raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:420741

RIDDLE syndrome

Synonyms: RNF168 deficiency · Radiosensitivity-immunodeficiency-dysmorphic features-learning difficulties syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Infancy
Status
active

A rare, genetic, primary immunodeficiency disorder characterized by increased radiosensitivity(R), mild immunodeficiency (ID), dysmorphic features (D), and learning difficulties (LE).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enRIDDLE syndromeRNF168 deficiency · Radiosensitivity-immunodeficiency-dysmorphic features-learning difficulties syndrome
frSyndrome de RIDDLEDéficit en RNF168 · Syndrome de radiosensibilité-déficit immunitaire-dysmorphie-difficultés d'apprentissage
deRIDDLE-SyndromRNF168-Mangel · Strahlenempfindlichkeit-Immundefekt-dysmorphologische Merkmale-Lernschwierigkeiten-Syndrom
esSíndrome RIDDLEDeficiencia en RNF168 · Síndrome de radiosensibilidad-inmunodeficiencia-rasgos dismórficos-dificultades de aprendizaje
itSindrome RIDDLEDeficit di RNF168 · Sindrome radiosensibilità-immunodeficienza-dismorfismi-difficoltà dell'apprendimento
nlRIDDLE-syndroomRNF168-deficiëntie · Radiosensitiviteit - immuundeficiëntie - dysmorfe kenmerken - leerproblemen-syndroom
ptSíndrome de RIDDLE
plZespół RIDDLENiedobór RNF168 · Zespół radiowrażliwości, niedoboru odporności, dysmorfii i trudności w uczeniu
csRIDDLE syndromDeficit RNF168 · Syndrom zahrnující radiosenzitivitu, imunodeficienci, dysmorfické rysy a obtíže s učením
ukСиндром RIDDLEСиндром радіочутливості - імунодефіциту - дисморфічних особливостей - труднощів у навчанні · Дефіцит RNF168
zhRIDDLE 综合征放射敏感性-免疫缺陷-畸形特征-学习障碍综合征
trRIDDLE sendromuRNF168 eksikliği · Radyosensitivite-immün yetmezlik-dismorfik özellikler-öğrenme güçlüğü sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM611943Evalidated
ICD-10D82.8NTBTattributedvalidated
ICD-114A0YNTBTattributedvalidated
MONDO0012764Evalidated
MeSHC567453Evalidated
UMLSC2677792Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RNF168Disease-causing germline mutation(s) inAssessedHGNC:26661ENSG000001639616126883q29ring finger protein 16821394101[PMID]_19203578[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated17940005[PMID]_21394101[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_17940005[PMID]_21394101[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

43 annotations · validated 2018-03-28
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0010997Chromosomal breakage induced by ionizing radiation
HP:0002720Decreased circulating IgA level
HP:0004315Decreased circulating IgG level
HP:0006254Elevated alpha-fetoprotein
HP:0002721Immunodeficiency
HP:0004322Short stature
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0012387Bronchitis
HP:0011109Chronic sinusitis
HP:0002090Pneumonia
HP:0001954Recurrent fever
HP:0006532Recurrent pneumonia
HP:0011108Recurrent sinusitis
HP:0001328Specific learning disability
Occasional (29-5%)
HP:0002027Abdominal pain
HP:0002500Abnormal cerebral white matter morphology
HP:0006530Abnormal pulmonary interstitial morphology
HP:0001369Arthritis
HP:0001251Ataxia
HP:0002312Clumsiness
HP:0000524Conjunctival telangiectasia
HP:0002850Decreased circulating total IgM
HP:0007108Demyelinating peripheral neuropathy
HP:0002014Diarrhea
HP:0000712Emotional lability
HP:0010677Enuresis nocturna
HP:0010783Erythema
HP:0001288Gait disturbance
HP:0008940Generalized lymphadenopathy
HP:0001263Global developmental delay
HP:0002315Headache
HP:0030746Intraventricular hemorrhage
HP:0000252Microcephaly
HP:0012768Neonatal asphyxia
HP:0000388Otitis media
HP:0007057Poor hand-eye coordination
HP:0002206Pulmonary fibrosis
HP:0004429Recurrent viral infections
HP:0002878Respiratory failure
HP:0002091Restrictive ventilatory defect
HP:0040189Scaling skin
HP:0001009Telangiectasia
HP:0001824Weight loss

Run the differential on the 6 obligate / very frequent terms

Annotation source: 17940005[PMID]_21394101[PMID]_29255463[PMID]

7

Sources for this card