raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:444077

Cognitive impairment-coarse facies-heart defects-obesity-pulmonary involvement-short stature-skeletal dysplasia syndrome

Synonyms: CHOPS syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant, Not applicable
Age of onset
Antenatal, Neonatal
Status
active

A rare genetic multiple congenital anomalies/dysmorphic syndrome characterized by global developmental delay, intellectual disability, short stature, skeletal abnormalities (such as brachydactyly and vertebral anomalies), obesity, cardiac, respiratory, and genitourinary anomalies, and dysmorphic facial features (including coarse facies, thick eyebrows, synophrys, hypertelorism, short, upturned nose, and long philtrum). Additional reported manifestations are microcephaly, hearing impairment, cataract, and gastroesophageal reflux.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCognitive impairment-coarse facies-heart defects-obesity-pulmonary involvement-short stature-skeletal dysplasia syndromeCHOPS syndrome
frSyndrome de déficit cognitif-traits grossiers du visage-malformations cardiaques-obésité-atteinte pulmonaire-petite tailleSyndrome de CHOPS
deKognitive Störung-grobe Gesichtsszüge-Herzdefekte-Adipositas-Lungenbeteiligung-Kleinwuchs-Skelettdysplasie-SyndromCHOPS-Syndrom
esSíndrome de deterioro cognitivo-facies tosca-defectos cardíacos-obesidad-afectación pulmonar-talla baja-displasia esqueléticaSíndrome CHOPS
itSindrome deficit cognitivo-facies grossolana-cardiopatia-obesità-coinvolgimento polmonare-bassa statura-displasia scheletricaSindrome CHOPS
nlCognitieve beperking - grof aangezicht - hartdefecten - obesitas - pulmonale betrokkenheid - kleine gestalte - skeletdysplasie-syndroomCHOPS-syndroom
ptSíndrome de défice intelectual-facies grosseira-defeitos cardíacos-obesidade-envolvimento pulmonar-baixa estatura-displasia esquelética
plZespół zaburzeń poznawczych, grubych rysów twarzy, otyłości, zaburzeń płucnych, niskiego wzrostu i dysplazji szkieletowejZespół CHOPS
csSyndrom zahrnující kognitivní poruchu, hrubé rysy obličeje, srdeční defekty, obezitu, plicní poruchu, nízký vzrůst a skeletální dyspláziiCHOPS syndrom
ukСиндром когнітивних порушень-грубих рис обличчя-вади серця-ожиріння-легеневого ураження - низькорослості-скелетної дисплазіїСиндром CHOPS
zh先天发育异常-粗大面容-心脏缺陷-肥胖-肺部受累-身材矮小-骨骼发育异常综合征/CHOPS综合征CHOPS综合征
trBilişsel bozukluk-kaba yüz-kalp defektleri-obezite-pulmoner tutulum-kısa boy-iskelet displazisi sendromuCHOPS sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616368Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD2F.1YNTBTattributedvalidated
MONDO0014609Evalidated
UMLSC4085597Evalidated
GARD12845Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (6):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AFF4Disease-causing germline mutation(s) (gain of function) inAssessedHGNC:17869ENSG000000723646044175q31.1ALF transcription elongation factor 425730767[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families11 casesWorldwideCase(s)Validated31058441[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_31058441[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.

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HPO phenotypes

79 annotations · validated 2019-12-09
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0011842Abnormality of skeletal morphology
HP:0002086Abnormality of the respiratory system
HP:0000463Anteverted nares
HP:0001263Global developmental delay
HP:0002553Highly arched eyebrow
HP:0001249Intellectual disability
HP:0000527Long eyelashes
HP:0001513Obesity
HP:0004322Short stature
HP:0000664Synophrys
Frequent (79-30%)
HP:0001627Abnormal heart morphology
HP:0003468Abnormal vertebral morphology
HP:0011951Aspiration pneumonia
HP:0001156Brachydactyly
HP:0006528Chronic lung disease
HP:0002019Constipation
HP:0002020Gastroesophageal reflux
HP:0011471Gastrostomy tube feeding in infancy
HP:0000365Hearing impairment
HP:0000252Microcephaly
HP:0001643Patent ductus arteriosus
HP:0000311Round face
HP:0100874Thick hair
HP:0001629Ventricular septal defect
Occasional (29-5%)
HP:0001231Abnormal fingernail morphology
HP:0008388Abnormal toenail morphology
HP:0000956Acanthosis nigricans
HP:0000646Amblyopia
HP:0002616Aortic root aneurysm
HP:0002099Asthma
HP:0000518Cataract
HP:0004602Cervical C2/C3 vertebral fusion
HP:0000405Conductive hearing impairment
HP:0001635Congestive heart failure
HP:0000378Cupped ear
HP:0002212Curly hair
HP:0000824Decreased response to growth hormone stimulation test
HP:0000494Downslanted palpebral fissures
HP:0002714Downturned corners of mouth
HP:0025313Exophoria
HP:0009937Facial hirsutism
HP:0003038Fibular hypoplasia
HP:0000293Full cheeks
HP:0000162Glossoptosis
HP:0000771Gynecomastia
HP:0000218High palate
HP:0030043Hip subluxation
HP:0000085Horseshoe kidney
HP:0003074Hyperglycemia
HP:0006434Hypoplasia of proximal radius
HP:0001800Hypoplastic toenails
HP:0000047Hypospadias
HP:0000821Hypothyroidism
HP:0001601Laryngomalacia
HP:0000343Long philtrum
HP:0000158Macroglossia
HP:0000347Micrognathia
HP:0000410Mixed hearing impairment
HP:0000545Myopia
HP:0000341Narrow forehead
HP:0001655Patent foramen ovale
HP:0001357Plagiocephaly
HP:0000358Posteriorly rotated ears
HP:0000520Proptosis
HP:0000508Ptosis
HP:0002092Pulmonary arterial hypertension
HP:0000407Sensorineural hearing impairment
HP:0003196Short nose
HP:0010535Sleep apnea
HP:0200055Small hand
HP:0000486Strabismus
HP:0001607Subglottic stenosis
HP:0000574Thick eyebrow
HP:0009894Thickened ears
HP:0000219Thin upper lip vermilion
HP:0002779Tracheomalacia
HP:0011221Vertical forehead creases
HP:0000076Vesicoureteral reflux
HP:0002645Wormian bones

Run the differential on the 10 obligate / very frequent terms

Annotation source: 31058441[PMID]_25730767[PMID]

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Sources for this card