raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2849

Perlman syndrome

Synonyms: Nephroblastomatosis-fetal ascites-macrosomia-Wilms tumor syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal, Infancy, Neonatal
Status
active

A rare overgrowth syndrome characterized by polyhydramnios, pre- and postnatal macrosomia, muscular hypotonia, renal anomalies, organomegaly, abdominal distension, cryptorchidism, typical facial dysmorphism, neurodevelopmental delay and high neonatal mortality. Individuals surviving infancy show a high risk of developing Wilms tumor.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPerlman syndromeNephroblastomatosis-fetal ascites-macrosomia-Wilms tumor syndrome
frSyndrome de PerlmanSyndrome de néphroblastomatose-ascite foetale-macrosome-tumeur de Wilms
dePerlman-SyndromNephroblastom - fetaler Aszites - Makrosomie - Wilms Tumor
esSíndrome de PerlmanNefroblastomatosis-ascitis fetal-macrosomía-tumor de Wilms
itSindrome di PerlmanNefroblastomatosi - ascite fetale - macrosomia - tumore di Wilms
nlSyndroom van PerlmanNefroblastomatose - foetale ascites - macrosomie - Wilmstumor-syndroom
ptSíndrome PerlmanSíndrome de nefroblastomatose-ascite fetal-macrossomia-tumor de Wilms
plZespół PerlmanaNefroblastomatoza - wodobrzusze płodu - makrosomia - guz Wilmsa
csPerlmanův syndromSyndrom zahrnující nefroblastomatózu, fetální ascites, makrosomii a Wilmsův tumor
ukСиндром ПерлманаСиндром нефробластоматозу - асциту плода - макросомії - пухлини Вільмса
zhPerlman综合征肾母细胞瘤-胎儿腹水-巨大儿-Wilms瘤综合征
trPerlman sendromuNefroblastomatozis-fetal asit-makrozomi-Wilms tümör sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM267000Evalidated
ICD-10Q87.3NTBTattributedvalidated
ICD-112C90.YNTBTindexvalidated
MONDO0009965Evalidated
MeSHC536399Evalidated
UMLSC0796113Evalidated
GARD3936Evalidated
MedDRA10088870Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
DIS3L2Disease-causing germline mutation(s) inAssessedHGNC:28648ENSG000001445356141842q37.1DIS3 like 3'-5' exoribonuclease 222306653[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families32 casesWorldwideCase(s)Validated18780370[PMID]_28328139[PMID]_38161545[PMID]_34964966[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated18780370[PMID]_28328139[PMID]_38161545[PMID]_34964966[PMID]_ORPHANET

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

38 annotations · validated 2017-06-27
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000177Abnormality of upper lip
HP:0000490Deeply set eye
HP:0001263Global developmental delay
HP:0002240Hepatomegaly
HP:0000348High forehead
HP:0001252Hypotonia
HP:0001249Intellectual disability
HP:0000256Macrocephaly
HP:0000347Micrognathia
HP:0000194Open mouth
HP:0000278Retrognathia
HP:0000311Round face
HP:0003196Short nose
HP:0000319Smooth philtrum
HP:0001328Specific learning disability
HP:0000098Tall stature
HP:0000431Wide nasal bridge
Frequent (79-30%)
HP:0012090Abnormal pancreas morphology
HP:0000463Anteverted nares
HP:0000187Broad alveolar ridges
HP:0000028Cryptorchidism
HP:0000286Epicanthus
HP:0002705High, narrow palate
HP:0000842Hyperinsulinemia
HP:0008736Hypoplasia of penis
HP:0000369Low-set ears
HP:0002667Nephroblastoma
HP:0000358Posteriorly rotated ears
HP:0000391Thickened helices
Occasional (29-5%)
HP:0007598Bilateral single transverse palmar creases
HP:0005306Capillary hemangioma
HP:0000268Dolichocephaly
HP:0100541Femoral hernia
HP:0000023Inguinal hernia
HP:0010733Naevus flammeus of the eyelid
HP:0000508Ptosis
HP:0001250Seizure
HP:0002133Status epilepticus

Run the differential on the 12 obligate / very frequent terms

Annotation source: 22306653[PMID]

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Sources for this card