raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:369891

Developmental delay-facial dysmorphism syndrome due to MED13L deficiency

Synonyms: MED13L-related intellectual disability syndrome

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

A rare, genetic syndromic intellectual disability characterized by developmental delay, mild to severe intellectual disability, facial features (bulbous nasal tip, and macroglossia, macrostomia, or open mouth appearance) and a wide spectrum of other nonspecific variable clinical features.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enDevelopmental delay-facial dysmorphism syndrome due to MED13L deficiencyMED13L-related intellectual disability syndrome
frSyndrome de retard de développement-dysmorphie faciale par déficit en MED13LSyndrome de déficience intellectuelle associé à MED13L
deEntwicklungsverzögerung-Gesichtsdysmorphien-Syndrom durch MED13L-MangelIntelligenzminderung-Syndrom, MED13L-assoziiertes
esSíndrome de retraso del desarrollo-dismorfia facial, por defecto en el gen MED13LSíndrome de discapacidad intelectual asociado al gen MED13L
itSindrome ritardo dello sviluppo-dismorfismi facciali da deficit di MED13LSindrome da disabilità intellettiva correlata a MED13L
nlOntwikkelingsachterstand - faciale dysmorfie-syndroom door MED13L-deficiëntieMED13L-gerelateerd intellectuele achterstand-syndroom
ptSíndrome de perturbação do desenvolvimento-dismorfia facial devido a deficiência MED13LSíndrome de perturbação de desenvolvimento MED13L-relacionada
plZespół opóźnionego rozwoju i dysmorfii twarzy spowodowany niedoborem MED13L= en
csSyndrom zahrnující srdeční anomálie, opoždění vývoje a faciální dysmorfismus= en
ukСиндром затримки розвитку - дисморфізму обличчя, зумовлений дефіцитом MED13LСиндром інтелектуальної недостатності, повязаний з MED13L
zhMED13L基因缺陷所致发育迟缓-面部畸形综合征= en
trMED13L eksikliğine bağlı gelişme geriliği-fasiyal dismorfizm sendromu= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616789Evalidated
ICD-10Q87.0NTBTattributedvalidated
ICD-11LD90.YNTBTattributedvalidated
MONDO0014773Evalidated
MONDO14773Evalidated
UMLSC5192431Evalidated

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
MED13LDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:22962ENSG0000012306660877112q24.21mediator complex subunit 13L23403903[PMID]_25712080[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families70 casesWorldwideCase(s)Validated28645799[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28645799[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

66 annotations · validated 2019-11-25
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000750Delayed speech and language development
HP:0001263Global developmental delay
HP:0001270Motor delay
Frequent (79-30%)
HP:0000708Atypical behavior
HP:0000729Autistic behavior
HP:0000414Bulbous nose
HP:0001252Hypotonia
HP:0002342Intellectual disability, moderate
HP:0000369Low-set ears
HP:0000158Macroglossia
HP:0000194Open mouth
HP:0002465Poor speech
HP:0001328Specific learning disability
HP:0000582Upslanted palpebral fissure
HP:0000154Wide mouth
HP:0000431Wide nasal bridge
Occasional (29-5%)
HP:0001760Abnormal foot morphology
HP:0001627Abnormal heart morphology
HP:0001155Abnormality of the hand
HP:0000718Aggressive behavior
HP:0000713Agitation
HP:0005612Arthrogryposis-like hand anomaly
HP:0001251Ataxia
HP:0000717Autism
HP:0007633Bilateral microphthalmos
HP:0000248Brachycephaly
HP:0000337Broad forehead
HP:0012385Camptodactyly
HP:0030084Clinodactyly
HP:0000028Cryptorchidism
HP:0005280Depressed nasal bridge
HP:0002714Downturned corners of mouth
HP:0002353EEG abnormality
HP:0000286Epicanthus
HP:0002236Frontal upsweep of hair
HP:0000365Hearing impairment
HP:0000218High palate
HP:0011228Horizontal eyebrow
HP:0000752Hyperactivity
HP:0000540Hypermetropia
HP:0000316Hypertelorism
HP:0002311Incoordination
HP:0000294Low anterior hairline
HP:0000400Macrotia
HP:0000303Mandibular prognathia
HP:0011800Midface retrusion
HP:0010841Multifocal epileptiform discharges
HP:0000545Myopia
HP:0000341Narrow forehead
HP:0007700Ocular anterior segment dysgenesis
HP:0100025Overfriendliness
HP:0001655Patent foramen ovale
HP:0001357Plagiocephaly
HP:0000384Preauricular skin tag
HP:0000508Ptosis
HP:0000711Restlessness
HP:0000311Round face
HP:0000470Short neck
HP:0003196Short nose
HP:0004322Short stature
HP:0002313Spastic paraparesis
HP:0001159Syndactyly
HP:0000325Triangular face
HP:0001537Umbilical hernia
HP:0001629Ventricular septal defect
HP:0000687Widely spaced teeth

Run the differential on the 3 obligate / very frequent terms

Annotation source: 25758992[PMID]_29959045[PMID]

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Sources for this card