raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2255

Pancreatic hypoplasia-diabetes-congenital heart disease syndrome

Synonyms: PACHD · Pancreatic agenesis and congenital heart defects syndrome · Yorifuji-Okuno syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
All ages
Status
active

A rare, syndromic diabetes mellitus characterized by partial pancreatic agenesis, diabetes mellitus, and heart anomalies (including transposition of the great vessels, ventricular or atrial septal defects, pulmonary stenosis, or patent ductus arteriosis).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPancreatic hypoplasia-diabetes-congenital heart disease syndromePACHD · Pancreatic agenesis and congenital heart defects syndrome · Yorifuji-Okuno syndrome
frSyndrome d'hypoplasie pancréatique-diabète-cardiopathie congénitaleSyndrome de Yorifuji-Okuno
dePankreashypoplasie-Diabetes-kongenitaler Herzfehler-SyndromSyndrom der Pankreas-Hypoplasie mit Diabetes mellitus und angeborenem Herzfehler · Yorifuji-Okuno-Syndrom
esSíndrome de hipoplasia pancreática-diabetes-cardiopatía congénitaSíndrome de Yorifuji-Okuno
itIpoplasia pancreatica - diabete - cardiopatia congenitaSindrome di Yorifuji-Okuno
nlHypoplasie van pancreas - diabetes - congenitale hartziekte-syndroomSyndroom van Yorifuji-Okuno
ptSíndrome de hipoplasia pancreática-diabetes-cardiopatia congénitaSíndrome Yorifuji-Okuno
plHipoplazja trzustki - cukrzyca - wrodzona choroba sercaZespół Yorifuji i Okuno syndrome
csSyndrom zahrnující hypoplázii pankreatu, diabetes a vrozenou vadu srdceYorifujiho-Okunoův syndrom · Yorifuji-Okunoův syndrom
ukСиндром гіпоплазії підшлункової залози-діабету-вроджених вад серцяPACHD · Синдром панкреатичної агенезії та вроджених вад серця · Синдром Йоріфуджі-Окуно
zh胰腺发育不全-糖尿病-先天性心脏病综合征Yorifuji-Okuno综合征
trPankreas hipoplazisi-diyabet-doğumsal kalp hastalığı sendromuYorifuji-Okuno sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM600001Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11KB60.2YNTBTattributedvalidated
MONDO0010802Evalidated
MeSHC536714Evalidated
UMLSC2931296Evalidated
GARD347Evalidated

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
GATA6Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:4174ENSG0000014144860165618q11.2GATA binding protein 622158542[PMID]_22962692[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 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

40 annotations · validated 2017-01-23
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001631Atrial septal defect
HP:0001738Exocrine pancreatic insufficiency
HP:0000857Neonatal insulin-dependent diabetes mellitus
HP:0001655Patent foramen ovale
HP:0001629Ventricular septal defect
Frequent (79-30%)
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0100790Hernia
HP:0001249Intellectual disability
HP:0002254Intermittent diarrhea
HP:0001511Intrauterine growth retardation
HP:0100801Pancreatic aplasia
HP:0002594Pancreatic hypoplasia
HP:0001518Small for gestational age
Occasional (29-5%)
HP:0000851Congenital hypothyroidism
HP:0011581Double outlet left ventricle
HP:0004762Hypoplasia of right ventricle
HP:0011573Hypoplastic tricuspid valve
HP:0001319Neonatal hypotonia
HP:0001562Oligohydramnios
HP:0001643Patent ductus arteriosus
HP:0003645Prolonged partial thromboplastin time
HP:0004415Pulmonary artery stenosis
HP:0001642Pulmonic stenosis
HP:0002098Respiratory distress
HP:0001250Seizure
HP:0001636Tetralogy of Fallot
HP:0001669Transposition of the great arteries
Very rare (<4-1%)
HP:0010626Anterior pituitary agenesis
HP:0011466Aplasia/Hypoplasia of the gallbladder
HP:0005912Biliary atresia
HP:0000891Cervical ribs
HP:0011628Congenital defect of the pericardium
HP:0000776Congenital diaphragmatic hernia
HP:0011611Interrupted aortic arch
HP:0002566Intestinal malrotation
HP:0040196Mild microcephaly
HP:0001195Single umbilical artery
HP:0001537Umbilical hernia
HP:0000073Ureteral duplication

Run the differential on the 5 obligate / very frequent terms

Annotation source: 20082465[PMID]_23639568[PMID]_24310933[PMID]_22962692[PMID]_8071961[PMID]_22158542[PMID]

7

Sources for this card