raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:502

Trichorhinophalangeal syndrome type 2

Synonyms: Langer-Giedion syndrome

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

A rare multiple congenital anomalies syndrome characterized by intellectual disability, short stature, sparse and depigmented scalp hair, typical facial characteristics (broad eyebrows, especially the medial portion, broad nasal ridge and tip, underdeveloped nasal alae, long philtrum, thin upper lip vermilion, and protruding ears), limb anomalies (brachydactyly, short metacarpals and metatarsals, cone-shaped phalangeal epiphyses, dystrophic nails, and hip dysplasia) and multiple cartilaginous exostoses.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTrichorhinophalangeal syndrome type 2Langer-Giedion syndrome
frSyndrome trichorhinophalangien type 2Syndrome de Langer-Giedion · Syndrome tricho-rhino-phalangien type 2
deTricho-rhino-phalangeales-Syndrom Typ 2Langer-Giedion-Syndrom · TRPS Typ 2
esSíndrome trico-rino-falángico tipo 2Síndrome de Langer-Giedion
itSindrome trico-rino-falangea tipo 2Sindrome di Langer-Giedion · Sindrome trico-rino-falangea, tipo 2
nlTrichorinofalangeaal syndroom type 2Syndroom van Langer-Giedion
ptSíndrome trico-rino-falângica tipo 2Síndrome Langer-Giedion
plZespół Langera i GiedionaDelecja 8q24.1 · Monosomia 8q24.1 · Zespół włosowo-nosowo-palcowy typu 2
csLangerův-Giedionův syndromDelece 8q24.1 · Monozomie 8q24.1 · Trichorhinofalangeální syndrom, typ 2 · Langer-Giedionův syndrom
ukТрихоринофаланговий синдром, тип 2Синдром Лангера-Гедіона
zh毛发-鼻-指(趾)综合征2型Langer-Giedion综合征
trTrikhorinofalangeal sendrom tip 2Delesyon 8q24.1 · Monozomi 8q24.1 · Langer-Giedion sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM150230Evalidated
OMIM611376BTNTvalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD24.80Especificvalidated
MONDO0007874Evalidated
MeSHD015826Evalidated
UMLSC0023003Evalidated
GARD7801Evalidated
MedDRA10050638Evalidated

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

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
EXT1Role in the phenotype ofAssessedHGNC:3512ENSG000001821976081778q24.11exostosin glycosyltransferase 1
RAD21Role in the phenotype ofAssessedHGNC:9811ENSG000001647546064628q24.11RAD21 cohesin complex component25792522[PMID]
TRPS1Role in the phenotype ofAssessedHGNC:12340ENSG000001044476043868q23.3transcriptional repressor GATA binding 1
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26269715[PMID]
Cases/families100 casesWorldwideCase(s)Validated26269715[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

38 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002653Bone pain
HP:0000414Bulbous nose
HP:0010230Cone-shaped epiphyses of the phalanges of the hand
HP:0002002Deep philtrum
HP:0002750Delayed skeletal maturation
HP:0100777Exostoses
HP:0000343Long philtrum
HP:0005039Multiple long-bone exostoses
HP:0000358Posteriorly rotated ears
HP:0000411Protruding ear
HP:0004322Short stature
HP:0002209Sparse scalp hair
HP:0000219Thin upper lip vermilion
Frequent (79-30%)
HP:0009118Aplasia/Hypoplasia of the mandible
HP:0001249Intellectual disability
HP:0001373Joint dislocation
HP:0001382Joint hypermobility
HP:0001582Redundant skin
HP:0000574Thick eyebrow
Occasional (29-5%)
HP:0030680Abnormal cardiovascular system morphology
HP:0000174Abnormal palate morphology
HP:0000164Abnormality of the dentition
HP:0005743Avascular necrosis of the capital femoral epiphysis
HP:0007598Bilateral single transverse palmar creases
HP:0001156Brachydactyly
HP:0000405Conductive hearing impairment
HP:0002857Genu valgum
HP:0001510Growth delay
HP:0001385Hip dysplasia
HP:0001252Hypotonia
HP:0000252Microcephaly
HP:0000010Recurrent urinary tract infections
HP:0011069Supernumerary tooth
HP:0001883Talipes
HP:0009928Thick nasal alae
HP:0002119Ventriculomegaly
HP:0000076Vesicoureteral reflux
HP:0000431Wide nasal bridge

Run the differential on the 12 obligate / very frequent terms

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Sources for this card