raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3270

Radioulnar synostosis-developmental delay-hypotonia syndrome

Synonyms: Der Kaloustian-McIntosh-Silver syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Unknown
Age of onset
Neonatal
Status
active

Radioulnar synostosis-developmental delay-hypotonia syndrome, also known as Der Kaloustian-McIntosh-Silver syndrome, is an extremely rare syndrome with synostosis described in about 4 patients to date with clinical manifestations including congenital unilateral radioulnar synostosis, generalized hypotonia, developmental delay, and dysmorphic facial features (long face, prominent nose and ears).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enRadioulnar synostosis-developmental delay-hypotonia syndromeDer Kaloustian-McIntosh-Silver syndrome
frSyndrome de synostose radio-cubitale-retard de développement-hypotonieSyndrome de Der Kaloustian-McIntosh-Silver
deRadioulnare Synostose-Entwicklungsretardierung-Hypotonie-SyndromDer-Kaloustian-McIntosh-Silver-Syndrom
esSíndrome de sinostosis radiocubital-retraso del desarrollo-hipotoníaSíndrome de Der Kaloustian-McIntosh-Silver
itSindrome sinostosi radioulnare-ritardo dello sviluppo-ipotoniaSindrome di Der Kaloustian-McIntosh-Silver
nlRadio-ulnaire synostose - ontwikkelingsachterstand - hypotonie-syndroomSyndroom van Der Kaloustian-McIntosh-Silver
ptSíndrome de sinostose radio-cubital-perturbação do desenvolvimento-hipotoniaSíndrome Der Kaloustian-McIntosh-Silver
plSynostoza promieniowo-łokciowa - niepełnosprawność intelektualna - hipotoniaZespół Der Kaloustiana, McIntosha i Silvera
csSyndrom zahrnující radioulnární synostózu, opoždění vývoje a hypotoniiDer Kaloustianův-McIntoshův-Silverův syndrom · Der Kaloustian-McIntosh-Silverův syndrom
ukСиндром радіоульнарного синостозу-затримки розвитку-гіпотоніїСиндром Дер Калоустіана-Макінтоша-Сільвера
zh桡尺骨融合-发育迟滞-低张力综合征Der Kaloustian-McIntosh-Silver综合征
trRadioulnar sinostoz-gelişme geriliği-hipotoni sendromuDer Kaloustian-McIntosh-Silver sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM266255Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0009952Evalidated
MeSHC538217Evalidated
UMLSC2931776Evalidated
GARD1810Evalidated

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 (6):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated1384331[PMID]_18618994[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_1384331[PMID]_18618994[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

20 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007477Abnormal dermatoglyphics
HP:0000174Abnormal palate morphology
HP:0002167Abnormality of speech or vocalization
HP:0003011Abnormality of the musculature
HP:0000268Dolichocephaly
HP:0001288Gait disturbance
HP:0001263Global developmental delay
HP:0000364Hearing abnormality
HP:0001252Hypotonia
HP:0000256Macrocephaly
HP:0000275Narrow face
HP:0000767Pectus excavatum
HP:0000426Prominent nasal bridge
HP:0000448Prominent nose
HP:0000411Protruding ear
HP:0002974Radioulnar synostosis
HP:0000486Strabismus
Frequent (79-30%)
HP:0000164Abnormality of the dentition
HP:0000670Carious teeth
HP:0000003Multicystic kidney dysplasia

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card