raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2306

Isotretinoin-like syndrome

Synonyms: Kawashima syndrome · Microtia-aortic arch syndrome

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

A rare multiple congenital anomalies/dysmorphic syndrome characterized by facial dysmorphism (including small, malformed or missing ears, micrognathia, and cleft palate), conotruncal heart defects, aortic arch anomalies, and central nervous system anomalies including hydrocephalus and posterior fossa abnormalities. Clinical features overlap with isotretinoin syndrome/isotretinoin embryopathy, occurs following maternal treatment with isotretinoin, however these patients have no prenatal history of exposure to isotretinoin.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIsotretinoin-like syndromeKawashima syndrome · Microtia-aortic arch syndrome
frSyndrome isotretinoïne-likeSyndrome de Kawashima · Syndrome de microtie-anomalie de la crosse aortique
deIsotretinoin-ähnliches-SyndromKawashima-Syndrom · Mikrotie - Aortenbogensyndrom
esSíndrome similar al síndrome por isotretinoinaSíndrome de isotretinoina-like
itSindrome isotretinoina-simileMicrotia - anomalia dell'arco aortico · Sindrome di Kawashima
nlIsotretinoïne-achtig syndroomKawashimasyndroom · Microtie-aortaboogsyndroom
ptSíndrome isotretinoina-<i>likeSíndrome Kawashima · Síndrome de microtia-síndrome do arco aórtico
plZespół pseudo-izotretynoinowyZespół Kawashima · Zespół małe uszy - łuk aorty
csSyndrom podobný izotretinoinovému syndromuKawashimové syndrom · Syndrom zahrnující mikrocii a aortální oblouk
ukІзотретиноїноподібний синдромСиндром Кавасіми · Синдром мікротії дуги аорти
zh类异维甲酸综合征小耳畸形-主动脉弓综合征
trİzotretinoin benzeri sendromKawashima sendromu · Mikroti-aortik ark sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM243440Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0009473Evalidated
MeSHC535542Evalidated
UMLSC0432364Evalidated
GARD9675Evalidated

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.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families6 casesWorldwideCase(s)Validated15602090[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_15602090[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.

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HPO phenotypes

30 annotations · validated 2017-10-23
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008551Microtia
Frequent (79-30%)
HP:0012303Abnormal aortic arch morphology
HP:0005120Abnormal cardiac atrium morphology
HP:0001713Abnormal cardiac ventricle morphology
HP:0000932Abnormality of the posterior cranial fossa
HP:0011718Abnormality of the pulmonary veins
HP:0000463Anteverted nares
HP:0001650Aortic valve stenosis
HP:0008774Aplasia/Hypoplasia of the inner ear
HP:0000413Atresia of the external auditory canal
HP:0001647Bicuspid aortic valve
HP:0008619Bilateral sensorineural hearing impairment
HP:0000175Cleft palate
HP:0001710Conotruncal defect
HP:0011968Feeding difficulties
HP:0002020Gastroesophageal reflux
HP:0000238Hydrocephalus
HP:0000023Inguinal hernia
HP:0001511Intrauterine growth retardation
HP:0000252Microcephaly
HP:0000347Micrognathia
HP:0011342Mild global developmental delay
HP:0001643Patent ductus arteriosus
HP:0005301Persistent left superior vena cava
HP:0008897Postnatal growth retardation
HP:0000384Preauricular skin tag
HP:0000582Upslanted palpebral fissure
Occasional (29-5%)
HP:0009892Anotia
Excluded (0%)
HP:0002901Hypocalcemia
HP:0001888Lymphopenia

Run the differential on the 1 obligate / very frequent terms

Annotation source: 12548746[PMID]_15602090[PMID]_3478461[PMID]_6587131[PMID]

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Sources for this card