raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3042

Intellectual disability-cataracts-calcified pinnae-myopathy syndrome

Synonyms: Primrose syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Childhood, Infancy
Status
active

Intellectual disability-cataracts-calcified pinnae-myopathy syndrome is a rare, genetic intellectual disability syndrome characterized by macrocephaly, hypotonia, dysmorphic facial features (wide forehead, ptosis, downslanting palpebral fissures, enlarged and calcified external ears, large jaw), sparse body hair, tall stature, and intellectual disability. Hearing loss, insulin-resistant diabetes, and progressive distal muscle wasting (leading to joint contractures) have also been reported in adulthood. Rare manifestations include behavioral abnormalities (aggression and restlessness), hypothyroidism, cerebral calcification, ataxia, and peripheral neuropathy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIntellectual disability-cataracts-calcified pinnae-myopathy syndromePrimrose syndrome
frSyndrome de déficience intellectuelle-cataracte-calcification du pavillon auriculaire-myopathieSyndrome de Primrose
deIntelligenzminderung-Katarakt-kalzifizierte Ohrknorpel-Myopathie-SyndromPrimrose-Syndrom
esSíndrome de discapacidad intelectual-cataratas-calcificación auricular-miopatíaSíndrome de Primrose
itSindrome disabilità intellettiva-cataratta-calcificazione del padiglione dell'orecchio-miopatiaSindrome di Primrose
nlIntellectuele achterstand - cataract - verkalkte oorschelpen - myopathie-syndroomSyndroom van Primrose
ptSíndrome de perturbação do desenvolvimento intelectual-cataratas-calcificações das cartilagens auriculares-miopatiaSíndrome Primrose
plNiepełnosprawność intelektualna - zaćma- zwapnienie małżowiny usznej - miopatiaZespół Primrose'a
csSyndrom zahrnující mentální postižení, kataraktu, kalcifikaci ušních boltců a myopatiiPrimroseův syndrom
ukСиндром інтелектуальної недостатності-катаракти-кальцифікатів зовнішнього вуха-міопатіїСиндром первоцвіту
zh智力障碍-白内障-耳廓钙化-肌病综合征Primrose综合征
trZihinsel yetersizlik-katarakt-kalsifiye pinna-miyopati sendromuPrimrose sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM259050Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0009798Evalidated
MeSHC536420Evalidated
UMLSC0796121Evalidated
GARD4488Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ZBTB20Disease-causing germline mutation(s) inAssessedHGNC:13503ENSG000001817226060253q13.31zinc finger and BTB domain containing 2025017102[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families13 casesWorldwideCase(s)Validated27061120[PMID]_28462983[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28462983[PMID]

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

33 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003312Abnormal form of the vertebral bodies
HP:0000174Abnormal palate morphology
HP:0001903Anemia
HP:0012062Bone cyst
HP:0005103Calcification of the auricular cartilage
HP:0000518Cataract
HP:0000405Conductive hearing impairment
HP:0002376Developmental regression
HP:0001371Flexion contracture
HP:0001288Gait disturbance
HP:0003273Hip contracture
HP:0000238Hydrocephalus
HP:0000135Hypogonadism
HP:0001249Intellectual disability
HP:0003301Irregular vertebral endplates
HP:0002808Kyphosis
HP:0000400Macrotia
HP:0003198Myopathy
HP:0002797Osteolysis
HP:0005121Posterior scalloping of vertebral bodies
HP:0002650Scoliosis
Frequent (79-30%)
HP:0001798Anonychia
HP:0008689Bilateral cryptorchidism
HP:0000494Downslanted palpebral fissures
HP:0000771Gynecomastia
HP:0011800Midface retrusion
HP:0000774Narrow chest
HP:0002868Narrow iliac wings
HP:0000767Pectus excavatum
HP:0001357Plagiocephaly
HP:0001250Seizure
HP:0004322Short stature
HP:0000664Synophrys

Run the differential on the 12 obligate / very frequent terms

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Sources for this card