raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:247262

Hyperphosphatasia-intellectual disability syndrome

Synonyms: Mabry syndrome

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

A rare, congenital disorder of glycosylation-related bone disorder characterized by hypotonia, severe developmental delay, intellectual disability, seizures, increased serum alkaline phosphatase, short distal phalanges with hypoplastic nails, and dysmorphic facial features. In some cases, cleft palate, megacolon, anorectal malformations, and congenital heart defects have been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHyperphosphatasia-intellectual disability syndromeMabry syndrome
frSyndrome d'hyperphosphatasie-déficience intellectuelleSyndrome de Mabry
deHyperphosphatasie-Intelligenzminderung-SyndromMabry-Syndrom
esSíndrome de hiperfosfatasia-discapacidad intelectualSíndrome de Mabry
itSindrome da iperfosfatasia e disabilità intellettiaHPMR · Sindrome di Mabry
nlHyperfosfatasie - intellectuele achterstand-syndroomSyndroom van Mabry
ptSíndrome de hiperfosfatemia-perturbação do desenvolvimento intelectualSíndrome Mabry
plZespół hipofosfatazji-niepełnosprawności intelektualnejHPMR · Zespół Mabry'ego
csSyndrom zahrnující hyperfosfatázii a mentální retardaciHPMR · Mabryho syndrom
ukСиндром гіперфосфатазії-інтелектуальної недостатностіСиндром Мабрі
zh高磷酸酯酶智力残疾综合征马布里综合症
trHiperfosfatazi-zihinsel yetersizlik sendromuMabry sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM239300BTNTvalidated
OMIM614207BTNTvalidated
OMIM614749BTNTvalidated
OMIM615716BTNTvalidated
OMIM616025BTNTvalidated
OMIM616809BTNTvalidated
ICD-10E83.3NTBTattributedvalidated
ICD-115C64.3NTBTattributedvalidated
MONDO0016596Evalidated
MeSHC565495Evalidated
UMLSC1855923Evalidated

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 (6):

No children.

4

Genes

7 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PGAP3Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:23719ENSG0000016139561180117q12post-GPI attachment to proteins phospholipase 324439110[PMID]
PIGYDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:28213ENSG000002550726106624q22.1phosphatidylinositol glycan anchor biosynthesis class Y26293662[PMID]
PGAP2Disease-causing germline mutation(s) inAssessedHGNC:17893ENSG0000014898561518711p15.4post-GPI attachment to proteins 223561847[PMID]_23561846[PMID]
PIGLDisease-causing germline mutation(s) inAssessedHGNC:8966ENSG0000010847460594717p11.2phosphatidylinositol glycan anchor biosynthesis class L25706356[PMID]
PIGODisease-causing germline mutation(s) inAssessedHGNC:23215ENSG000001652826147309p13.3phosphatidylinositol glycan anchor biosynthesis class O22683086[PMID]
PIGVDisease-causing germline mutation(s) inAssessedHGNC:26031ENSG000000606426102741p36.11phosphatidylinositol glycan anchor biosynthesis class V24129430[PMID]
PIGWDisease-causing germline mutation(s) inAssessedHGNC:23213ENSG0000027716161027517q12phosphatidylinositol glycan anchor biosynthesis class W24367057[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families24 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

62 annotations · validated 2019-10-02
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003155Elevated circulating alkaline phosphatase concentration
HP:0008947Floppy infant
HP:0001263Global developmental delay
HP:0000316Hypertelorism
HP:0001250Seizure
HP:0006118Shortening of all distal phalanges of the fingers
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0002069Bilateral tonic-clonic seizure
HP:0002714Downturned corners of mouth
HP:0001510Growth delay
HP:0001249Intellectual disability
HP:0000637Long palpebral fissure
HP:0010804Tented upper lip vermilion
HP:0000431Wide nasal bridge
Occasional (29-5%)
HP:0002696Abnormal parietal bone morphology
HP:0002251Aganglionic megacolon
HP:0001545Anteriorly placed anus
HP:0001251Ataxia
HP:0000729Autistic behavior
HP:0000193Bifid uvula
HP:0000248Brachycephaly
HP:0000289Broad philtrum
HP:0000414Bulbous nose
HP:0006808Cerebral hypomyelination
HP:0030084Clinodactyly
HP:0000280Coarse facial features
HP:0000378Cupped ear
HP:0040195Decreased head circumference
HP:0002392EEG with polyspike wave complexes
HP:0010850EEG with spike-wave complexes
HP:0000286Epicanthus
HP:0000565Esotropia
HP:0001288Gait disturbance
HP:0011471Gastrostomy tube feeding in infancy
HP:0000218High palate
HP:0002553Highly arched eyebrow
HP:0001385Hip dysplasia
HP:0000126Hydronephrosis
HP:0000540Hypermetropia
HP:0040194Increased head circumference
HP:0002342Intellectual disability, moderate
HP:0010864Intellectual disability, severe
HP:0000303Mandibular prognathia
HP:0000347Micrognathia
HP:0001336Myoclonus
HP:0000657Oculomotor apraxia
HP:0001562Oligohydramnios
HP:0000767Pectus excavatum
HP:0001357Plagiocephaly
HP:0000426Prominent nasal bridge
HP:0001315Reduced tendon reflexes
HP:0000311Round face
HP:0002650Scoliosis
HP:0000594Shallow anterior chamber
HP:0000470Short neck
HP:0000322Short philtrum
HP:0001195Single umbilical artery
HP:0001792Small nail
HP:0002558Supernumerary nipple
HP:0001009Telangiectasia
HP:0000391Thickened helices
HP:0000582Upslanted palpebral fissure

Run the differential on the 6 obligate / very frequent terms

Annotation source: 22315194[PMID]_20578257[PMID]_3346785[PMID]

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Sources for this card