raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:210548

Macrocephaly-intellectual disability-autism syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Infancy, Neonatal
Status
active

A rare, genetic, neurological disease characterized by association of macrocephaly, dysmorphic facial features and psychomotor delay leading to intellectual disability and autism spectrum disorder. Facial dysmorphism may include frontal bossing, hypertelorism, midface hypoplasia, depressed nasal bridge, short nose, and long philtrum.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMacrocephaly-intellectual disability-autism syndrome
frSyndrome de macrocéphalie-déficience intellectuelle-autisme
deMakrozephalie-Intelligenzminderung-Autismus-Syndrom
esSíndrome de macrocefalia-discapacidad intelectual-autismo
itSindrome da macrocefalia, disabilità intellettiva, autismo
nlMacrocefalie - intellectuele achterstand - autisme-syndroom
ptSíndrome de macrocefalia-perturbação do desenvolvimento intelectual-autismo
plZespół wielkogłowie-autyzm
csSyndrom zahrnující makrocefalii, mentální retardaci a autismus
ukСиндром макроцефалії-інтелектуальної недостатності-аутизму
zh大头畸形-智力障碍-自闭症综合征
trMakrosefali-zihinsel yetersizlik-otizm sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM605309Evalidated
OMIM613926BTNTvalidated
ICD-10Q87.8NTBTattributedvalidated
UMLSC5190809Evalidated

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 (5):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HEPACAMDisease-causing germline mutation(s) inAssessedHGNC:26361ENSG0000016547861164211q24.2hepatic and glial cell adhesion molecule21419380[PMID]
PTENDisease-causing germline mutation(s) inAssessedHGNC:9588ENSG0000017186260172810q23.31phosphatase and tensin homolog15805158[PMID]_17286265[PMID]_19265751[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families40 casesWorldwideCase(s)ValidatedORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

24 annotations · validated 2023-01-05
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000729Autistic behavior
HP:0000256Macrocephaly
Frequent (79-30%)
HP:0000750Delayed speech and language development
HP:0001249Intellectual disability
HP:0001270Motor delay
Occasional (29-5%)
HP:0000957Cafe-au-lait spot
HP:0005280Depressed nasal bridge
HP:0001252Hypotonia
HP:0200008Intestinal polyposis
HP:0001012Multiple lipomas
HP:0001054Numerous nevi
HP:0031447Penile freckling
Very rare (<4-1%)
HP:0007018Attention deficit hyperactivity disorder
HP:0001829Foot polydactyly
HP:0002007Frontal bossing
HP:0001397Hepatic steatosis
HP:0006781Hurthle cell thyroid adenoma
HP:0000316Hypertelorism
HP:0032203Lymphoid nodular hyperplasia
HP:0011800Midface retrusion
HP:0001177Preaxial hand polydactyly
HP:0001250Seizure
HP:0003196Short nose
HP:0002890Thyroid carcinoma

Run the differential on the 2 obligate / very frequent terms

Annotation source: 17286265[PMID]_17427195[PMID]_21960672[PMID]_34268892[PMID]

7

Sources for this card