raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:436182

Microcephalic primordial dwarfism-insulin resistance syndrome

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

A rare genetic disease characterized by severe pre- and postnatal growth failure with short stature and microcephaly, facial dysmorphism (including a small jaw and prominent midface), severe insulin resistance, fatty liver, and hypertriglyceridemia developing in childhood, and primary gonadal failure. Mild global learning difficulties and acanthosis nigricans have also been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMicrocephalic primordial dwarfism-insulin resistance syndrome
frSyndrome de nanisme microcéphalique primordial-résistance à l'insuline
deMikrozephaler primordialer Kleinwuchs-Insulinresistenz-Syndrom
esSíndrome de talla baja significativa primordial microcefálica-resistencia a la insulinaSíndrome de enanismo primordial microcefálico-resistencia a la insulina
itSindrome nanismo primordiale microcefalico-resistenza all'insulina
nlMicrocefale primordiale dwerggroei - insulineresistentie-syndroom
ptSíndrome de nanismo primordial microcefálico-resistência à insulina
plZespół pierwotnej niskorosłości mikrocefalicznej i oporności na insulinę
csSyndrom zahrnující primordiální trpaslictví, mikrocefalii a inzulinovou rezistenci
ukСиндром мікроцефальної первинної карликовості-інсулінорезистентності
zh小头原发性侏儒症-胰岛素抵抗综合征
trMikrosefalik primordiyal cücelik-insülin direnci sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616541BTNTvalidated
OMIM617253BTNTvalidated
ICD-10Q87.1NTBTattributedvalidated
ICD-11LD20.2NTBTattributedvalidated
MONDO0018575Evalidated
UMLSC5681181Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NSMCE2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:26513ENSG000001568316172468q24.13NSE2 SUMO ligase component of SMC5/6 complex25105364[PMID]
XRCC4Disease-causing germline mutation(s) inAssessedHGNC:12831ENSG000001524221943635q14.2X-ray repair cross complementing 425728776[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated25105364 [PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_25105364[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

9 annotations · validated 2016-11-08
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001397Hepatic steatosis
HP:0002155Hypertriglyceridemia
HP:0000831Insulin-resistant diabetes mellitus
HP:0010620Malar prominence
HP:0000347Micrognathia
HP:0008193Primary gonadal insufficiency
HP:0008890Severe short-limb dwarfism
Occasional (29-5%)
HP:0007875Congenital blindness
HP:0000541Retinal detachment

Run the differential on the 7 obligate / very frequent terms

Annotation source: 25105364[PMID]

7

Sources for this card