raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:261494

Kleefstra syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Neonatal
Status
active

A rare genetic, intellectual disability syndrome characterized by intellectual disability, childhood hypotonia, severe expressive speech delay, autism spectrum disorder, and a distinctive facial appearance with a spectrum of additional clinical features.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enKleefstra syndrome
frSyndrome de Kleefstra
deKleefstra-Syndrom
esSíndrome de Kleefstra
itSindrome di Kleefstra
nlSyndroom van Kleefstra
ptSíndrome de Kleefstra
plZespół Kleefstra
csKleefstrové syndrom
ukСиндром Клефстри
zhKleefstra综合征
trKleefstra sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM610253Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD2F.1YNTBTindexvalidated
MONDO0012455Evalidated
UMLSC4551771Evalidated
GARD8672Evalidated
MedDRA10079365Evalidated

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 (2):

Children (2):

4

Genes

0 direct · 3 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
EHMT1ORPHA:261652Kleefstra syndrome due to a point mutationDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:24650ENSG000001810906070019q34.3euchromatic histone lysine methyltransferase 120945554[PMID]
KMT2CORPHA:261652Kleefstra syndrome due to a point mutationDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:13726ENSG000000556096068337q36.1lysine methyltransferase 2C29069077[PMID]
EHMT1ORPHA:96147Kleefstra syndrome due to 9q34 microdeletionRole in the phenotype ofAssessedHGNC:24650ENSG000001810906070019q34.3euchromatic histone lysine methyltransferase 120945554[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families114 casesWorldwideCase(s)Validated22670141[PMID]_[EXPERT]
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

67 annotations · validated 2018-01-17
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000463Anteverted nares
HP:0000280Coarse facial features
HP:0000750Delayed speech and language development
HP:0000232Everted lower lip vermilion
HP:0002263Exaggerated cupid's bow
HP:0001263Global developmental delay
HP:0000316Hypertelorism
HP:0001252Hypotonia
HP:0010864Intellectual disability, severe
HP:0000272Malar flattening
HP:0003196Short nose
HP:0010804Tented upper lip vermilion
Frequent (79-30%)
HP:0000718Aggressive behavior
HP:0011675Arrhythmia
HP:0000708Atypical behavior
HP:0000729Autistic behavior
HP:0001647Bicuspid aortic valve
HP:0000248Brachycephaly
HP:0000337Broad forehead
HP:0000389Chronic otitis media
HP:0001680Coarctation of aorta
HP:0002019Constipation
HP:0000365Hearing impairment
HP:0002553Highly arched eyebrow
HP:0000158Macroglossia
HP:0000303Mandibular prognathia
HP:0000252Microcephaly
HP:0001513Obesity
HP:0000742Self-mutilation
HP:0002360Sleep abnormality
HP:0000664Synophrys
HP:0000391Thickened helices
HP:0000582Upslanted palpebral fissure
HP:0001629Ventricular septal defect
Occasional (29-5%)
HP:0000733Abnormal repetitive mannerisms
HP:0006288Advanced eruption of teeth
HP:0001274Agenesis of corpus callosum
HP:0002607Bowel incontinence
HP:0002120Cerebral cortical atrophy
HP:0000028Cryptorchidism
HP:0000684Delayed eruption of teeth
HP:0002376Developmental regression
HP:0002714Downturned corners of mouth
HP:0002094Dyspnea
HP:0000324Facial asymmetry
HP:0002020Gastroesophageal reflux
HP:0100790Hernia
HP:0000126Hydronephrosis
HP:0008736Hypoplasia of penis
HP:0000047Hypospadias
HP:0001376Limitation of joint mobility
HP:0000054Micropenis
HP:0004415Pulmonary artery stenosis
HP:0002021Pyloric stenosis
HP:0002205Recurrent respiratory infections
HP:0000107Renal cyst
HP:0000083Renal insufficiency
HP:0002650Scoliosis
HP:0001250Seizure
HP:0100716Self-injurious behavior
HP:0004322Short stature
HP:0002558Supernumerary nipple
HP:0001762Talipes equinovarus
HP:0001636Tetralogy of Fallot
HP:0002779Tracheomalacia
HP:0002119Ventriculomegaly
HP:0000076Vesicoureteral reflux

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card