raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:505237

Early-onset seizures-distal limb anomalies-facial dysmorphism-global developmental delay syndrome

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

A rare genetic multiple congenital anomalies/dysmorphic syndrome characterized by variable developmental delay, intellectual disability, early-onset seizures, and facial dysmorphism (including arched eyebrows, long palpebral fissures, prominent nasal bridge, large ears, thin upper lip, and high arched palate). Other reported features are microcephaly, hypotonia, growth retardation, congenital heart defects, and malformations of the fingers and toes, as well as additional neurologic manifestations (such as ataxia or spastic quadriplegia). Brain imaging may show hypoplastic corpus callosum, white matter abnormalities, or cortical atrophy.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enEarly-onset seizures-distal limb anomalies-facial dysmorphism-global developmental delay syndrome
frSyndrome d'épilepsie à début précoce-anomalies des membres distaux-dysmorphie faciale-retard global de développement
deFrüh beginnende Krampfanfälle-distale Gliedmaßenanomalien-Gesichtsdysmorphien-allgemeine Entwicklungsverzögerung-Syndrom
esSíndrome de crisis de inicio precoz-anomalías de las extremidades distales-dismorfia facial-retraso generalizado del desarrollo
itSindrome crisi epilettiche ad esordio precoce-anomalie della parte distale degli arti- dismorfismi facciali-ritardo dello sviluppo globale
nlVroeg aanvangende insulten - distale ledemaatanomalieën - faciale dysmorfie - globale ontwikkelingsachterstand-syndroom
ptSíndrome de convulsões-anomalias distais dos membros-dismorfia facial-atraso do desenvolvimento de início precoce
plZespół napadów padaczkowych o wczesnym początku, wad dystalnych odcinków kończyn, dysmorfii twarzy i całościowego zaburzenia rozwoju
csSyndrom zahrnující záchvaty s časným nástupem, anomálie distální části končetin, faciální dysmorfismus a celkové opoždění vývoje
ukСиндром раннього початку судом-дистальних аномалій кінцівок- дизморфізму обличчя-глобальної затримки розвитку
zh早期癫痫发作-远端肢体异常-面部畸形-全身性发育迟缓综合症
trErken başlangıçlı nöbetler-distal ekstremite anomalileri-fasiyal dismorfizm-yaygın gelişme geriliği sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617452Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0044319Evalidated
UMLSC5568770Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
OTUD6BDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:24281ENSG000001551006120218q21.3OTU deubiquitinase 6B28343629[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families12 casesWorldwideCase(s)Validated28343629[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28343629[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

53 annotations · validated 2019-02-25
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0010864Intellectual disability, severeDiagnostic criterion
HP:0001250SeizureDiagnostic criterion
Frequent (79-30%)
HP:0001344Absent speech
HP:0007370Aplasia/Hypoplasia of the corpus callosum
HP:0000248Brachycephaly
HP:0011304Broad thumb
HP:0004325Decreased body weight
HP:0000494Downslanted palpebral fissures
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0005469Flat occiput
HP:0001290Generalized hypotonia
HP:0001263Global developmental delay
HP:0000365Hearing impairment
HP:0000218High palate
HP:0002553Highly arched eyebrow
HP:0001187Hyperextensibility of the finger joints
HP:0002540Inability to walk
HP:0001511Intrauterine growth retardation
HP:0003121Limb joint contracture
HP:0000527Long eyelashes
HP:0000276Long face
HP:0000637Long palpebral fissure
HP:0000343Long philtrum
HP:0000369Low-set ears
HP:0000400Macrotia
HP:0000252Microcephaly
HP:0001845Overlapping toe
HP:0000426Prominent nasal bridge
HP:0000278Retrognathia
HP:0000960Sacral dimple
HP:0002650Scoliosis
HP:0000470Short neck
HP:0004322Short stature
HP:0001762Talipes equinovarus
HP:0001182Tapered finger
HP:0000219Thin upper lip vermilion
HP:0002119Ventriculomegaly
HP:0000445Wide nose
Occasional (29-5%)
HP:0008772Aplasia/Hypoplasia of the external ear
HP:0001166Arachnodactyly
HP:0001251Ataxia
HP:0001631Atrial septal defect
HP:0000729Autistic behavior
HP:0002120Cerebral cortical atrophy
HP:0012450Chronic constipation
HP:0000028Cryptorchidism
HP:0001276Hypertonia
HP:0002510Spastic tetraplegia
HP:0001257Spasticity
HP:0001770Toe syndactyly
HP:0001629Ventricular septal defect
Very rare (<4-1%)
HP:0100021Cerebral palsy

Run the differential on the 2 obligate / very frequent terms

Annotation source: 28343629[PMID]

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Sources for this card