) inAssessedHGNC:3439ENSG000000491676094125q12.1ERCC excision repair 8, CSA ubiquitin ligase complex subunit20301516[PMID]
ERCC8ORPHA:90322Cockayne syndrome type 2Disease-causing germline mutation(s) inAssessedHGNC:3439ENSG000000491676094125q12.1ERCC excision repair 8, CSA ubiquitin ligase complex subunit20301516[PMID]
ERCC8ORPHA:90324Cockayne syndrome type 3Disease-causing germline mutation(s) inAssessedHGNC:3439ENSG000000491676094125q12.1ERCC excision repair 8, CSA ubiquitin ligase complex subunit20301516[PMID]
5

Prevalence and incidence

8 records
TypeClassValueAreaQualificationValidationSource
Annual incidence1-9 / 1 000 0000.5 / 100 000EuropeValue and classValidated[EXPERT]
Prevalence at birth1-9 / 1 000 0000.2 / 100 000EuropeValue and classValidatedEUROCAT European surveillance of congenital anomalies 2005-2012[OTHER]
Prevalence at birth<1 / 1 000 0000.09 / 100 000GermanyValue and classValidated18329345[PMID]
Prevalence at birth1-9 / 1 000 0000.18 / 100 000FranceValue and classValidated18329345[PMID]
Prevalence at birth1-9 / 1 000 0000.2 / 100 000ItalyValue and classValidated18329345[PMID]
Prevalence at birth1-9 / 1 000 0000.45 / 100 000NetherlandsValue and classValidated18329345[PMID]
Prevalence at birth1-9 / 1 000 0000.38 / 100 000United KingdomValue and classValidated18329345[PMID]
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

119 annotations · validated 2020-03-30
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007703Abnormality of retinal pigmentation
HP:0000708Atypical behavior
HP:0004326Cachexia
HP:0001272Cerebellar atrophy
HP:0007266Cerebral dysmyelination
HP:0001510Growth delay
HP:0001268Mental deterioration
HP:0000580Pigmentary retinopathy
HP:0008897Postnatal growth retardation
HP:0000253Progressive microcephaly
HP:0000408Progressive sensorineural hearing impairment
HP:0003510Severe short stature
Frequent (79-30%)
HP:0012372Abnormal eye morphology
HP:0001251Ataxia
HP:0002135Basal ganglia calcification
HP:0000670Carious teeth
HP:0000518Cataract
HP:0002059Cerebral atrophy
HP:0002514Cerebral calcification
HP:0100543Cognitive impairment
HP:0002803Congenital contracture
HP:0005781Contractures of the large joints
HP:0000992Cutaneous photosensitivity
HP:0000762Decreased nerve conduction velocity
HP:0000490Deeply set eye
HP:0007108Demyelinating peripheral neuropathy
HP:0002461Dense calcifications in the cerebellar dentate nucleus
HP:0011359Dry hair
HP:0006297Enamel hypoplasia
HP:0008872Feeding difficulties in infancy
HP:0002213Fine hair
HP:0001288Gait disturbance
HP:0002020Gastroesophageal reflux
HP:0002171Gliosis
HP:0001263Global developmental delay
HP:0001757High-frequency sensorineural hearing impairment
HP:0002545Patchy demyelination of subcortical white matter
HP:0009830Peripheral neuropathy
HP:0100678Premature skin wrinkling
HP:0007240Progressive gait ataxia
HP:0000529Progressive visual loss
HP:0003758Reduced subcutaneous adipose tissue
HP:0000556Retinal dystrophy
HP:0001250Seizure
HP:0007141Sensorimotor neuropathy
HP:0003202Skeletal muscle atrophy
HP:0003474Somatic sensory dysfunction
HP:0007346Subcortical white matter calcifications
Occasional (29-5%)
HP:0000481Abnormal cornea morphology
HP:0006482Abnormal dental morphology
HP:0000512Abnormal electroretinogram
HP:0006483Abnormal number of teeth
HP:0012211Abnormal renal physiology
HP:0005930Abnormality of epiphysis morphology
HP:0008197Absence of pubertal development
HP:0002345Action tremor
HP:0000522Alacrima
HP:0000970Anhidrosis
HP:0001284Areflexia
HP:0002621Atherosclerosis
HP:0008936Axial hypotonia
HP:0000585Band keratopathy
HP:0000444Convex nasal ridge
HP:0012804Corneal ulceration
HP:0000028Cryptorchidism
HP:0000633Decreased lacrimation
HP:0000680Delayed eruption of primary teeth
HP:0000823Delayed puberty
HP:0000689Dental malocclusion
HP:0000519Developmental cataract
HP:0002376Developmental regression
HP:0000819Diabetes mellitus
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0001288Gait disturbance
HP:0011471Gastrostomy tube feeding in infancy
HP:0002240Hepatomegaly
HP:0000540Hypermetropia
HP:0001347Hyperreflexia
HP:0000822Hypertension
HP:0001276Hypertonia
HP:0002149Hyperuricemia
HP:0001265Hyporeflexia
HP:0002540Inability to walk
HP:0001249Intellectual disability
HP:0002080Intention tremor
HP:0001097Keratoconjunctivitis sicca
HP:0002808Kyphosis
HP:0011527Lentiglobus
HP:0002509Limb hypertonia
HP:0025300Malar rash
HP:0000616Miosis
HP:0000100Nephrotic syndrome
HP:0000011Neurogenic bladder
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0000543Optic disc pallor
HP:0003477Peripheral axonal neuropathy
HP:0000613Photophobia
HP:0011451Primary microcephaly
HP:0000093Proteinuria
HP:0000089Renal hypoplasia
HP:0000083Renal insufficiency
HP:0008043Retinal arteriolar constriction
HP:0000546Retinal degeneration
HP:0002650Scoliosis
HP:0001257Spasticity
HP:0001744Splenomegaly
HP:0025403Stooped posture
HP:0000486Strabismus
HP:0002684Thickened calvaria
HP:0000122Unilateral renal agenesis
HP:0000020Urinary incontinence
HP:0004934Vascular calcification
HP:0001612Weak cry
Very rare (<4-1%)
HP:0001344Absent speech
HP:0006349Agenesis of permanent teeth
HP:0000568Microphthalmia
HP:0001105Retinal atrophy
HP:0000573Retinal hemorrhage

Run the differential on the 12 obligate / very frequent terms

Annotation source: 20301516[PMID]_27507608[PMID]

7

Sources for this card