raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:261534

49,XXXYY syndrome

Type
Malformation syndrome
Group
Disorder
Age of onset
Neonatal
Status
active

49,XXXYY syndrome is a rare gonosome anomaly syndrome characterized by a eunuchoid habitus with gynecoid fat distribution and shape, normal to tall stature, moderate to severe intellectual disability, distinctive facial features (e.g. prominent forehead, epicanthic folds, broad nasal bridge, prognathism), gynecomastia, hypogonadism, cryptorchidism, small penis and behavioral abnormalities (incl. solitary, passive disposition but prone to aggressive outbursts, autistic). Skeletal malformations, such as delayed bone age, fifth finger clinodactyly, elbow malformations and slow molar development, may also be associated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
en49,XXXYY syndrome
frSyndrome 49,XXXYY
de49,XXXYY-Syndrom
esSíndrome 49,XXXYY
itSindrome 49,XXXYY
nl49,XXXYY-syndroom
ptSíndrome 49,XXXYY
plZespół 49,XXXYY
cs49,XXXYY syndrom
ukСиндром 49,XXXYY
zh49,XXXYY综合征
tr49, XXXYY sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10Q98.8NTBTattributedvalidated
MONDO0016854Evalidated
UMLSC4749586Evalidated
GARD10922Evalidated

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 (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated3697588[PMID]_14015109[PMID]
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

34 annotations · validated 2015-12-28
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002500Abnormal cerebral white matter morphology
HP:0001999Abnormal facial shape
HP:0010506Abnormal plantar dermatoglyphics
HP:0045058Abnormality of the testis size
HP:0000062Ambiguous genitalia
HP:0000708Atypical behavior
HP:0000729Autistic behavior
HP:0001776Bilateral talipes equinovarus
HP:0040171Decreased serum testosterone concentration
HP:0008734Decreased testicular size
HP:0002750Delayed skeletal maturation
HP:0000750Delayed speech and language development
HP:0000286Epicanthus
HP:0003782Eunuchoid habitus
HP:0003241External genital hypoplasia
HP:0040019Finger clinodactyly
HP:0001263Global developmental delay
HP:0000771Gynecomastia
HP:0000316Hypertelorism
HP:0000837Increased circulating gonadotropin level
HP:0001249Intellectual disability
HP:0000744Low frustration tolerance
HP:0000026Male hypogonadism
HP:0000303Mandibular prognathia
HP:0000347Micrognathia
HP:0000054Micropenis
HP:0011343Moderate global developmental delay
HP:0000774Narrow chest
HP:0000358Posteriorly rotated ears
HP:0008193Primary gonadal insufficiency
HP:0011220Prominent forehead
HP:0002788Recurrent upper respiratory tract infections
HP:0002119Ventriculomegaly
HP:0000431Wide nasal bridge

Run the differential on the 12 obligate / very frequent terms

Annotation source: 7199254[PMID]_7567329[PMID]_3697588[PMID]_7156028[PMID]_4838894[PMID]_8546146[PMID]_2090319[PMID]_14015109[PMID]

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Sources for this card