raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2305

Isotretinoin syndrome

Synonyms: Isotretinoin embryopathy · Retinoic acid embryopathy · Retinoids embryopathy

Type
Malformation syndrome
Group
Disorder
Inheritance
Not applicable
Age of onset
Antenatal, Infancy, Neonatal
Status
active

A rare tetrogenic embryofetopathy due to exposure to isotretinoin, an oral synthetic vitamin A derivative, which is used to treat severe recalcitrant cystic acne. Exposure to isotretinoin during the first trimester of pregnancy has been associated with an increased risk of spontaneous abortions and severe birth defects including serious craniofacial (microcephaly, asymmetric crying facies, microphthalmia, developmental abnormalities of the external ear, ocular hypertelorism), cardio vascular (conotruncal heart defects, aortic arch abnormalities), and central nervous system (hydrocephalus, microcephaly, lissencephaly, Dandy-Walker malformation, cognitive deficit) anomalies and thymic aplasia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIsotretinoin syndromeIsotretinoin embryopathy · Retinoic acid embryopathy · Retinoids embryopathy
frSyndrome isotrétinoïneEmbryofoetopathie aux rétinoïdes · Embryofoetopathie à l'isotrétinoïne · Embryopathie à l'acide rétinoïque
deIsotretinoin-SyndromIsotretinoin-Embryofetopathie
esSíndrome por isotretinoinaEmbriopatía por isotretinoina · Embriopatía por retinoides · Embriopatía por ácido retinoico
itSindrome da isotretinoinaEmbriopatia da acido retinoico · Embriopatia da isotretinoina · Embriopatia da retinoidi
nlIsotretinoïnesyndroomIsotretinoïne-embryopathie · Retinoïde-embryopathie · Retinoïnezuur-embryopathie
ptSíndrome isotretinoínaEmbriopatia por isotretinoína · Embriopatia por retinóides
plZespół izotretynoinowyEmbriopatia izotretynoinowa · Embriopatia kwasu retinoidowego · Embriopatia retinoidowa
csIzotretinoinový syndromIzotretinoinová embryopatie · Embryopatie z kyseliny retinové · Retinoidní embryopatie
ukІзотретиноїновий синдромІзотретиноїдна ембріопатія · Ембріопатія ретиноєвої кислоти · Ретиноїдна ембріопатія
zh异维甲酸综合征维甲酸胚胎病
trİzotretinoin sendromuRetinoid embriyopatisi · İzotretinoin embriyopatisi · Retinoik asit embriyopatisi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10Q86.8NTBTattributedvalidated
ICD-11LD2F.0YNTBTindexvalidated
MONDO0016467Evalidated
MeSHC535670Evalidated
UMLSC2930972Evalidated

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 (2):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

12 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000356Abnormality of the outer ear
HP:0001252Hypotonia
HP:0008551Microtia
HP:0001315Reduced tendon reflexes
Frequent (79-30%)
HP:0004422Biparietal narrowing
HP:0000175Cleft palate
HP:0100543Cognitive impairment
HP:0005280Depressed nasal bridge
HP:0001800Hypoplastic toenails
HP:0000347Micrognathia
Occasional (29-5%)
HP:0000960Sacral dimple
HP:0003298Spina bifida occulta

Run the differential on the 4 obligate / very frequent terms

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Sources for this card