raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:541423

Growth delay-intellectual disability-hepatopathy syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

A rare, genetic, syndromic intellectual disability disease characterized by severe intrauterine and post-natal growth delay, moderate to severe intellectual disability, and neonatal-onset hepatopathy with fibrosis, steatosis, and/or cholestasis, occasionally leading to liver failure. Additional variable manifestations include muscular hypotonia, zinc deficiency, recurrent infections, diabetes mellitus, joint contractures, skin and joint laxity, hypervitaminosis D, and sensorineural hearing loss.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGrowth delay-intellectual disability-hepatopathy syndrome
frSyndrome de retard de croissance-déficience intellectuelle-hépatopathie
deWachstumsverzögerung-Intelligenzminderung-Hepatopathie-Syndrom
esSíndrome de retraso del crecimiento-discapacidad intelectual-hepatopatía
itSindrome da ritardo di crescita-disabilità intellettiva-epatopatia
nlGroeiachterstand - intellectuele achterstand - hepatopathie-syndroom
ptSíndrome de atraso do crescimento-perturbação do desenvolvimento intelectual-hepatopatia
plZespół opóźnionego wzrastania, niepełnosprawności intelektualnej oraz hepatopatii
csSyndrom zahrnující opoždění vývoje, mentální retardaci a hepatopatii
ukСиндром затримки росту-інтелектуальної недостатності-гепатопатії
zh生长延迟-智力障碍-肝病综合征
trBüyüme geriliği-zihinsel yetersizlik-hepatopati sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617093Evalidated
ICD-10K76.8NTBTattributedvalidated
MONDO0014911Evalidated
UMLSC5568558Evalidated

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
IARS1Disease-causing germline mutation(s) inAssessedHGNC:5330ENSG000001963056007099q22.31isoleucyl-tRNA synthetase 127426735[PMID]_29052218[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families6 casesWorldwideCase(s)Validated29052218[PMID]_30431579[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_29052218[PMID]_30431579[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

35 annotations · validated 2020-08-18
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0031831Decreased serum zinc
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0001263Global developmental delay
HP:0001510Growth delay
HP:0001249Intellectual disability
HP:0001511Intrauterine growth retardation
Frequent (79-30%)
HP:0001344Absent speech
HP:0001396Cholestasis
HP:0011968Feeding difficulties
HP:0001395Hepatic fibrosis
HP:0001397Hepatic steatosis
HP:0001252Hypotonia
HP:0002719Recurrent infections
Occasional (29-5%)
HP:0100511Abnormality of vitamin D metabolism
HP:0000729Autistic behavior
HP:0410263Brain imaging abnormality
HP:0010648Dermal translucency
HP:0000819Diabetes mellitus
HP:0006129Drumstick terminal phalanges
HP:0000081Duplicated collecting system
HP:0100633Esophagitis
HP:0000293Full cheeks
HP:0001399Hepatic failure
HP:0001433Hepatosplenomegaly
HP:0000126Hydronephrosis
HP:0000974Hyperextensible skin
HP:0001382Joint hypermobility
HP:0000252Microcephaly
HP:0011342Mild global developmental delay
HP:0001562Oligohydramnios
HP:0000311Round face
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
HP:0001027Soft, doughy skin
HP:0001257Spasticity

Run the differential on the 6 obligate / very frequent terms

Annotation source: 29052218[PMID]_27426735[PMID]_27891590[PMID]

7

Sources for this card