raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:192

Coffin-Lowry syndrome

Synonyms: CLS

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

A rare X-linked syndromic intellectual disability characterized by global development delay, postnatal growth retardation leading to short stature, facial dysmorphism, short hands with tapering fingers and progressive skeletal abnormalities including kyphoscoliosis and <i>pectus carinatum/excavatum</i>. Intellectual disability ranges from mild to severe.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCoffin-Lowry syndromeCLS
frSyndrome de Coffin-Lowry= en
deCoffin-Lowry-Syndrom= en
esSíndrome de Coffin-Lowry= en
itSindrome di Coffin-Lowry= en
nlSyndroom van Coffin-Lowry= en
ptSíndrome Coffin-Lowry
plZespół Coffina i Lowry'ego= en
csCoffinův-Lowryho syndromCLS · Coffin-Lowryho syndrom
ukСиндром Коффіна-Лоурі= en
zhCoffin-Lowry综合征= en
trTabut-Lowry sendromu= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM303600Evalidated
ICD-10Q87.0NTBTattributedvalidated
ICD-11LD2F.1YNTBTindexvalidated
MONDO0010561Evalidated
MeSHD038921Evalidated
UMLSC0265252Evalidated
GARD6123Evalidated
MedDRA10081806Evalidated

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
RPS6KA3Disease-causing germline mutation(s) inAssessedHGNC:10432ENSG00000177189300075Xp22.12ribosomal protein S6 kinase A320301520[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 0001.5 / 100 000WorldwideValue and classNot yet validated19888300[PMID]
Point prevalence1-9 / 100 0001.5 / 100 000EuropeValue and classValidatedORPHANET

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

81 annotations · validated 2024-04-18
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0006482Abnormal dental morphology
HP:0000940Abnormal diaphysis morphology
HP:0003312Abnormal form of the vertebral bodies
HP:0002167Abnormality of speech or vocalization
HP:0000463Anteverted nares
HP:0001500Broad finger
HP:0000280Coarse facial features
HP:0004493Craniofacial hyperostosis
HP:0002750Delayed skeletal maturation
HP:0005280Depressed nasal bridge
HP:0000494Downslanted palpebral fissures
HP:0000286Epicanthus
HP:0000232Everted lower lip vermilion
HP:0002007Frontal bossing
HP:0000316Hypertelorism
HP:0000668Hypodontia
HP:0001252Hypotonia
HP:0001249Intellectual disability
HP:0001382Joint hypermobility
HP:0002808Kyphosis
HP:0001176Large hands
HP:0000194Open mouth
HP:0000768Pectus carinatum
HP:0000767Pectus excavatum
HP:0002650Scoliosis
HP:0011344Severe global developmental delay
HP:0004322Short stature
HP:0001182Tapered finger
HP:0000179Thick lower lip vermilion
HP:0009928Thick nasal alae
HP:0000687Widely spaced teeth
Frequent (79-30%)
HP:0011065Conical incisor
HP:0008872Feeding difficulties in infancy
HP:0001288Gait disturbance
HP:0000218High palate
HP:0001812Hyperconvex fingernails
HP:0001276Hypertonia
HP:0000327Hypoplasia of the maxilla
HP:0001804Hypoplastic fingernail
HP:0000252Microcephaly
HP:0002868Narrow iliac wings
HP:0000189Narrow palate
HP:0001763Pes planus
HP:0008897Postnatal growth retardation
HP:0006480Premature loss of teeth
HP:0002191Progressive spasticity
HP:0011220Prominent forehead
HP:0000411Protruding ear
HP:0009193Pseudoepiphyses of the metacarpals
HP:0001582Redundant skin
HP:0011580Short chordae tendineae of the mitral valve
HP:0006692Short chordae tendineae of the tricuspid valve
HP:0009882Short distal phalanx of finger
HP:0010049Short metacarpal
HP:0002119Ventriculomegaly
HP:0000154Wide mouth
HP:0000445Wide nose
Occasional (29-5%)
HP:0001646Abnormal aortic valve morphology
HP:0001633Abnormal mitral valve morphology
HP:0001702Abnormal tricuspid valve morphology
HP:0002269Abnormality of neuronal migration
HP:0007703Abnormality of retinal pigmentation
HP:0006288Advanced eruption of teeth
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0007370Aplasia/Hypoplasia of the corpus callosum
HP:0010819Atonic seizure
HP:0000708Atypical behavior
HP:0001638Cardiomyopathy
HP:0000518Cataract
HP:0002120Cerebral cortical atrophy
HP:0000684Delayed eruption of teeth
HP:0002711Exaggerated median tongue furrow
HP:0000023Inguinal hernia
HP:0001324Muscle weakness
HP:0000648Optic atrophy
HP:0001250Seizure
HP:0100716Self-injurious behavior
HP:0000407Sensorineural hearing impairment
HP:0003202Skeletal muscle atrophy
HP:0010535Sleep apnea
HP:0000486Strabismus

Run the differential on the 12 obligate / very frequent terms

Annotation source: 20301520[PMID]_12362025[PMID]_19888300[PMID]

7

Sources for this card