raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3454

Wieacker-Wolff syndrome

Synonyms: Foot contractures-muscle atrophy-oculomotor apraxia syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Not applicable, X-linked recessive
Age of onset
Neonatal
Status
active

Intellectual disability-developmental delay-contractures syndrome, formerly known as Wieacker-Wolff syndrome, is a severe X-linked recessive neurodevelopmental disorder characterized by severe contractures (arthrogryposis) and intellectual disability.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enWieacker-Wolff syndromeFoot contractures-muscle atrophy-oculomotor apraxia syndrome
frSyndrome de Wieacker-WolffSyndrome des contractures du pied-atrophie musculaire-apraxie oculomotrice
deWieacker-Wolff-SyndromFußkontrakturen-Muskelatrophie-okulomotorische Apraxie-Syndrom
esSíndrome de Wieacker-WolffSíndrome de contracturas en los pies-atrofia muscular-apraxia oculomotora
itSindrome di Wieacker-WolffSindrome contratture dei piedi-atrofia muscolare-aprassia oculomotoria · Sindrome di Wieacker-Wolff
nlSyndroom van Wieacker-WolffVoetcontracturen - spieratrofie - oculomotorische apraxie-syndroom
ptSíndrome de perturbação do desenvolvimento intelectual-atraso do desenvolvimento-contraturasSíndrome Wieacker-Wolff · Síndrome de contraturas dos pés-atrofia muscular-apraxia oculomotora
plZespół niepełnosprawności intelektualnej, opóźnienia w rozwoju i przykurczyPrzykurcze stopy - atrofia mięśni - apraksja oczno-mięśniowa · Zespół Wieackera i Wolffa
csSyndrom zahrnující mentální retardaci, opoždění vývoje a kontrakturySyndrom zahrnující kontraktury nohy, svalovou atrofii a okulomotorickou apraxii · Wieackerův-Wolffův syndrom · Wieacker-Wolffův syndrom
ukСиндром інтелектуальної недостатності-затримки розвитку-контрактурСиндром контрактури стоп - атрофії мязів - окуломоторної апраксії · Синдром Віакера-Вольфа
zh智力障碍-发育迟缓-挛缩综合征足挛缩-肌萎缩-动眼运用不能综合征
trZihinsel yetersizlik-gelişme geriliği-kontraktür sendromuWieacker-Wolff sendromu · Ayak kontraktürleri-kas atrofisi-okülomotor apraksi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM301041BTNTvalidated
OMIM314580BTNTvalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0010758Evalidated
MeSHC536703Evalidated
UMLSC0796200Evalidated
GARD7890Evalidated

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.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ZC4H2Disease-causing germline mutation(s) inAssessedHGNC:24931ENSG00000126970300897Xq11.2zinc finger C4H2-type containing23623388[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families5 familiesWorldwideFamily(ies)ValidatedORPHANET_23623388[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

14 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000496Abnormality of eye movement
HP:0100022Abnormality of movement
HP:0002167Abnormality of speech or vocalization
HP:0004209Clinodactyly of the 5th finger
HP:0005745Congenital foot contractures
HP:0003693Distal amyotrophy
HP:0001263Global developmental delay
HP:0001256Intellectual disability, mild
HP:0001376Limitation of joint mobility
HP:0000657Oculomotor apraxia
Occasional (29-5%)
HP:0002808Kyphosis
HP:0000508Ptosis
HP:0002650Scoliosis
HP:0000486Strabismus

Run the differential on the 10 obligate / very frequent terms

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Sources for this card