raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3447

Weaver syndrome

Synonyms: EZH2-related overgrowth syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant, Not applicable
Age of onset
Antenatal, Neonatal
Status
active

A rare PRC-2 complex-related overgrowth spectrum disorder characterized by pre- and post-natal overgrowth, facial dysmorphism (including hypertelorism, large fleshy ears and retrognathia with the appearance of a 'stuck-on' chin with associated horizontal skin crease) that is easily recognizable in early childhood. Majority of the patients present with mild intellectual disability. Additional variable features include macrocephaly, joint laxity, scoliosis, pectus excavatum, hypo- and/or hypertonia, poor coordination, soft dough skin, clinodactyly, camptodactyly of the fingers and/or toes, umbilical hernia, and a low hoarse cry in infancy. Many clinical features, including facial dysmorphism, attenuate with age. Patients may also have a higher risk of neuroblastoma.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enWeaver syndromeEZH2-related overgrowth syndrome
frSyndrome de WeaverSyndrome d'hypercroissance associé à EZH2
deWeaver-SyndromEZH2-assoziiertes Großwuchssyndrom
esSíndrome de WeaverSíndrome de sobrecrecimiento asociado a EZH2
itSindrome di WeaverCamptodattilia - iperaccrescimento - dismorfismi · Sindrome da iperaccrescimento correlata a EZH2
nlSyndroom van WeaverEZH2-gerelateerd overgroeisyndroom
ptSíndrome WeaverSíndrome de sobrecrescimento EZH2-relacionada · Síndrome de sobrecrescimento associado a EZH2
plZespół WeaveraKamptodaktylia - przerost - nietypowa twarz
csWeaverův syndromSyndrom zahrnující kamptodaktylii, makrosomii a faciální dysmorfismus
ukСиндром ВівераСиндром надмірного росту, повязаний з EZH2 · Синдром гіпертрофії, асоційований з EZH2
zhWeaver综合征指弯曲畸形-生长过度-特殊面容综合征
trWeaver sendromuKamptodaktili-aşırı büyüme-alışılmadık yüz sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM277590Evalidated
ICD-10Q87.3NTBTinclusionvalidated
ICD-11LD2CNTBTindexvalidated
MONDO0010193Evalidated
MeSHC536687Evalidated
UMLSC0265210Evalidated
GARD7878Evalidated
MedDRA10083271Evalidated

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 (1):

No children.

4

Genes

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NSD1Candidate gene tested inNot yet assessedHGNC:14234ENSG000001656716066815q35.3nuclear receptor binding SET domain protein 1
SUZ12Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:17101ENSG0000017869160624517q11.2SUZ12 polycomb repressive complex 2 subunit28229514[PMID]
EZH2Disease-causing germline mutation(s) inAssessedHGNC:3527ENSG000001064626015737q36.1enhancer of zeste 2 polycomb repressive complex 2 subunit22177091[PMID]_23865096[PMID]_24214728[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families48 casesWorldwideCase(s)Validated24214728[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24214728[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

42 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001231Abnormal fingernail morphology
HP:0000944Abnormal metaphysis morphology
HP:0010300Abnormally low-pitched voice
HP:0005616Accelerated skeletal maturation
HP:0000337Broad forehead
HP:0001814Deep-set nails
HP:0001263Global developmental delay
HP:0001609Hoarse voice
HP:0000316Hypertelorism
HP:0001276Hypertonia
HP:0001800Hypoplastic toenails
HP:0001249Intellectual disability
HP:0000343Long philtrum
HP:0000256Macrocephaly
HP:0000400Macrotia
HP:0000347Micrognathia
HP:0000358Posteriorly rotated ears
HP:0001582Redundant skin
HP:0000278Retrognathia
HP:0001257Spasticity
HP:0000098Tall stature
HP:0001816Thin nail
Frequent (79-30%)
HP:0001769Broad foot
HP:0011304Broad thumb
HP:0100490Camptodactyly of finger
HP:0002002Deep philtrum
HP:0008872Feeding difficulties in infancy
HP:0002213Fine hair
HP:0000023Inguinal hernia
HP:0001387Joint stiffness
HP:0001176Large hands
HP:0000311Round face
Occasional (29-5%)
HP:0030680Abnormal cardiovascular system morphology
HP:0000028Cryptorchidism
HP:0000494Downslanted palpebral fissures
HP:0006101Finger syndactyly
HP:0008736Hypoplasia of penis
HP:0001382Joint hypermobility
HP:0001761Pes cavus
HP:0001852Sandal gap
HP:0002650Scoliosis
HP:0001762Talipes equinovarus

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card