raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:544488

Global developmental delay-alopecia-macrocephaly-facial dysmorphism-structural brain anomalies syndrome

Synonyms: Bachmann-Bupp syndrome · Ornithine decarboxylase deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Antenatal, Neonatal
Status
active

A rare disorder of ornithine metabolism characterized by global developmental delay, alopecia, macrocephaly, and dysmorphic facial features (including high and broad forehead, hypertelorism, ptosis, blepharophimosis, downslanting palpebral fissures, deep-set eyes, large ears, and retrognathia or high arched palate). Additional reported manifestations are sensorineural hearing loss, spasticity, hypotonia, hypoplastic nails, cryptorchidism, and clinodactyly, among others. Brain imaging may show white matter abnormalities, periventricular cysts, enlarged lateral ventricles, or prominent perivascular spaces.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGlobal developmental delay-alopecia-macrocephaly-facial dysmorphism-structural brain anomalies syndromeBachmann-Bupp syndrome · Ornithine decarboxylase deficiency
frSyndrome de retard global de développement-alopécie-macrocéphalie-dysmorphie faciale-anomalies cérébrales structurellesDéficit en ornithine décarboxylase · Syndrome de Bachmann-Bupp
deAllgemeine Entwicklungsverzögerung-Alopezie-Makrozephalie-Gesichtsdysmorphie-strukturelle Hirnanomalien-SyndromOrnithin-Decarboxylase-Mangel
esSíndrome de retraso global del desarrollo-alopecia-macrocefalia-dismorfia facial-anomalías estructurales cerebralesDeficiencia de ornitina decarboxilasa
itSindrome ritardo dello sviluppo globale - alopecia - macrocefalia - dismorfismi facciali - anomalie strutturali del cervello
nlAlgehele ontwikkelingsachterstand - alopecie - macrocefalie - faciale dysmorfie - structurele hersenanomalieën-syndroomOrnithinedecarboxylasedeficiëntie
ptSíndrome de perturbação global do desenvolvimento-alopecia-macrocefalia-dismorfia facial-anomalias cerebrais estruturaisDeficiência de ornitina descarboxilase · Síndrome Bachmann-Bupp
plZespół całościowego opóźnienia rozwoju, łysienia, małogłowia, dysmorfii twarzy i wad strukturalnych mózguZespół Bachmanna i Buppa · Ornithine decarboxylase deficiency
csSyndrom zahrnující celkové opoždění vývoje, alopecii, makrocefalii, faciální dysmorfismus a strukturální anomálie mozkuDeficit ornitin dekarboxylázy
ukСиндром глобальної затримки розвитку-алопеції-макроцефалії-дисморфізму обличчя- структурних аномалій головного мозкуСиндром Бахмана-Буппа · Дефіцит орнітиндекарбоксилази
zh全身发育迟缓-脱发-大头畸形-面部畸形-结构性脑异常综合症鸟氨酸脱羧酶缺乏症
trYaygın gelişme geriliği-alopesi-makrosefali-fasiyal dismorfizm-yapısal beyin anomalileri sendromuBachmann-Bupp sendromu · Ornitin dekarboksilaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM619075Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-115C50.9NTBTattributedvalidated
MONDO33642Evalidated
UMLSC5436741Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ODC1Disease-causing germline mutation(s) (gain of function) inAssessedHGNC:8109ENSG000001157581656402p25.1ornithine decarboxylase 130239107[PMID]_30475435[PMID]_30544565[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families5 casesWorldwideCase(s)Validated30239107[PMID]_30475435[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_30239107[PMID]_30475435[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.

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HPO phenotypes

56 annotations · validated 2020-08-25
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0002223Absent eyebrow
HP:0000718Aggressive behavior
HP:0007018Attention deficit hyperactivity disorder
HP:0008689Bilateral cryptorchidism
HP:0001488Bilateral ptosis
HP:0000414Bulbous nose
HP:0000490Deeply set eye
HP:0012520Dilation of Virchow-Robin spaces
HP:0001263Global developmental delay
HP:0030890Hyperintensity of cerebral white matter on MRI
HP:0000316Hypertelorism
HP:0001520Large for gestational age
HP:0002003Large forehead
HP:0000256Macrocephaly
HP:0000400Macrotia
HP:0001319Neonatal hypotonia
HP:0001561Polyhydramnios
HP:0001792Small nail
HP:0000653Sparse eyelashes
Occasional (29-5%)
HP:0002334Abnormality of the cerebellar vermis
HP:0000561Absent eyelashes
HP:0001344Absent speech
HP:0001596Alopecia
HP:0002099Asthma
HP:0000708Atypical behavior
HP:0000581Blepharophimosis
HP:0000337Broad forehead
HP:0002608Celiac disease
HP:0012450Chronic constipation
HP:0004209Clinodactyly of the 5th finger
HP:0007082Dilated third ventricle
HP:0000494Downslanted palpebral fissures
HP:0006989Dysplastic corpus callosum
HP:0001800Hypoplastic toenails
HP:0010880Increased nuchal translucency
HP:0000023Inguinal hernia
HP:0032152Keratosis pilaris
HP:0006956Lateral ventricle dilatation
HP:0032671Non-convulsive status epilepticus without coma
HP:0007109Periventricular cysts
HP:0002465Poor speech
HP:0000384Preauricular skin tag
HP:0410018Recurrent ear infections
HP:0000278Retrognathia
HP:0000902Rib fusion
HP:0000960Sacral dimple
HP:0001250Seizure
HP:0100716Self-injurious behavior
HP:0000407Sensorineural hearing impairment
HP:0045075Sparse eyebrow
HP:0002209Sparse scalp hair
HP:0001257Spasticity
HP:0001182Tapered finger
HP:0011309Tapered toe
HP:0007074Thick corpus callosum
HP:0011276Vascular skin abnormality

Annotation source: 30239107[PMID]_30475435[PMID]

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Sources for this card