raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:289483

Intellectual disability-alacrima-achalasia syndrome

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy, Neonatal
Status
active

Intellectual disability-alacrima-achalasia syndrome is a rare, genetic intellectual disability syndrome characterized by delayed motor and cognitive development, absence or severe delay in speech development, intellectual disability, and alacrima. Achalasia/dysphagia and mild autonomic dysfunction (i.e. anisocoria) have also been reported in some patients. The phenotype is similar to the one observed in autosomal recessive Triple A syndrome, but differs by the presence of intellectual disability in all affected individuals.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIntellectual disability-alacrima-achalasia syndrome
frSyndrome de déficience intellectuelle-alacrimie-achalasie
deIntelligenzminderung-Alakrimie-Achalasie-Syndrom
esSíndrome de discapacidad intelectual-alacrimia-acalasia
itSindrome disabilità intellettiva-alacrimia-acalasia
nlIntellectuele achterstand - alacrimie - achalasie-syndroom
ptSíndrome de perturbação do desenvolvimento intelectual-alacrimia-acalasia
plNiepełnosprawność intelektualna - wrodzony brak łez - achalazja
csSyndrom zahrnující mentální retardaci, alakrimii a achalázii
ukСиндром інтелектуальної недостатності-алакріми-ахалазії
zh智力障碍-软化症-贲门失弛缓症综合征
trZihinsel yetersizlik-alakrima-akalazi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300858Evalidated
ICD-10H04.8NTBTattributedvalidated
MONDO0010460Evalidated
UMLSC4706563Evalidated

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

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

16 annotations · validated 2019-10-07
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001344Absent speech
HP:0000522Alacrima
HP:0012434Delayed social development
HP:0001263Global developmental delay
HP:0001249Intellectual disability
HP:0001270Motor delay
Frequent (79-30%)
HP:0002571Achalasia
HP:0009916Anisocoria
HP:0000486Strabismus
Occasional (29-5%)
HP:0000718Aggressive behavior
HP:0002002Deep philtrum
HP:0002015Dysphagia
HP:0000805Enuresis
HP:0000384Preauricular skin tag
HP:0002119Ventriculomegaly
Excluded (0%)
HP:0000834Abnormality of the adrenal glands

Run the differential on the 6 obligate / very frequent terms

Annotation source: 21744492[PMID]

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Sources for this card