raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:300373

X-linked acrogigantism

Synonyms: Familial infantile gigantism · Hereditary infantile gigantism · Hereditary pituitary hyperplasia · Infantile gigantism due to pituitary hyperplasia · X-LAG

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

A rare, genetic pituitary disease characterized by infantile-onset, rapid and excessive acceleration of linear growth and body size due to mixed growth hormone (GH)- and prolactin-secreting adenomas and/or pituitary hyperplasia. Patients present with gigantism and may have associated acromegalic features (e.g. coarse facial features, frontal bossing, prognathism, increased interdental space) as well as marked enlargement of hands and feet, soft tissue swelling, increased appetite and acanthosis nigricans.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked acrogigantismFamilial infantile gigantism · Hereditary infantile gigantism · Hereditary pituitary hyperplasia · Infantile gigantism due to pituitary hyperplasia · X-LAG
frAcrogigantisme lié à l'XX-LAG · Gigantisme infantile familial · Gigantisme infantile héréditaire · Gigantisme infantile par hyperplasie hypophysaire · Hyperplasie hypophysaire héréditaire
deAkrogigantismus, X-chromosomalerGigantismus, infantiler hereditärer · Gigantismus, infantiler, durch Hypophysenhyperplasie · Gigantismus, infantiler, familiäre Form · Hereditäre Hyperplasie der Hypophyse · X-LAG
esAcrogigantismo ligado al cromosoma XGigantismo infantil familiar · Gigantismo infantil hereditario · Gigantismo infantil por hiperplasia hipofisaria · Hiperplasia hipofisaria hereditaria · X-LAG
itAcrogigantismo legato all'XGigantismo infantile da iperplasia ipofisaria · Gigantismo infantile ereditario · Gigantismo infantile familiare · Iperplasia ipofisaria ereditaria · X-LAG
nlX-gebonden acrogigantismeErfelijk infantiel gigantisme · Erfelijke hypofysehyperplasie · Familiaal infantiel gigantisme · Familiale infantiele reuzengroei · Infantiel gigantisme door hypofysehyperplasie · X-LAG
ptGigantismo infantil, forma familiar
plRodzinny gigantyzm dziecięcyDziedziczny gigantyzm dziecięcy · Dziedziczny przerost przysadki · Gigantyzm dziecięcy z powodu hiperplazji przysadki · X-LAG (Gigantyzm kończyn sprzężony z chromosomem X)
csFamiliární infantilní gigantismusHereditární infantilní gigantismus · Hereditární pituitární hyperplázie · X-LAG (X-vázaný akrogigantismus) · Infantilní gigantismus způsobený pituitární hyperplázií
ukХ-зчеплений акрогігантізмСімейний інфантильний гігантизм · Спадковий дитячий гігантизм · Спадкова гіперплазія гіпофіза · Дитячий гігантизм внаслідок гіперплазії гіпофіза · X-LAG
zhX连锁肢端巨人症垂体增生所致婴儿巨人症
trX'e bağlı akrogigantizmX-LAG · Ailesel infantil devliği · Kalıtsal infantil devliği · Kalıtsal hipofiz hiperplazisi · Hipofiz hiperplazisine bağlı infantil devliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300942BTNTvalidated
ICD-10E22.0NTBTattributedvalidated
ICD-115A60.0NTBTattributedvalidated
MONDO0017581Evalidated
UMLSC4751112Evalidated

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.

Codes that Orphanet moved or referred to this one:

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Genes

0 direct

Orphanet records no gene directly on this code.

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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families33 casesWorldwideCase(s)Validated29389097[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_[EXPERT]

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

36 annotations · validated 2020-10-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012503Abnormality of the pituitary gland
HP:0000845Elevated circulating growth hormone concentration
HP:0030269Increased circulating insulin-like growth factor 1 concentration
HP:0000870Increased circulating prolactin concentration
HP:0000098Tall stature
Frequent (79-30%)
HP:0004924Abnormal oral glucose tolerance
HP:0025163Abnormality of optic chiasm morphology
HP:0000280Coarse facial features
HP:0031098Decreased thyroid-stimulating hormone level
HP:0008283Fasting hyperinsulinemia
HP:0000975Hyperhidrosis
HP:0031418Increased body mass index
HP:0002893Pituitary adenoma
HP:0002591Polyphagia
HP:0010535Sleep apnea
HP:0025267Snoring
HP:0001072Thickened skin
Occasional (29-5%)
HP:0003270Abdominal distention
HP:0001626Abnormality of the cardiovascular system
HP:0000924Abnormality of the skeletal system
HP:0000956Acanthosis nigricans
HP:0011748Adrenocorticotropic hormone deficiency
HP:0001251Ataxia
HP:0000823Delayed puberty
HP:0000873Diabetes insipidus
HP:0000699Diastema
HP:0012505Enlarged pituitary gland
HP:0002315Headache
HP:0000135Hypogonadism
HP:0040075Hypopituitarism
HP:0001176Large hands
HP:0001833Long foot
HP:0001250Seizure
HP:0001123Visual field defect
Very rare (<4-1%)
HP:0000707Abnormality of the nervous system
HP:0001249Intellectual disability

Run the differential on the 5 obligate / very frequent terms

Annotation source: 25712922[PMID]_29389097[PMID]

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Sources for this card