raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:199282

Harlequin syndrome

Synonyms: Progressive isolated segmental anhidrosis

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
All ages
Status
active

Harlequin syndrome (HSD) is an autonomic disorder occurring at any age and characterized by unilateral flushing and sweating, involving the face and sometimes arm and chest, in condition of thermal, exercise or emotional stress without sympathetic ocular manifestations. However, tonic pupils, parasympathetic oculomotor lesion and pre- or postganglionic sudomotor sympathetic deficit can rarely occur.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHarlequin syndromeProgressive isolated segmental anhidrosis
frSyndrome de HarlequinAnhidrose segmentaire progressive isolée
deHarlequin-SyndromProgressive isolierte segmentale Anhidrose
esSíndrome del arlequínAnhidrosis segmentaria progresiva aislada
itSindrome di ArlecchinoAnidrosi segmentale isolata progressiva
nlHarlekijnsyndroomProgressieve geïsoleerde segmentale anhidrose
ptSíndrome de Harlequin
plZespół HarlequinaPostępująca izolowana anhydroza odcinkowa
csHarlekýn syndromProgresivní izolovaná segmentální anhidróza
ukСиндром арлекінаПрогресуючий ізольований сегментарний ангідроз
zh丑角综合征进行性孤立阶段性无汗症
trHarlequin sendromuİlerleyici izole segmental anhidroz

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10G90.8NTBTattributedvalidated
ICD-11EE01.0NTBTindexvalidated
MONDO0016040Evalidated
MeSHC535634Evalidated
UMLSC2029348Evalidated
GARD8610Evalidated
MedDRA10076575Evalidated

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 (2):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families100 casesWorldwideCase(s)Validated28018464[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28018464[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

12 annotations · validated 2025-12-03
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0000970Anhidrosis
HP:0033850Coldness
HP:0031284Flushing
HP:0002277Horner syndrome
HP:0000980Pallor
Occasional (29-5%)
HP:0012199Cluster headache
HP:0009926Epiphora
HP:0000616Miosis
HP:0031417Rhinorrhea
HP:0007687Unilateral ptosis
Excluded (0%)
HP:0004302Functional motor deficit
HP:0000763Sensory neuropathy

Annotation source: 35593814[PMID]_26943985[PMID]_35888657[PMID]

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Sources for this card