raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:254516

Temple syndrome

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

A rare, genetic disease characterized by pre-and postnatal growth delay, feeding difficulties, muscular hypotonia, motor developmental delay (with or without mild intellectual disability) and mild facial dysmorphism, such as broad, prominent forehead, short nose with flat nasal root and wide tip, downturned corners of mouth, high-arched palate and micrognathia. Additonal features include childhood-onset central obesity, premature puberty and variable bone abnormalities (e.g. small hands and feet, dolichospondyly, slender long bones and craniofacial disproportion).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTemple syndrome
frSyndrome de Temple
deTemple-Syndrom
esSíndrome de Temple
itRitardo dello sviluppo motorio da difetto di espressione dei geni paterni in 14q32.2
nlSyndroom van Temple
ptAtraso do desenvolvimento motor por anomalia nos genes de expressão paterna localizados em 14q32.2
plOpóźnienie rozwoju ruchowego z powodu ekspresji ojcowskiego wadliwego genu 14q32.2
csOpožděný motorický vývoj způsobený defektem paternální exprese 14q32.2
ukСиндром Темпла
zhTemple综合征
trTemple sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616222Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0014541Evalidated
MONDO14541Evalidated
MeSHC000726750Evalidated
UMLSC4015558Evalidated
GARD13431Evalidated

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 (4):

Children (3):

4

Genes

0 direct · 9 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
DLK1ORPHA:96184Temple syndrome due to maternal uniparental disomy of chromosome 14Role in the phenotype ofAssessedHGNC:2907ENSG0000018555917629014q32.2delta like non-canonical Notch ligand 118176563[PMID]
DLK1ORPHA:254525Temple syndrome due to paternal 14q32.2 microdeletionRole in the phenotype ofAssessedHGNC:2907ENSG0000018555917629014q32.2delta like non-canonical Notch ligand 118176563[PMID]
DLK1ORPHA:254531Temple syndrome due to paternal 14q32.2 hypomethylationRole in the phenotype ofAssessedHGNC:2907ENSG0000018555917629014q32.2delta like non-canonical Notch ligand 118176563[PMID]
MEG3ORPHA:96184Temple syndrome due to maternal uniparental disomy of chromosome 14Role in the phenotype ofAssessedHGNC:14575ENSG0000021454860563614q32.2maternally expressed 318176563[PMID]_24801763[PMID]
MEG3ORPHA:254525Temple syndrome due to paternal 14q32.2 microdeletionRole in the phenotype ofAssessedHGNC:14575ENSG0000021454860563614q32.2maternally expressed 318176563[PMID]_24801763[PMID]
MEG3ORPHA:254531Temple syndrome due to paternal 14q32.2 hypomethylationRole in the phenotype ofAssessedHGNC:14575ENSG0000021454860563614q32.2maternally expressed 318176563[PMID]_24801763[PMID]
RTL1ORPHA:96184Temple syndrome due to maternal uniparental disomy of chromosome 14Role in the phenotype ofAssessedHGNC:14665ENSG0000025465661189614q32.2retrotransposon Gag like 118176563[PMID]
RTL1ORPHA:254525Temple syndrome due to paternal 14q32.2 microdeletionRole in the phenotype ofAssessedHGNC:14665ENSG0000025465661189614q32.2retrotransposon Gag like 118176563[PMID]
RTL1ORPHA:254531Temple syndrome due to paternal 14q32.2 hypomethylationRole in the phenotype ofAssessedHGNC:14665ENSG0000025465661189614q32.2retrotransposon Gag like 118176563[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families53 casesWorldwideCase(s)Validated26377239[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26377239[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.

6

HPO phenotypes

28 annotations · validated 2019-10-02
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008947Floppy infant
HP:0001270Motor delay
HP:0008897Postnatal growth retardation
HP:0000826Precocious puberty
HP:0001773Short foot
HP:0001518Small for gestational age
HP:0200055Small hand
Frequent (79-30%)
HP:0000750Delayed speech and language development
HP:0011968Feeding difficulties
HP:0008872Feeding difficulties in infancy
HP:0001256Intellectual disability, mild
HP:0040288Nasogastric tube feeding
HP:0001513Obesity
HP:0001622Premature birth
HP:0004482Relative macrocephaly
HP:0004322Short stature
Occasional (29-5%)
HP:0000028Cryptorchidism
HP:0002591Polyphagia
HP:0002650Scoliosis
HP:0005978Type II diabetes mellitus
Very rare (<4-1%)
HP:0000193Bifid uvula
HP:0004209Clinodactyly of the 5th finger
HP:0000824Decreased response to growth hormone stimulation test
HP:0007429Few cafe-au-lait spots
HP:0002007Frontal bossing
HP:0000238Hydrocephalus
HP:0000307Pointed chin
HP:0001988Recurrent hypoglycemia

Run the differential on the 7 obligate / very frequent terms

Annotation source: 26862943[PMID]_24891339[PMID]_1681108[PMID]

7

Sources for this card