raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:352577

Bainbridge-Ropers syndrome

Synonyms: Severe feeding difficulties-failure to thrive-microcephaly due to ASXL3 deficiency syndrome

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

A rare, genetic, syndromic intellectual disability disorder with a variable phenotypic presentation typically characterized by microcephaly, severe feeding difficulties, failure to thrive, severe global development delay that frequently results in absent/poor speech, moderate to severe intellectual disability and hypotonia. Distinctive craniofacial features include prominent forehead, high-arched, thin eyebrows, hypertelorism, downslanting palpebral fissures, long, tubular nose with broad tip and prominent nasal bridge and wide mouth with full, everted lower lip. Joint laxity and ulnar deviation of wrists are also frequently observed.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBainbridge-Ropers syndromeSevere feeding difficulties-failure to thrive-microcephaly due to ASXL3 deficiency syndrome
frSyndrome de Bainbridge-RopersSyndrome de troubles sévères de l'alimentation-retard staturo-pondéral-microcéphalie par déficit en ASXL3
deBainbridge-Ropers-SyndromSchwere Fütterprobleme mit Gedeihstörungen und Mikrozephalie durch ASXL3-Mangel
esSíndrome de Bainbridge-RopersSíndrome de dificultades graves en la alimentación-fallo de medro-microcefalia por deficiencia de ASXL3
itSindrome di Bainbridge-RoppersSindrome da gravi difficoltà di alimentazione, ritardo della crescita e microcefalia da deficit di ASXL3
nlSyndroom van Bainbridge-RopersErnstige voedingsproblemen - niet-gedijen - microcefalie door deficiëntie van ASXL3-syndroom
ptSíndrome Brainbridge-RopersSíndrome de dificuldades alimentares graves-falência no crescimento-microcefalia devido a deficiência ASXL3
plCiężkie trudności w karmieniu - zahamowanie wzrostu - małogłowie spowodowane niedoborem ASXL3Zespół Bainbridge'a i Roppersa
csSyndrom zahrnující těžkou poruchu příjmu potravy, neprospívání a mikrocefalii, způsobený deficitem ASXL3Bainbridgeův-Roppersův syndrom · Bainbridge-Roppersův syndrom
ukСиндром Бейнбриджа-РоперсаСиндром виражених труднощів з харчуванням - відставання у розвитку - мікроцефалії через дефіцит ASXL3
zhASXL3基因缺陷所致严重喂养困难-发育停滞-小头畸形综合征Bainbridge-Ropers综合征
trASXL3 eksikliği sendromuna bağlı ağır beslenme zorlukları-gelişememe-mikrosefaliBainbridge-Ropers sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM615485Evalidated
ICD-10Q87.0NTBTattributedvalidated
MONDO0014205Evalidated
MeSHC000726367Evalidated
UMLSC4750837Evalidated
GARD13259Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ASXL3Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:29357ENSG0000014143161511518q12.1ASXL transcriptional regulator 323383720[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families77 casesWorldwideCase(s)Validated28955728[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28955728[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

41 annotations · validated 2019-08-05
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002167Abnormality of speech or vocalization
HP:0008872Feeding difficulties in infancy
HP:0008947Floppy infant
HP:0001263Global developmental delay
HP:0001249Intellectual disability
Frequent (79-30%)
HP:0000924Abnormality of the skeletal system
HP:0001344Absent speech
HP:0000729Autistic behavior
HP:0002705High, narrow palate
HP:0002187Intellectual disability, profound
HP:0010864Intellectual disability, severe
HP:0000252Microcephaly
HP:0000486Strabismus
Occasional (29-5%)
HP:0002500Abnormal cerebral white matter morphology
HP:0001166Arachnodactyly
HP:0000414Bulbous nose
HP:0001320Cerebellar vermis hypoplasia
HP:0004673Decreased facial expression
HP:0000678Dental crowding
HP:0001519Disproportionate tall stature
HP:0000268Dolichocephaly
HP:0000494Downslanted palpebral fissures
HP:0000232Everted lower lip vermilion
HP:0002553Highly arched eyebrow
HP:0000316Hypertelorism
HP:0001276Hypertonia
HP:0002540Inability to walk
HP:0002342Intellectual disability, moderate
HP:0003189Long nose
HP:0009765Low hanging columella
HP:0000194Open mouth
HP:0001763Pes planus
HP:0011220Prominent forehead
HP:0000426Prominent nasal bridge
HP:0100023Recurrent hand flapping
HP:0002650Scoliosis
HP:0001250Seizure
HP:0002360Sleep abnormality
HP:0000664Synophrys
HP:0000430Underdeveloped nasal alae
HP:0000582Upslanted palpebral fissure

Run the differential on the 5 obligate / very frequent terms

Annotation source: 31180560[PMID]_27901041[PMID]_28100473[PMID]

7

Sources for this card