raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:454718

Holmes-Adie syndrome

Synonyms: Adie syndrome · Tonic pupil-tendon areflexia syndrome

Type
Disease
Group
Disorder
Inheritance
Not applicable
Age of onset
Adult
Status
active

A rare ophthalmic disorder characterized by the unilateral or bilateral occurrence of a tonic pupil (showing sectorial denervation of the sphincter pupillae, so that the pupil constricts poorly to light, while the response to near is present but abnormally prolonged), in association with the absence of deep tendon reflexes. In some patients, patchy hypo- or anhidrosis may also be present (a variant known as Ross syndrome). The condition typically occurs in young adults, with a female preponderance.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHolmes-Adie syndromeAdie syndrome · Tonic pupil-tendon areflexia syndrome
frSyndrome de Holmes-AdiePupille tonique d'Adie
deHolmes-Adie-SyndromAdie-Syndrom · Tonische Pupille-Sehnenareflexie-Syndrom
esSíndrome de Holmes-AdieSíndrome de Adie · Síndrome de pupila tónica-arreflexia del tendón
itSindrome di Holmes-AdieSindrome di Adie
nlSyndroom van Holmes-AdieHolmes-Adiesyndroom · Syndroom van Adie · Tonische pupil - peesareflexie-syndroom
ptSíndrome de Holmes -Adie
plZespół Holmesa i AdiegoZespół Adiego · Zespół źrenicy tonicznej i braku odruchów ścięgnistych
csHolmsův-Adieho syndromAdieho syndrom · Holms-Adieho syndrom
ukСиндром Холмса-АдіСиндром Аді · Синдром тонічної зінично-сухожильної арефлексії
zh福尔摩斯·阿迪综合症强直性瞳孔-腱反射消失综合征
trHolmes-Adie sendromuAdie sendromu · Tonik pupil-tendon arefleksi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM103100NTBTvalidated
ICD-10H57.0NTBTindexvalidated
ICD-119B01.1NTBTindexvalidated
MONDO0018690Evalidated
MeSHD000270Evalidated
UMLSC0001519Evalidated
GARD5749Evalidated
MedDRA10020352Evalidated

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 (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Annual incidence1-9 / 100 0004.7 / 100 000United StatesValue and classValidated613531[PMID]
Point prevalenceUnknown—EuropeClass onlyNot yet validatedORPHANET

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

11 annotations · validated 2024-09-26
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012074Tonic pupil
Frequent (79-30%)
HP:0007695Abnormal pupillary light reflex
HP:0009916Anisocoria
HP:0001284Areflexia
HP:0000622Blurred vision
HP:0011499Mydriasis
Occasional (29-5%)
HP:0012803Anisometropia
HP:0034315Chronic cough
HP:0000540Hypermetropia
HP:0001278Orthostatic hypotension
HP:0000613Photophobia

Run the differential on the 1 obligate / very frequent terms

Annotation source: 30285366[PMID]_33595525[PMID]

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Sources for this card