raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:401973

MEND syndrome

Synonyms: Male EBP disorder with neurological defects

Type
Malformation syndrome
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy, Neonatal
Status
active

A rare, genetic, syndromic, sterol biosynthesis disorder affecting males characterized by skin manifestations, including collodion membrane, ichthyosis, and patchy hypopigmentary lesions, associated with severe neurological involvement (e.g. intellectual disability, delayed psychomotor development, seizures, hydrocephalus, cerebellar/corpus callosum hypoplasia, Dandy-Walker malformation, hypotonia) and craniofacial dysmorphism (large anterior fontanelle, telecanthus, hypertelorism, microphthalmia, prominent nasal bridge, low-set ears, micrognathia, cleft palate). 2,3 toe syndactyly, polydactyly, and kyphosis, as well as ophthalmic, cardiac and urogenital anomalies may also be associated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMEND syndromeMale EBP disorder with neurological defects
frSyndrome MENDTroubles neurologiques masculins liés à EBP
deMEND-SyndromMännliche EBP-Störung mit neurologischen Defekten
esSíndrome MENDTrastorno EBP masculino con defectos neurológicos
itSindrome MENDMalattia EBP dei maschi con disturbi neurologici
nlMEND-syndroomMannelijke EBP-stoornis met neurologische defecten
ptSíndrome MEND
plZespół MENDZaburzenie EBP u płci męskiej z objawami neurologicznym
csMEND syndromMužská EBP porucha s neurologickými defekty
ukСиндром MENDЧоловічий розлад EBP з неврологічними дефектами
zhMEND综合征男性EBP缺陷伴神经功能缺陷
trMEND sendromuNörolojik defektler ile seyreden erkek EBP bozukluğu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300960Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-115C52.10NTBTattributedvalidated
MONDO0010498Evalidated
UMLSC4085243Evalidated

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
EBPDisease-causing germline mutation(s) inAssessedHGNC:3133ENSG00000147155300205Xp11.23EBP cholestenol delta-isomerase24459067[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families24 casesWorldwideCase(s)Validated22229330[PMID]_24459067[PMID]_24700572[PMID]_27276700[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_22229330[PMID]_24459067[PMID]_24700572[PMID]_27276700[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

45 annotations · validated 2019-06-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003465Elevated 8(9)-cholestenol
HP:0003462Elevated 8-dehydrocholesterol
Frequent (79-30%)
HP:00046912-3 toe syndactyly
HP:0006958Abnormal auditory evoked potentials
HP:0012433Abnormal social behavior
HP:0000422Abnormality of the nasal bridge
HP:0001650Aortic valve stenosis
HP:0009941Asymmetry of the mouth
HP:0010055Broad hallux
HP:0000518Cataract
HP:0000028Cryptorchidism
HP:0001305Dandy-Walker malformation
HP:0001508Failure to thrive
HP:0001290Generalized hypotonia
HP:0001263Global developmental delay
HP:0001161Hand polydactyly
HP:0000218High palate
HP:0000238Hydrocephalus
HP:0000316Hypertelorism
HP:0002079Hypoplasia of the corpus callosum
HP:0008064Ichthyosis
HP:0001249Intellectual disability
HP:0002808Kyphosis
HP:0002509Limb hypertonia
HP:0100807Long fingers
HP:0000472Long neck
HP:0000369Low-set ears
HP:0000347Micrognathia
HP:0000568Microphthalmia
HP:0011800Midface retrusion
HP:0010557Overlapping fingers
HP:0001845Overlapping toe
HP:0000426Prominent nasal bridge
HP:0000960Sacral dimple
HP:0001250Seizure
HP:0004322Short stature
HP:0005590Spotty hypopigmentation
HP:0000506Telecanthus
HP:0000474Thickened nuchal skin fold
HP:0000582Upslanted palpebral fissure
HP:0000260Wide anterior fontanel
Occasional (29-5%)
HP:0001627Abnormal heart morphology
HP:0000718Aggressive behavior
HP:0000175Cleft palate
HP:0000752Hyperactivity

Run the differential on the 2 obligate / very frequent terms

Annotation source: 24459067[PMID]_23307567[PMID]_20949533[PMID]_12503101[PMID]_23307567[PMID]_24459067[PMID]

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Sources for this card