raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2268

ICF syndrome

Synonyms: Immunodeficiency-centromeric instability-facial anomalies syndrome · Immunodeficiency-centromeric instability-facial dysmorphism syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

A rare autosomal recessive syndrome with combined immunodeficiency characterized by the clinical triad of immunodeficiency, centromeric instability and facial anomalies (abbreviated ICF syndrome). The immunodeficiency is with panhypogammaglobulinemia, and a lack of memory (CD19+CD27+) B cells in the peripheral blood, although B and T-cell counts are normal. Anomalies and rearrangements associated with DNA hypomethylation in the vicinity of the centromeres (the juxtacentromeric heterochromatin) of chromosomes 1 and 16 and sometimes 9, in mitogen-stimulated lymphocytes, is a hallmark of the syndrome. The typical facial anomalies include hypertelorism, low-set ears, epicanthus and macroglossia.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enICF syndromeImmunodeficiency-centromeric instability-facial anomalies syndrome · Immunodeficiency-centromeric instability-facial dysmorphism syndrome
frSyndrome ICFSyndrome d'instabilité centromérique-immunodéficience-dysmorphie faciale · Syndrome d'instabilité de l'hétérochromatine paracentromérique-immunodéficience combinée-dysmorphie faciale
deICF-SyndromImmunodefizienz-Zentromerinstabilität-faziale Anomalien-Syndrom
esSíndrome ICFSíndrome de inmunodeficiencia-inestabilidad centromérica-anomalías faciales · Síndrome de inmunodeficiencia-inestabilidad centromérica-dismorfia facial
itSindrome ICFInstabilità centromerica - immunodeficienza - dismorfismi · Sindrome immunodeficienza-instabilità centromerica-anomalie facciali · Sindrome immunodeficienza-instabilità centromerica-dismorfismi facciali
nlICF-syndroomImmuundeficiëntie - centromeerinstabiliteit - faciale anomalieën-syndroom · Immuundeficiëntie - centromeerinstabiliteit - faciale dysmorfie-syndroom
ptSíndrome ICFSíndrome de imunodeficiência-instabilidade centromérica-anomalias faciais · Síndrome de imunodeficiência-instabilidade centromérica-dismorfia facial · Síndrome de instabilidade centromérica-imunodeficiência
plZespół ICFNiedobór odporności - niestabilność centromeryczna - anomalie twarzy
csICF syndromImunodeficience spojená s centromerickou nestabilitou a faciálním dysmorfismem · ICF
ukСиндром ICFСиндром імунодефіциту-центромерної нестабільності-лицьових аномалій · Синдром імунодефіциту-центромерної нестабільності-лицевого дисморфізму
zhICF综合征免疫缺陷-着丝粒不稳定-面部异常综合征
trICF sendromuİmmün yetmezlik-sentromerik instabilite-fasiyal anomalileri sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM242860BTNTvalidated
OMIM614069BTNTvalidated
OMIM616910BTNTvalidated
OMIM616911BTNTvalidated
ICD-10D84.8NTBTattributedvalidated
ICD-114A01.00NTBTindexvalidated
MONDO0000133Evalidated
UMLSC0398788Evalidated
GARD2945Evalidated

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.

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Genes

5 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CDCA7Disease-causing germline mutation(s) inAssessedHGNC:14628ENSG000001443546099372q31.1cell division cycle associated 726216346[PMID]
DNMT3BDisease-causing germline mutation(s) inAssessedHGNC:2979ENSG0000008830560290020q11.21DNA methyltransferase 3 beta10588719[PMID]
HELLSDisease-causing germline mutation(s) inAssessedHGNC:4861ENSG0000011996960394610q23.33helicase, lymphoid specific26216346[PMID]
UHRF1Disease-causing germline mutation(s) inAssessedHGNC:12556ENSG0000027604360799019p13.3ubiquitin like with PHD and ring finger domains 136458887[PMID]
ZBTB24Disease-causing germline mutation(s) inAssessedHGNC:21143ENSG000001123656140646q21zinc finger and BTB domain containing 2421906047[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families66 casesWorldwideCase(s)Validated23486536[PMID]
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.

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HPO phenotypes

23 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003220Abnormality of chromosome stability
HP:0004313Decreased circulating antibody level
HP:0002721Immunodeficiency
HP:0000347Micrognathia
HP:0002205Recurrent respiratory infections
HP:0004322Short stature
Frequent (79-30%)
HP:0001874Abnormality of neutrophils
HP:0001903Anemia
HP:0005374Cellular immunodeficiency
HP:0001334Communicating hydrocephalus
HP:0005280Depressed nasal bridge
HP:0001263Global developmental delay
HP:0001249Intellectual disability
HP:0001888Lymphopenia
HP:0000256Macrocephaly
HP:0002024Malabsorption
Occasional (29-5%)
HP:0000286Epicanthus
HP:0012368Flat face
HP:0000316Hypertelorism
HP:0000369Low-set ears
HP:0000158Macroglossia
HP:0010808Protruding tongue
HP:0001537Umbilical hernia

Run the differential on the 6 obligate / very frequent terms

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Sources for this card