raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:480907

X-linked intellectual disability-global development delay-facial dysmorphism-sacral caudal remnant syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Antenatal, Neonatal
Status
active

A rare multiple congenital anomalies/dysmorphic syndrome characterized by global developmental delay, intellectual disability, growth retardation, hearing impairment, characteristic facial dysmorphology (including prominent supraorbital ridges, downslanting palpebral fissures, deep-set eyes, long face, sagging cheeks, anteverted nares, and pointed chin), generalized hypotonia, joint hypermobility, gluteal crease with sacral caudal remnant and sacral dimple, and variable neurological features. Various ophthalmic, cutaneous, musculoskeletal, gastrointestinal, and cardiovascular anomalies have also been described.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked intellectual disability-global development delay-facial dysmorphism-sacral caudal remnant syndrome
frSyndrome de déficience intellectuelle-retard de développement global-dysmorphie faciale-appendice caudal
deX-chromosomale Intelligenzminderung-globale Entwicklungsverzögerung-Gesichtsdysmorphie-sakraler kaudaler Überrest
esSíndrome de discapacidad intelectual-retraso global del desarrollo-dismorfia facial-remanente caudal del sacro ligado al cromosoma X
itSindrome disabilità intellettiva- ritardo dello sviluppo globale-dismorfismi facciali-appendice caudale sacrale legata all'X
nlX-gebonden intellectuele achterstand - algemene ontwikkelingsachterstand - faciale dysmorfie - sacraal caudaal restant-syndroom
ptSíndrome de perturbação do desenvolvimento intelectual-atraso do desenvolvimento global-dismorfia facial-remanescente caudal sagrado ligada ao X
plZespół niepełnosprawności intelektualnej sprzężonej z chromosomem X, opóźnienia w rozwoju, dysmorfii twarzy i szczątkowej kości krzyżowo-ogonowej?
csSyndrom X-vázané intelektové nedostatečnosti, celkového vývojového opoždění, faciálního dysmorfismu a kaudální regrese
ukХ-зчеплений синдром розумової відсталості-глобальної затримки розвитку-дизморфізму обличчя-сакральнокаудального залишку
zhX连锁-智力障碍-全面发育迟缓-面部畸形-尾椎存在综合征
trX'e bağlı zihinsel yetersizlik-yaygın gelişme gecikmesi-fasiyal dismorfizm-sakral kaudal kalıntı sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300966Evalidated
ICD-10Q87.0NTBTattributedvalidated
ICD-11LD90NTBTattributedvalidated
MONDO0018823Evalidated
MONDO10500Evalidated
MONDO18823Evalidated
UMLSC4225418Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TAF1Disease-causing germline mutation(s) inAssessedHGNC:11535ENSG00000147133313650Xq13.1TATA-box binding protein associated factor 126637982[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families14 casesWorldwideCase(s)Validated26637982[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26637982[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

45 annotations · validated 2019-09-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0008468Abnormal sacral segmentation
HP:0002194Delayed gross motor development
HP:0000750Delayed speech and language development
HP:0001290Generalized hypotonia
HP:0001263Global developmental delay
HP:0002079Hypoplasia of the corpus callosum
HP:0001249Intellectual disability
HP:0000369Low-set ears
HP:0008897Postnatal growth retardation
HP:0008472Prominent protruding coccyx
HP:0000411Protruding ear
HP:0006863Severe expressive language delay
Frequent (79-30%)
HP:0000463Anteverted nares
HP:0000729Autistic behavior
HP:0000389Chronic otitis media
HP:0000494Downslanted palpebral fissures
HP:0000365Hearing impairment
HP:0000218High palate
HP:0002342Intellectual disability, moderate
HP:0001382Joint hypermobility
HP:0000276Long face
HP:0000343Long philtrum
HP:0200136Oral-pharyngeal dysphagia
HP:0000307Pointed chin
HP:0000336Prominent supraorbital ridges
HP:0000486Strabismus
Occasional (29-5%)
HP:0000455Broad nasal tip
HP:0000414Bulbous nose
HP:0000490Deeply set eye
HP:0005280Depressed nasal bridge
HP:0001332Dystonia
HP:0000286Epicanthus
HP:0012032Lipoma
HP:0000527Long eyelashes
HP:0002395Lower limb hyperreflexia
HP:0000252Microcephaly
HP:0000347Micrognathia
HP:0001513Obesity
HP:0001250Seizure
HP:0001264Spastic diplegia
HP:0000664Synophrys
HP:0000574Thick eyebrow
HP:0000219Thin upper lip vermilion
HP:0001337Tremor

Run the differential on the 12 obligate / very frequent terms

Annotation source: 30805980[PMID]_26637982[PMID]

7

Sources for this card