raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:391408

Primary microcephaly-mild intellectual disability-young-onset diabetes syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Childhood
Status
active

A rare, genetic, syndromic intellectual disability disorder characterized by congenital, persistent microcephaly, low birth weight, short stature, childhood-onset seizures, global development delay, mild intellectual disability, and adolescent or young adult-onset diabetes mellitus. Gait ataxia, skeletal abnormalities, dorsocervical fat pad, and infantile cirrhosis may also be associated. Brain morphology is typically normal, although delayed myelination and hypoplastic brainstem have been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPrimary microcephaly-mild intellectual disability-young-onset diabetes syndrome
frSyndrome de microcéphalie primaire-déficience intellectuelle modérée-diabète juvénile
dePrimäre Mikrozephalie-milde Intelligenzminderung-früh beginnender Diabetes-Syndrom
esSíndrome de microcefalia primaria-discapacidad intelectual leve-diabetes de inicio juvenil
itSindrome microcefalia primitiva-disabilità intellettiva lieve-diabete ad esordio giovanile
nlPrimaire microcefalie - milde intellectuele achterstand - vroeg beginnende diabetes-syndroom
ptSíndrome de microcefalia primária-perturbação do desenvolvimento intelectual ligeira-diabetes com início precoce
plZespół małogłowie pierwotne-łagodna niepełnosprawność intelektualna-cukrzyca o początku w wieku młodzieńczym
csSyndrom zahrnující primární mikrocefalii, mírnou mentální retardaci a diabetes s nástupem v mládí
ukСиндром первинної мікроцефалії-легкої розумової відсталості-діабету в молодому віці
zh原发性小头畸形-轻度智力障碍-青年起病糖尿病综合征
trPrimer mikrosefali-hafif zihinsel yetersizlik-genç-başlangıçlı diyabet sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616033BTNTvalidated
OMIM616817BTNTvalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0018320Evalidated
UMLSC5190597Evalidated

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 (5):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PPP1R15BDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:14951ENSG000001586156132571q32.1protein phosphatase 1 regulatory subunit 15B26159176[PMID]_26307080[PMID]
TRMT10ADisease-causing germline mutation(s) inAssessedHGNC:28403ENSG000001453316160134q23tRNA methyltransferase 10A24204302[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families8 casesWorldwideCase(s)Validated25053765[PMID]_26159176[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_25053765[PMID]_26159176[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

67 annotations · validated 2019-11-27
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000819Diabetes mellitus
HP:0001249Intellectual disability
HP:0000252Microcephaly
HP:0011451Primary microcephaly
HP:0003508Proportionate short stature
HP:0001518Small for gestational age
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0004325Decreased body weight
HP:0000823Delayed puberty
HP:0001263Global developmental delay
HP:0001943Hypoglycemia
HP:0001511Intrauterine growth retardation
HP:0002465Poor speech
HP:0001250Seizure
Occasional (29-5%)
HP:0001620Abnormally high-pitched voice
HP:0000463Anteverted nares
HP:0008936Axial hypotonia
HP:0000592Blue sclerae
HP:0001348Brisk reflexes
HP:0002136Broad-based gait
HP:0001321Cerebellar hypoplasia
HP:0030084Clinodactyly
HP:0012448Delayed myelination
HP:0010344Deviation of the 5th toe
HP:0002460Distal muscle weakness
HP:0025383Dorsocervical fat pad
HP:0200021Down-sloping shoulders
HP:0000494Downslanted palpebral fissures
HP:0002714Downturned corners of mouth
HP:0000286Epicanthus
HP:0002213Fine hair
HP:0000293Full cheeks
HP:0000685Hypoplasia of teeth
HP:0002365Hypoplasia of the brainstem
HP:0002079Hypoplasia of the corpus callosum
HP:0000601Hypotelorism
HP:0000821Hypothyroidism
HP:0010864Intellectual disability, severe
HP:0001382Joint hypermobility
HP:0001946Ketosis
HP:0002751Kyphoscoliosis
HP:0000343Long philtrum
HP:0000294Low anterior hairline
HP:0000400Macrotia
HP:0000347Micrognathia
HP:0000275Narrow face
HP:0000341Narrow forehead
HP:0000160Narrow mouth
HP:0000677Oligodontia
HP:0000767Pectus excavatum
HP:0008081Pes valgus
HP:0000311Round face
HP:0002650Scoliosis
HP:0000407Sensorineural hearing impairment
HP:0007258Severe demyelination of the white matter
HP:0008850Severe postnatal growth retardation
HP:0000470Short neck
HP:0003196Short nose
HP:0000322Short philtrum
HP:0001238Slender finger
HP:0011308Slender toe
HP:0000274Small face
HP:0008070Sparse hair
HP:0002313Spastic paraparesis
HP:0000664Synophrys
HP:0000219Thin upper lip vermilion
HP:0000445Wide nose

Run the differential on the 6 obligate / very frequent terms

Annotation source: 26307080[PMID]_26159176[PMID]_26297882[PMID]_26526202[PMID]

7

Sources for this card