raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:51636

WHIM syndrome

Synonyms: WILM · Warts-hypogammaglobulinemia-infections-myelokathexis syndrome · Warts-infections-leukopenia-myelokatexis syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive, Not applicable
Age of onset
Adolescent, Adult, Childhood
Status
active

WHIM (warts, hypogammaglobulinemia, infections, and myelokathexis) syndrome is a congenital autosomal dominant immune deficiency characterized by abnormal retention of mature neutrophils in the bone marrow (myelokathexis) and occasional hypogammaglobulinemia, associated with an increased risk for bacterial infections and a susceptibility to human papillomavirus (HPV) induced lesions (cutaneous warts, genital dysplasia and invasive mucosal carcinoma).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enWHIM syndromeWILM · Warts-hypogammaglobulinemia-infections-myelokathexis syndrome · Warts-infections-leukopenia-myelokatexis syndrome
frSyndrome WHIMSyndrome des verrues-hypogammaglobulinémie-infections-myélokathexis · Syndrome des verrues-infections-leucopénie-myélokathexis · WILM
deWHIM-SyndromWILM · Warzen-Hypogammaglobulinämie-Infektionen-Myelokathexis-Syndrom
esSíndrome WHIMSíndrome de verrugas-hipogammaglobulinemia -infecciones-mielocatexis · Síndrome de verrugas-infecciones-leucopenia-mielocatexis · WILM
itSindrome WHIMSindrome verruche-infezioni-leucopenia-mielocatessi · Sindrome verruche-ipogammaglobulinemia-infezioni-mielocatessi
nlWHIM-syndroomWratten - hypogammaglobulinemie - infecties - myelokathexis-syndroom · Wratten - infecties - leukopenie - myelokathexis-syndroom · WILM
ptSíndrome WHIMSíndrome de verrugas-hipogamaglobulinemia-infeções-mielocatexia · Síndrome de verrugas-infeções-leucopenia-mielocatexia · WILM
plZespół WHIMBrodawki-hipogammaglobulinemia-infekcje-mielokateksja
csWHIM syndromWILM · Syndrom zahrnující bradavice, hypogamaglobulinémii, infekce a myelokathexii · Syndrom zahrnující bradavice, infekce, leukopenii a myelokathexii
ukСиндром WHIMБородавки-гіпогаммаглобулінемія-інфекції-мієлокатексичний синдром · Бородавки-інфекції-лейкопенія-мієлокатексис · WILM
zhWHIM综合征疣-低丙种球蛋白血症-反复呼吸道感染-粒细胞缺乏综合征
trWHIM sendromuWILM · Siğiller-enfeksiyonlar-lökopeni-miyelokateksis sendromu · Siğiller-hipogammaglobulinemi-enfeksiyonlar-miyelokateksis sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM193670Evalidated
ICD-10D81.8NTBTattributedvalidated
ICD-114A00.YNTBTindexvalidated
MONDO8000006Evalidated
MeSHC536697Evalidated
UMLSC0472817Evalidated
GARD9297Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CXCR4Disease-causing germline mutation(s) (gain of function) inAssessedHGNC:2561ENSG000001219661626432q22.1C-X-C motif chemokine receptor 412692554[PMID]
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Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Cases/families65 casesWorldwideCase(s)Validated23009155[PMID]_24492099[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET
Prevalence at birth<1 / 1 000 0000.023 / 100 000FranceValue and classValidated23009155[PMID]_[EXPERT]

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

34 annotations · validated 2019-05-24
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0011992Abnormality of neutrophil morphology
HP:0031020Bone marrow hypercellularity
HP:0001875Decreased total neutrophil count
HP:0001888Lymphopenia
HP:0031160Myelokathexis
Frequent (79-30%)
HP:0004313Decreased circulating antibody level
HP:0012740Papilloma
HP:0002090Pneumonia
HP:0002718Recurrent bacterial infections
HP:0006532Recurrent pneumonia
HP:0002788Recurrent upper respiratory tract infections
HP:0011947Respiratory tract infection
HP:0200043Verrucae
Occasional (29-5%)
HP:0002167Abnormality of speech or vocalization
HP:0002244Abnormality of the small intestine
HP:0002110Bronchiectasis
HP:0030079Cervix cancer
HP:0002070Limb ataxia
HP:0000388Otitis media
HP:0025439Pharyngitis
HP:0007010Poor fine motor coordination
HP:0002172Postural instability
HP:0000246Sinusitis
HP:0001636Tetralogy of Fallot
Very rare (<4-1%)
HP:0100750Atelectasis
HP:0100658Cellulitis
HP:0012056Cutaneous melanoma
HP:0002840Lymphadenitis
HP:0001287Meningitis
HP:0011850Parotitis
HP:0001250Seizure
HP:0100806Sepsis
HP:0000166Severe periodontitis
HP:0001045Vitiligo

Run the differential on the 5 obligate / very frequent terms

Annotation source: 21595885[PMID]_30716504[PMID]_30819232[PMID]_10767001[PMID]_2239986[PMID]

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Sources for this card