raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:457279

Houge-Janssens syndrome type 1

Synonyms: PPP2R5D-related Houge-Janssens syndrome · PPP2R5D-related neurodevelopmental disorder · HJS1

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal dominant
Age of onset
Infancy, Neonatal
Status
active

A rare, syndromic intellectual disability characterized by hypotonia, global developmental delay, limited or absent speech, intellectual disability, macrocephaly, mild dysmorphic features, seizures and autism spectrum disorder. Associated ophthalmologic, heart, skeletal and central nervous system anomalies have been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHouge-Janssens syndrome type 1PPP2R5D-related Houge-Janssens syndrome · PPP2R5D-related neurodevelopmental disorder · HJS1
frSyndrome de Houge-Janssens type 1Syndrome de Houge-Janssens associé à PPP2R5D · Trouble du neurodéveloppement associé à PPP2R5D
deHouge-Janssens-Syndrom Typ 1HJS1 · Neurologische Entwicklungsstörung, PPP2R5D-assoziierte
esSíndrome de Houge-Janssens tipo 1SHJ1 · Síndrome de Houge-Janssens asociado al gen PPP2R5D · Trastorno del neurodesarrollo asociado al gen PPP2R5D
itSindrome di Houge-Janssens tipo 1Sindrome di Houge-Janssens correlata a PPP2R5D · HJS1 · Malattia del neurosviluppo correlata a PPP2R5D · Sindrome Houge-Janssens tipo 1 · Disturbo dello sviluppo neurologico associato al gene PPP2R5D
nlSyndroom van Houge-Janssens type 1PPP2R5D-gerelateerde neurologische ontwikkelingsstoornis · HJS1 · PPP2R5D-gerelateerd syndroom van Houge-Janssen
ptSíndrome de perturbação do desenvolvimento intelectual-macrocefalia-hipotonia-perturbação comportamentalDoença do neurodesenvolvimento PPP2R5D-realcionada · Síndrome Houge-Janssens 1
plZespół niepełnosprawności intelektualnej, wielkogłowia, hipotonii i zaburzeń zachowaniaZespół niepełnosprawności intelektualnej – makrocefalii – hipotonii – zaburzeń zachowania
csSyndrom zahrnující mentální retardaci, makrocefalii, hypotonii a poruchy chování= en
ukСиндром інтелектуальної недостатності-макроцефалії-гіпотонії-поведінкових відхилень
zh智力障碍-巨颅畸形-肌张力低下-行为异常综合征
trZihinsel yetersizlik-makrosefali-hipotoni-davranışsal anormallikler sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616355Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0014602Evalidated
UMLSC4225354Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PPP2R5DDisease-causing germline mutation(s) inAssessedHGNC:9312ENSG000001126406016466p21.1protein phosphatase 2 regulatory subunit B'delta26168268[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families16 casesWorldwideCase(s)Validated26168268[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26168268[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

61 annotations · validated 2019-12-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0031936Delayed ability to walk
HP:0000750Delayed speech and language development
HP:0001290Generalized hypotonia
HP:0001263Global developmental delay
HP:0000256Macrocephaly
HP:0001319Neonatal hypotonia
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0000733Abnormal repetitive mannerisms
HP:0025160Abnormal temper tantrums
HP:0000478Abnormality of the eye
HP:0001344Absent speech
HP:0000718Aggressive behavior
HP:0000729Autistic behavior
HP:0002342Intellectual disability, moderate
HP:0010864Intellectual disability, severe
HP:0000744Low frustration tolerance
HP:0002465Poor speech
HP:0002650Scoliosis
HP:0002317Unsteady gait
Occasional (29-5%)
HP:0002500Abnormal cerebral white matter morphology
HP:0001273Abnormal corpus callosum morphology
HP:0001627Abnormal heart morphology
HP:0100702Arachnoid cyst
HP:0001251Ataxia
HP:0002389Cavum septum pellucidum
HP:0000494Downslanted palpebral fissures
HP:0006956Lateral ventricle dilatation
HP:0000276Long face
HP:0000369Low-set ears
HP:0011800Midface retrusion
HP:0011220Prominent forehead
HP:0003196Short nose
HP:0000486Strabismus
HP:0000325Triangular face
HP:0001629Ventricular septal defect
Very rare (<4-1%)
HP:0001137Alternating esotropia
HP:0001284Areflexia
HP:0000483Astigmatism
HP:0001631Atrial septal defect
HP:0001647Bicuspid aortic valve
HP:0002028Chronic diarrhea
HP:0001374Congenital hip dislocation
HP:0005988Congenital muscular torticollis
HP:0100350Contracture of the proximal interphalangeal joint of the 4th toe
HP:0000268Dolichocephaly
HP:0000324Facial asymmetry
HP:0002007Frontal bossing
HP:0000218High palate
HP:0001943Hypoglycemia
HP:0011937Hypoplastic fifth toenail
HP:0005216Impaired mastication
HP:0000343Long philtrum
HP:0001655Patent foramen ovale
HP:0001357Plagiocephaly
HP:0002021Pyloric stenosis
HP:0001583Rotary nystagmus
HP:0001250Seizure
HP:0000176Submucous cleft hard palate
HP:0002558Supernumerary nipple
HP:0000219Thin upper lip vermilion
HP:0000260Wide anterior fontanel

Run the differential on the 6 obligate / very frequent terms

Annotation source: 26576547[PMID]_25972378[PMID]_26168268[PMID]_25533962[PMID]

7

Sources for this card