raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:261323

21q22.11q22.12 microdeletion syndrome

Synonyms: Del(21)(q22.11q22.12) · Monosomy 21q22.11q22.12

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

A rare, genetic, chromosomal anomaly syndrome resulting from a partial deletion of the long arm of chromosome 21 characterized by pre- and post-natal growth delay, short stature, intellectual disability, developmental delay with severe language impairment, thrombocytopenia, and craniofacial dysmorphism which may include microcephaly, downslanted palpebral fissures, low-set ears, broad nose, thin upper vermillion, and downturned corners of the mouth. Brain MRI abnormalities (such as agenesis of the corpus callosum), behavioral problems and seizures may be associated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
en21q22.11q22.12 microdeletion syndromeDel(21)(q22.11q22.12) · Monosomy 21q22.11q22.12
frSyndrome de microdélétion 21q22.11q22.12Del(21)(q22.11q22.12) · Monosomie 21q22.11q22.12
deMikrodeletionssyndrom 21q22.11q22.12Del(21)(q22.11q22.12) · Monosomie 21q22.11q22.12
esSíndrome de microdeleción 21q22.11q22.12Del(21)(q22.11q22.12) · Monosomía 21q22.11q22.12
itSindrome da microdelezione 21q22.11q22.12Del(21)(q22.11q22.12) · Monosomia 21q22.11-q22.12 · Monosomia 21q22.11q22.12 · Sindrome da microdelezione 21q22.11-q22.12
nl21q22.11q22.12-microdeletiesyndroomDel(21)(q22.11q22.12) · Monosomie 21q22.11q22.12
ptSíndrome de microdeleção 21q22
plZespół mikrodelecji 21q22.11q22.12Del(21)(q22.11q22.12) · Monosomia 21q22.11q22.12 · Monosomia 21q22.11-q22.12 · Zespół mikrodelecji 21q22.11-q22.12
csSyndrom mikrodelece 21q22.11q22.12Del(21)(q22.11q22.12) · Monozomie 21q22.11-q22.12 · Monozomie 21q22.11q22.12 · 21q22.11-q22.12 mikrodeleční syndrom
ukСиндром мікроделеції 21q22.11q22.12Del(21)(q22.11q22.12) · Моносомія 21q22.11q22.12
zh21q22.11q22.12微缺失综合征21q22.11q22.12单体
tr21q22.11q22.12 mikrodelesyon sendromuDel (21) (q22.11q22.12) · Monozomi 21q22.11q22.12

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM619980BTNTvalidated
OMIM619981BTNTvalidated
ICD-10Q93.5NTBTattributedvalidated
ICD-11LD44.MNTBTindexvalidated
MONDO0016845Evalidated
UMLSC5192593Evalidated

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 (5):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
KIF15Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:17273ENSG000001638086175693p21.31kinesin family member 1528150392[PMID]_27549381[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families14 casesWorldwideCase(s)Validated20578134[PMID]_7515754[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20578134[PMID]_7515754[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

59 annotations · validated 2019-10-03
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001873Thrombocytopenia
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0001344Absent speech
HP:0000708Atypical behavior
HP:0001156Brachydactyly
HP:0000414Bulbous nose
HP:0012385Camptodactyly
HP:0030084Clinodactyly
HP:0000280Coarse facial features
HP:0001531Failure to thrive in infancy
HP:0008872Feeding difficulties in infancy
HP:0001249Intellectual disability
HP:0000252Microcephaly
HP:0008897Postnatal growth retardation
HP:0001250Seizure
HP:0011344Severe global developmental delay
HP:0004322Short stature
HP:0006979Sleep-wake cycle disturbance
HP:0001792Small nail
Occasional (29-5%)
HP:0003086Acromesomelia
HP:0001274Agenesis of corpus callosum
HP:0007874Almond-shaped palpebral fissure
HP:0001903Anemia
HP:0000463Anteverted nares
HP:0001631Atrial septal defect
HP:0003763Bruxism
HP:0010230Cone-shaped epiphyses of the phalanges of the hand
HP:0002750Delayed skeletal maturation
HP:0000678Dental crowding
HP:0000494Downslanted palpebral fissures
HP:0002714Downturned corners of mouth
HP:0002307Drooling
HP:0000958Dry skin
HP:0008947Floppy infant
HP:0000752Hyperactivity
HP:0000316Hypertelorism
HP:0002557Hypoplastic nipples
HP:0030215Inappropriate crying
HP:0000369Low-set ears
HP:0008551Microtia
HP:0011800Midface retrusion
HP:0008404Nail dystrophy
HP:0001106Periorbital hyperpigmentation
HP:0002465Poor speech
HP:0000403Recurrent otitis media
HP:0000311Round face
HP:0000960Sacral dimple
HP:0030799Scaphocephaly
HP:0100716Self-injurious behavior
HP:0012745Short palpebral fissure
HP:0009597Short proximal phalanx of the 2nd finger
HP:0009226Short proximal phalanx of the 5th finger
HP:0000319Smooth philtrum
HP:0012172Stereotypical body rocking
HP:0000486Strabismus
HP:0000179Thick lower lip vermilion
HP:0012471Thick vermilion border
HP:0000219Thin upper lip vermilion
HP:0100703Tongue thrusting

Run the differential on the 1 obligate / very frequent terms

Annotation source: 20578134[PMID]

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Sources for this card