raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:39041

Omenn syndrome

Synonyms: Combined immunodeficiency with hypereosinophilia

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

Omenn syndrome (OS) is an inflammatory condition characterized by erythroderma, desquamation, alopecia, chronic diarrhea, failure to thrive, lymphadenopathy, and hepatosplenomegaly, associated with severe combined immunodeficiency (SCID).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enOmenn syndromeCombined immunodeficiency with hypereosinophilia
frSyndrome d'OmennDéficit immunitaire combiné avec hyperéosinophilie
deOmenn-SyndromImmundefekt, kombinierter schwerer - Hypereosinophilie
esSíndrome de OmennInmunodeficiencia combinada con hipereosinofilia
itSindrome di OmennImmunodeficienza combinata con ipereosinofilia
nlSyndroom van OmennGecombineerde immuundeficiëntie met hypereosinofilie
ptSíndrome OmennImunodeficiência combinada com hipereosinofilia
plZespół OmennaZłożony Niedobór odporności z hipereozynofilią
csOmennův syndromKombinovaná imunodeficience s hypereosinofilií
ukСиндром ОменнаКомбінований імунодефіцит з гіпереозинофілією
zhOmenn综合征免疫缺陷合并嗜酸性粒细胞增多
trOmenn sendromuHipereozinofili ile seyreden kombine immün yetmezlik

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM603554BTNTvalidated
OMIM620807BTNTvalidated
ICD-10D81.8NTBTattributedvalidated
ICD-114A01.10NTBTindexvalidated
MONDO0011338Evalidated
UMLSC2700553Evalidated
GARD8198Evalidated
MedDRA10069097Evalidated

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

10 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ADADisease-causing germline mutation(s) inAssessedHGNC:186ENSG0000019683960895820q13.12adenosine deaminase
CHD7Disease-causing germline mutation(s) inAssessedHGNC:20626ENSG000001713166088928q12.2chromodomain helicase DNA binding protein 7
DCLRE1CDisease-causing germline mutation(s) inAssessedHGNC:17642ENSG0000015245760598810p13DNA cross-link repair 1C
IL2RGDisease-causing germline mutation(s) inAssessedHGNC:6010ENSG00000147168308380Xq13.1interleukin 2 receptor subunit gamma
IL7RDisease-causing germline mutation(s) inAssessedHGNC:6024ENSG000001686851466615p13.2interleukin 7 receptor
NUDCD3Disease-causing germline mutation(s) inAssessedHGNC:22208ENSG000000156766102967p13NudC domain containing 338787962[PMID]
PSMB10Disease-causing germline mutation(s) inAssessedHGNC:9538ENSG0000020522017684716q22.1proteasome 20S subunit beta 1038503300[PMID]
RAG1Disease-causing germline mutation(s) inAssessedHGNC:9831ENSG0000016634917961511p12recombination activating 1
RAG2Disease-causing germline mutation(s) inAssessedHGNC:9832ENSG0000017509717961611p12recombination activating 2
RMRPDisease-causing germline mutation(s) inAssessedHGNC:10031ENSG000002770271576609p13.3RNA component of mitochondrial RNA processing endoribonuclease
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families25 casesWorldwideCase(s)ValidatedORPHANET
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

28 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0004332Abnormal lymphocyte morphology
HP:0001596Alopecia
HP:0002028Chronic diarrhea
HP:0001019Erythroderma
HP:0001508Failure to thrive
HP:0002240Hepatomegaly
HP:0002716Lymphadenopathy
HP:0004430Severe combined immunodeficiency
Frequent (79-30%)
HP:0100840Aplasia/Hypoplasia of the eyebrow
HP:0007549Desquamation of skin soon after birth
HP:0000958Dry skin
HP:0000969Edema
HP:0001945Fever
HP:0001880Increased total eosinophil count
HP:0001974Increased total leukocyte count
HP:0002090Pneumonia
HP:0000989Pruritus
HP:0001744Splenomegaly
HP:0001072Thickened skin
Occasional (29-5%)
HP:0000944Abnormal metaphysis morphology
HP:0001903Anemia
HP:0002960Autoimmunity
HP:0000821Hypothyroidism
HP:0002665Lymphoma
HP:0000100Nephrotic syndrome
HP:0100806Sepsis
HP:0001831Short toe
HP:0100646Thyroiditis

Run the differential on the 8 obligate / very frequent terms

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Sources for this card