raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:217335

RIN2 syndrome

Synonyms: MACS syndrome · Macrocephaly-alopecia-cutis laxa-scoliosis syndrome · RIN2 deficiency · Tall forehead-sparse hair-skin hyperextensibility-scoliosis syndrome

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

RIN2 syndrome, formerly known as macrocephaly, alopecia, cutis laxa and scoliosis (MACS) syndrome, is a very rare inherited connective tissue disorder characterized by macrocephaly, sparse scalp hair, soft-redundant and hyperextensible skin, joint hypermobility, and scoliosis. Patients have progressive facial coarsening with downslanted palpebral fissures, upper eyelid fullness/infraorbital folds, thick/everted vermillion, gingival overgrowth and abnormal position of the teeth. Rarer manifestations such as abnormal high-pitched voice, bronchiectasis, hypergonadotropic hypergonadism and brachydactyly have also been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enRIN2 syndromeMACS syndrome · Macrocephaly-alopecia-cutis laxa-scoliosis syndrome · RIN2 deficiency · Tall forehead-sparse hair-skin hyperextensibility-scoliosis syndrome
frSyndrome RIN2Déficit en RIN2 · Syndrome MACS · Syndrome de macrocéphalie-alopécie-cutis laxa-scoliose
deRIN2-SyndromHohe Stirn-Spärliches Haar-Überdehnbarkeit der Haut-Skoliose-Syndrom · MACS-Syndrom · Makrozephalie-Alopezie-Cutis laxa-Skoliose-Syndrom · RIN2-Mangel
esSíndrome RIN2Deficiencia de RIN2 · Síndrome MACS · Síndrome de frente alta-cabello escaso-hiperextensibilidad de la piel-escoliosis · Síndrome de macrocefalia-alopecia-cutis laxa-escoliosis
itSindrome RIN2Deficit di RIN2 · Sindrome MACS · Sindrome fronte alta-capelli radi-cute iperestensibile-scoliosi · Sindrome macrocefalia-alopecia-cutis laxa-scoliosi
nlRIN2-syndroomHoog voorhoofd - dun haar - hyperextensibiliteit van de huid - scoliose-syndroom · MACS-syndroom · Macrocefalie - alopecie - cutis laxa - scoliose-syndroom · RIN2-deficiëntie
ptSíndrome de MACS
plZespół RIN2Niedobór RIN2 · Zespół MACS · Zespół makrocefalii, łysienia, luźnej skóry i skoliozy
csRIN2 syndromMACS syndrom · Syndrom zahrnující makrocefalii, alopecii, cutis laxa a skoliózu · RIN2 deficit · Syndrom zahrnující vysoké čelo, řídké vlasy, hyperextensibilitu kůže a skoliózu
ukСиндром RIN2Синдром макроцефалії - алопеції - cutis laxa - сколіозу · Синдром MACS · Дефіцит RIN2 · Синдром високого лобу - рідкого волосся - надмірної розтяжност шкіри - сколіозу
zhRIN2基因综合征高额头-头发稀疏-皮肤松弛-脊柱侧凸综合征
trRIN2 sendromuMACS sendromu · RIN2 eksikliği · Makrosefali-alopesi-kutis laksa-skolyoz sendromu · Uzun alın-seyrek saç-aşırı esnek deri-skolyoz sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613075Evalidated
ICD-10Q82.8NTBTattributedvalidated
ICD-11LD28.2NTBTindexvalidated
MONDO0013115Evalidated
MeSHC567770Evalidated
UMLSC2751321Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RIN2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:18750ENSG0000013266961022220p11.23Ras and Rab interactor 219631308[PMID]_24449201[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 casesWorldwideCase(s)Validated27277385[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27277385[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

28 annotations · validated 2017-01-05
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000159Abnormal lip morphology
HP:0000280Coarse facial features
HP:0000494Downslanted palpebral fissures
HP:0000212Gingival overgrowth
HP:0000218High palate
HP:0001007Hirsutism
HP:0000974Hyperextensible skin
HP:0011232Infra-orbital fold
HP:0040079Irregular dentition
HP:0001382Joint hypermobility
HP:0000343Long philtrum
HP:0001763Pes planus
HP:0001582Redundant skin
HP:0002650Scoliosis
HP:0002209Sparse scalp hair
HP:0012724Upper eyelid edema
Frequent (79-30%)
HP:0000766Abnormal sternum morphology
HP:0001620Abnormally high-pitched voice
HP:0000978Bruising susceptibility
HP:0100543Cognitive impairment
HP:0001537Umbilical hernia
Occasional (29-5%)
HP:0004942Aortic aneurysm
HP:0001156Brachydactyly
HP:0000028Cryptorchidism
HP:0011003High myopia
HP:0000815Hypergonadotropic hypogonadism
HP:0002659Increased susceptibility to fractures
HP:0008209Premature ovarian insufficiency

Run the differential on the 12 obligate / very frequent terms

Annotation source: 24449201[PMID]

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Sources for this card