raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:488627

Severe growth deficiency-strabismus-extensive dermal melanocytosis-intellectual disability syndrome

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

A rare multiple congenital anomalies/dysmorphic syndrome with intellectual disability characterized by infantile onset of global developmental delay, severe intellectual disability, growth deficiency, microcephaly, strabismus, blue-gray sclerae, and extensive Mongolian spots. Some patients also present with epilepsy. Brain imaging may demonstrate variable abnormalities including cerebral atrophy, thin corpus callosum, ventriculomegaly, or arachnoid cysts.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSevere growth deficiency-strabismus-extensive dermal melanocytosis-intellectual disability syndrome
frSyndrome de retard de croissance sévère-strabisme-mélanocytose dermique congénitale-déficience intellectuelle
deSchwere Wachstumsstörung-Strabismus-extensive dermale Melanozytose-Intelligenzminderung-Syndrom
esSíndrome de deficiencia grave del crecimiento-estrabismo-melanocitosis dérmica extensa-discapacidad intelectual
itSindrome grave ritardo della crescita-strabismo-estesa melanocitosi dermica -disabilità intellettiva
nlErnstige groeiachterstand - strabisme - extensieve dermale melanocytose - intellectuele achterstand-syndroom
ptSíndrome de atraso do crescimento grave-estrabismo-melanocitose dérmica extensa-perturbação do desenvolvimento intelectual
plZespół znacznego niedoboru wzrostu, zeza, nasilonej melanocytozy skórnej i niepełnosprawności intelektualnej
csSyndrom zahrnující těžký růstový deficit, strabizmus, rozsáhlou dermální melanocytózu a mentální retardaci
ukСиндром тяжкої затримки росту-косоокості-екстенсивного меланоцитозу шкіри-інтелектуальної недостатності
zh严重的生长发育缺陷-斜视-广泛的皮肤黑素细胞增多症-智力障碍综合征
trAğır büyüme eksikliği-şaşılık-yaygın dermal melanositoz-zihinsel yetersizliksendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617051Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0014886Evalidated
UMLSC5567481Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PUS3Disease-causing germline mutation(s) inAssessedHGNC:25461ENSG0000011006061628311q24.2pseudouridine synthase 327055666[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated27055666[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27055666[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

40 annotations · validated 2020-01-13
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000280Coarse facial features
HP:0001531Failure to thrive in infancy
HP:0001263Global developmental delay
HP:0001250Seizure
Frequent (79-30%)
HP:0007334Bilateral tonic-clonic seizure with focal onset
HP:0002120Cerebral cortical atrophy
HP:0012622Chronic kidney disease
HP:0012213Decreased glomerular filtration rate
HP:0001288Gait disturbance
HP:0002187Intellectual disability, profound
HP:0007052Multifocal cerebral white matter abnormalities
HP:0002465Poor speech
HP:0000253Progressive microcephaly
HP:0000093Proteinuria
Occasional (29-5%)
HP:0001344Absent speech
HP:0000718Aggressive behavior
HP:0100702Arachnoid cyst
HP:0100814Blue nevus
HP:0000592Blue sclerae
HP:0000961Cyanosis
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0006989Dysplastic corpus callosum
HP:0002141Gait imbalance
HP:0001290Generalized hypotonia
HP:0002857Genu valgum
HP:0001347Hyperreflexia
HP:0002079Hypoplasia of the corpus callosum
HP:0006956Lateral ventricle dilatation
HP:0040329Multifocal hyperintensity of cerebral white matter on MRI
HP:0000100Nephrotic syndrome
HP:0000639Nystagmus
HP:0002193Pseudobulbar behavioral symptoms
HP:0000709Psychosis
HP:0000407Sensorineural hearing impairment
HP:0000486Strabismus
HP:0001970Tubulointerstitial nephritis
HP:0002119Ventriculomegaly
HP:0002367Visual hallucinations
HP:0000505Visual impairment

Run the differential on the 4 obligate / very frequent terms

Annotation source: 30697592[PMID]_30308082[PMID]_27055666[PMID]

7

Sources for this card