raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2059

Fryns syndrome

Synonyms: Diaphragmatic hernia-facial dysmorphism-distal limb anomalies syndrome

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

A rare multiple congenital anomaly syndrome characterized by congenital diaphragmatic hernia (CDH) and pulmonary hypoplasia, distal limb hypoplasia and facial anomalies in addition to variable expression of additional birth defects.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFryns syndromeDiaphragmatic hernia-facial dysmorphism-distal limb anomalies syndrome
frSyndrome de FrynsSyndrome de hernie diaphragmatique-dysmorphie faciale
deFryns-SyndromZwerchfellhernie-Gesichtsdysmorphien-distale Gliedmaßenanomalien-Syndrom
esSíndrome de FrynsSíndrome de hernia diafragmática-dismorfia facial-anomalías de las extremidades distales
itSindrome di FrynsSindrome ernia diaframmatica-dismorfismi facciali-anomalie distali degli arti · Ernia diaframmatica - anomalie facciali
nlSyndroom van FrynsHernia diaphragmatica - faciale dysmorfie - distale ledemaatanomalieën-syndroom
ptSíndrome FrynsSíndrome de hérnia diafragmática-face peculiar-anomalias distais dos membros
plZespół FrynsaPrzepuklina przeponowa - nieprawidłowa twarz - wady dystalnych części kończyn
csFrynsův syndromSyndrom zahrnující diafragmatickou hernii, abnormální obličej a anomálie distálních končetin
ukСиндром ФрінсаСиндром діафрагмальної грижи - аномальних аномалій обличчя та кінцівок
zhFryns综合征Fryns综合征
trFryns sendromuDiyafragma herni-anormal yüz-distal ekstremite anomalileri sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM229850Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD2F.1YNTBTindexvalidated
MONDO0009253Evalidated
MeSHC538070Evalidated
UMLSC0220730Evalidated
GARD3699Evalidated
MedDRA10075223Evalidated

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
PIGNDisease-causing germline mutation(s) inAssessedHGNC:8967ENSG0000019756360609718q21.33phosphatidylinositol glycan anchor biosynthesis class N27038415[PMID]
5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0007 / 100 000FranceValue and classValidated2650934[PMID]
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET
Prevalence at birth1-9 / 100 0007 / 100 000EuropeValue and classValidated2650934[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

51 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0006709Aplasia/Hypoplasia of the nipples
HP:0000337Broad forehead
HP:0000776Congenital diaphragmatic hernia
HP:0000218High palate
HP:0001804Hypoplastic fingernail
HP:0001249Intellectual disability
HP:0000343Long philtrum
HP:0000347Micrognathia
HP:0000003Multicystic kidney dysplasia
HP:0000358Posteriorly rotated ears
HP:0002089Pulmonary hypoplasia
HP:0011344Severe global developmental delay
HP:0000470Short neck
HP:0010804Tented upper lip vermilion
HP:0000431Wide nasal bridge
Frequent (79-30%)
HP:0001671Abnormal cardiac septum morphology
HP:0001274Agenesis of corpus callosum
HP:0000463Anteverted nares
HP:0002120Cerebral cortical atrophy
HP:0000175Cleft palate
HP:0004209Clinodactyly of the 5th finger
HP:0000280Coarse facial features
HP:0007957Corneal opacity
HP:0000028Cryptorchidism
HP:0000316Hypertelorism
HP:0000161Median cleft lip
HP:0100335Non-midline cleft of the upper lip
HP:0001561Polyhydramnios
HP:0001250Seizure
HP:0009882Short distal phalanx of finger
HP:0001636Tetralogy of Fallot
HP:0000474Thickened nuchal skin fold
HP:0002119Ventriculomegaly
HP:0006610Wide intermamillary distance
HP:0000154Wide mouth
Occasional (29-5%)
HP:0012303Abnormal aortic arch morphology
HP:0001679Abnormal aortic morphology
HP:0002251Aganglionic megacolon
HP:0002023Anal atresia
HP:0000813Bicornuate uterus
HP:0001305Dandy-Walker malformation
HP:0002247Duodenal atresia
HP:0004397Ectopic anus
HP:0002020Gastroesophageal reflux
HP:0000126Hydronephrosis
HP:0000047Hypospadias
HP:0002566Intestinal malrotation
HP:0000568Microphthalmia
HP:0000774Narrow chest
HP:0001539Omphalocele
HP:0000076Vesicoureteral reflux

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card