raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2824

Paraplegia-intellectual disability-hyperkeratosis syndrome

Synonyms: Fitzsimmons-McLachlan-Gilbert syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy
Status
active

A rare X-linked syndromic intellectual disability characterized by intellectual impairment of variable severity, progressive lower limb spasticity, and diffuse palmoplantar hyperkeratosis. Additional manifestations include pes cavus, extensor plantar responses, hand tremor, and mild dysmorphic facial features.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enParaplegia-intellectual disability-hyperkeratosis syndromeFitzsimmons-McLachlan-Gilbert syndrome
frSyndrome de paraplégie-déficience intellectuelle-hyperkératoseSyndrome de Fitzsimmons-McLachlan-Gilbert
deParaplegie-Intelligenzminderung-Hyperkeratose-SyndromFitzsimmons-McLachlan-Gilbert-Syndrom
esSíndrome de paraplejía-discapacidad intelectual-hiperqueratosisSíndrome de Fitzsimmons-McLachlan-Gilbert
itSindrome paraplegia-disabilità intellettiva-ipercheratosiSindrome di Fitzsimmons-McLachlan-Gilbert
nlParaplegie - intellectuele achterstand - hyperkeratose-syndroomSyndroom van Fitzsimmons-McLachlan-Gilbert
ptSíndrome de paraplegia-perturbação do desenvolvimento intelectual-hiperqueratoseSíndrome Fitzsimmons-McLachlan-Gilbert
plParaplegia - niepełnosprawność intelektualna - hiperkeratozaZespół Fitzsimmonsa, McLachlan i Gilberta
csSyndrom zahrnující paraplegii, mentální retardaci a hyperkeratózuFitzsimmonsův-McLachlanův-Gilbertův syndrom · Fitzsimmons-McLachlan-Gilbertův syndrom
ukСиндром параплегії-інтелектуальної недостатності-гіперкератозуСиндром Фіцсіммонса-МакЛахлана-Гілберта
zh截瘫-智力障碍-角化过度综合征Fitzsimmons-McLachlan-Gilbert 综合征
trParapleji-zihinsel yetersizlik-hiperkeratoz sendromuFitzsimmons-McLachlan-Gilbert sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM309560Evalidated
ICD-10G82.1NTBTattributedvalidated
MONDO0010662Evalidated
MeSHC537058Evalidated
UMLSC2745996Evalidated
GARD2344Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families6 casesWorldwideCase(s)Validated23613454[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.

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HPO phenotypes

21 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001231Abnormal fingernail morphology
HP:0010579Cone-shaped epiphysis
HP:0001249Intellectual disability
HP:0003189Long nose
HP:0002061Lower limb spasticity
HP:0010620Malar prominence
HP:0000982Palmoplantar keratoderma
HP:0001258Spastic paraplegia
HP:0001257Spasticity
Frequent (79-30%)
HP:0001166Arachnodactyly
HP:0001156Brachydactyly
HP:0001348Brisk reflexes
HP:0000348High forehead
HP:0001347Hyperreflexia
HP:0001382Joint hypermobility
HP:0000347Micrognathia
HP:0000340Sloping forehead
HP:0002209Sparse scalp hair
Occasional (29-5%)
HP:0000483Astigmatism
HP:0000639Nystagmus
HP:0000508Ptosis

Run the differential on the 9 obligate / very frequent terms

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Sources for this card