raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:457395

Progressive spondyloepimetaphyseal dysplasia-short stature-short fourth metatarsals-intellectual disability syndrome

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

A rare genetic multiple congenital anomalies/dysmorphic syndrome characterized by global developmental delay and intellectual disability, progressive spondyloepimetaphyseal dysplasia, short stature, short fourth metatarsals, and dysmorphic craniofacial features (including microcephaly, hypertelorism, epicanthal folds, mild ptosis, strabismus, malar hypoplasia, short nose, depressed nasal bridge, full lips, small, low-set ears, and short neck). Craniosynostosis, generalized hypotonia, as well as asymmetry of the cerebral hemispheres and mild thinning of the corpus callosum on brain imaging have also been described.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enProgressive spondyloepimetaphyseal dysplasia-short stature-short fourth metatarsals-intellectual disability syndrome
frSyndrome de dysplasie spondylo-épimétaphysaire progressive-petite taille-quatrième métatarsien court-déficience intellectuelle
deProgressive spondyloepimetaphysäre Dysplasie-Kleinwuchs-kurze vierte Metatarsalen-Intelligenzminderung-Syndrom
esSíndrome de displasia espondiloepimetafisaria-talla baja-cuartos metatarsianos cortos-discapacidad intelectual progresivo
itSindrome displasia spondiloepimetafisaria progressiva-bassa statura-dismorfismi facciali-quarto metatarso corto-disabilità intellettiva
nlProgressieve spondylo-epimetafysaire dyplasie - kleine gestalte - korte vierde metatarsalen - intellectuele achterstand-syndroom
ptSíndrome de displasia espondiloepimetafisária progressiva-baixa estatura-encurtamento do quarto metatarso-perturbação do desenvolvimento intelectual
plZespół postępującej dysplazji kręgowo-nasadowo-przynasadowej, niskiego wzrostu, krótkich czwartych kości śródstopia i niepełnosprawności intelektualnej
csSyndrom zahrnující progresivní spondyloepimetafyzární dysplázii, malý vzrůst, krátké čtvrté metatarzy a mentální retardaci
ukСиндром прогресуючої спондилоепіметафізарної дисплазії-низькорослості-коротких четвертих плеснових кісток-інтелектуальної недостатності
zh进行性脊椎干骺端发育不全-身材矮小-第四跖骨短-智力障碍综合征
trİlerleyici spondiloepimetafizyal displazi-kısa boy-kısa dördüncü metatarsal-zihinsel yetersizlik sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616723Evalidated
ICD-10Q87.1NTBTattributedvalidated
ICD-11LD24.3NTBTattributedvalidated
MONDO0014748Evalidated
UMLSC5568882Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RSPRY1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:29420ENSG0000015957961658516q13ring finger and SPRY domain containing 126365341[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated26365341[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26365341[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

73 annotations · validated 2019-12-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000598Abnormality of the ear
HP:0003272Abnormality of the hip bone
HP:0002815Abnormality of the knee
HP:0000729Autistic behavior
HP:0001156Brachydactyly
HP:0001498Carpal bone hypoplasia
HP:0010579Cone-shaped epiphysis
HP:0001363Craniosynostosis
HP:0002750Delayed skeletal maturation
HP:0005280Depressed nasal bridge
HP:0000286Epicanthus
HP:0002007Frontal bossing
HP:0001288Gait disturbance
HP:0000316Hypertelorism
HP:0001249Intellectual disability
HP:0002751Kyphoscoliosis
HP:0000272Malar flattening
HP:0001270Motor delay
HP:0000938Osteopenia
HP:0001845Overlapping toe
HP:0000926Platyspondyly
HP:0000520Proptosis
HP:0100864Short femoral neck
HP:0004689Short fourth metatarsal
HP:0000470Short neck
HP:0003196Short nose
HP:0004322Short stature
HP:0002651Spondyloepimetaphyseal dysplasia
HP:0010804Tented upper lip vermilion
HP:0012471Thick vermilion border
Frequent (79-30%)
HP:0000766Abnormal sternum morphology
HP:0000164Abnormality of the dentition
HP:0004568Beaking of vertebral bodies
HP:0004209Clinodactyly of the 5th finger
HP:0002812Coxa vara
HP:0002967Cubitus valgus
HP:0003521Disproportionate short-trunk short stature
HP:0005096Distal femoral bowing
HP:0030293Fibular metaphyseal irregularity
HP:0001290Generalized hypotonia
HP:0002857Genu valgum
HP:0005639Hyperextensible hand joints
HP:0003307Hyperlordosis
HP:0040261Increased size of nasopharyngeal adenoids
HP:0001256Intellectual disability, mild
HP:0000369Low-set ears
HP:0000252Microcephaly
HP:0003275Narrow pelvis bone
HP:0001763Pes planus
HP:0012428Prominent calcaneus
HP:0006461Proximal femoral epiphysiolysis
HP:0001838Rocker bottom foot
HP:0006863Severe expressive language delay
HP:0003026Short long bone
HP:0010049Short metacarpal
HP:0004279Short palm
HP:0003100Slender long bone
HP:0010585Small epiphyses
HP:0002944Thoracolumbar scoliosis
HP:0030292Tibial metaphyseal irregularity
Occasional (29-5%)
HP:0008812Flattened femoral head
HP:0002079Hypoplasia of the corpus callosum
HP:0002342Intellectual disability, moderate
HP:0001377Limited elbow extension
HP:0001653Mitral regurgitation
HP:0030427Ossifying fibroma of the jaw
HP:0001643Patent ductus arteriosus
HP:0001655Patent foramen ovale
HP:0001761Pes cavus
HP:0002677Small foramen magnum
HP:0000486Strabismus
HP:0004592Thoracic platyspondyly
HP:0001863Toe clinodactyly

Run the differential on the 12 obligate / very frequent terms

Annotation source: 30063090[PMID]_26365341[PMID]

7

Sources for this card