raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:485350

CLCN4-related X-linked intellectual disability syndrome

Synonyms: Raynaud-Claes syndrome

Type
Disease
Group
Disorder
Inheritance
X-linked dominant
Age of onset
Childhood, Infancy
Status
active

A rare X-linked syndromic intellectual disability characterized by intellectual disability of variable degree, behavioral anomalies (including autism, mood disorders, obsessive-compulsive behavior, and hetero- and auto-aggression), and epilepsy. Progressive neurological symptoms like movement disorders and spasticity, as well as subtle dysmorphic features have also been reported. Heterozygous females may be as severely affected as males.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCLCN4-related X-linked intellectual disability syndromeRaynaud-Claes syndrome
frSyndrome de déficience intellectuelle liée à l'X associé à CLCN4Syndrome de Raynaud-Claes
deCLCN4-assoziiertes X-chromosomales Intelligenzminderung-Syndrom
esSíndrome de discapacidad intelectual ligada al cromosoma X asociado al gen CLCN4
itDisabilità intellettiva legata all'X correlata a CLCN4
nlCLCN4-gerelateerde X-gebonden intellectuele achterstand-syndroom
ptSíndrome de perturbação do desenvolvimento intelectual ligado ao X CLCN4-relacionada
plZespół niepełnosprawności intelektualnej sprzężony z chromosomem X, związany z CLCN4= en
csCLCN4-vázaná X-vázaná mentální retardace= en
ukХ-зчеплений синдром інтелектуальної недостатності, повязаний з CLCN4Синдром Рейно-Клеза
zhCLCN4相关X 连锁的智力障碍综合征= en
trCLCN4-ilişkili X'e bağlı zihinsel yetersizlik sendromu= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300114Evalidated
ICD-10F78.1NTBTattributednot yet validated
ICD-11LD90NTBTattributedvalidated
MONDO0010250Evalidated
UMLSC0796221Evalidated

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
CLCN4Disease-causing germline mutation(s) inAssessedHGNC:2022ENSG00000073464302910Xp22.2Cl-/H+ antiporter 427550844[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27550844[PMID]
Cases/families38 casesWorldwideCase(s)Validated27550844[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:0001263Global developmental delay
Frequent (79-30%)
HP:0002500Abnormal cerebral white matter morphology
HP:0000708Atypical behavior
HP:0002120Cerebral cortical atrophy
HP:0002342Intellectual disability, moderate
HP:0010864Intellectual disability, severe
HP:0001250Seizure
Occasional (29-5%)
HP:0000718Aggressive behavior
HP:0000739Anxiety
HP:0000729Autistic behavior
HP:0002069Bilateral tonic-clonic seizure
HP:0007302Bipolar affective disorder
HP:0100704Cerebral visual impairment
HP:0000722Compulsive behaviors
HP:0012448Delayed myelination
HP:0000716Depression
HP:0011193EEG with focal spikes
HP:0011968Feeding difficulties
HP:0008947Floppy infant
HP:0002384Focal impaired awareness seizure
HP:0011167Focal tonic seizure
HP:0002020Gastroesophageal reflux
HP:0002121Generalized non-motor (absence) seizure
HP:0000752Hyperactivity
HP:0002079Hypoplasia of the corpus callosum
HP:0012469Infantile spasms
HP:0002061Lower limb spasticity
HP:0000256Macrocephaly
HP:0000252Microcephaly
HP:0001336Myoclonus
HP:0006970Periventricular leukomalacia
HP:0002073Progressive cerebellar ataxia
HP:0002650Scoliosis
HP:0100716Self-injurious behavior
HP:0000486Strabismus
HP:0002119Ventriculomegaly
Very rare (<4-1%)
HP:0002072Chorea
HP:0000028Cryptorchidism
HP:0000023Inguinal hernia
HP:0000276Long face
HP:0011800Midface retrusion
HP:0001763Pes planus
HP:0000307Pointed chin
HP:0002317Unsteady gait
HP:0006986Upper limb spasticity

Run the differential on the 1 obligate / very frequent terms

Annotation source: 27550844[PMID]

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Sources for this card