raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:544503

RNF13-related severe early-onset epileptic encephalopathy

Synonyms: RNF13-related severe EOEE

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

A rare genetic multiple congenital anomalies/dysmorphic syndrome characterized by congenital microcephaly, infantile-onset epileptic encephalopathy, and profound developmental delay. Additional reported features include cortical visual impairment, sensorineural hearing loss, increased muscle tone, limb contractures, scoliosis, and dysmorphic features like midface hypoplasia, narrow forehead, short nose, narrowed nasal bridge, and small chin. Brain imaging may show thin corpus callosum and delayed myelination.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enRNF13-related severe early-onset epileptic encephalopathyRNF13-related severe EOEE
frEncéphalopathie épileptique sévère à début précoce associée à RNF13
deEnzephalopathie, epileptische, frühinfantile, RNF13-assoziierteRNF13-assoziierte schwere EOEE
esEncefalopatía epiléptica grave de inicio precoz asociada al gen RNF13EOEE grave asociada al gen RNF13
itEncefalopatia epilettica grave ad esordio precoce correlata a RNF13
nlRNF13-gerelateerde ernstige epileptische encefalopathie met vroege aanvangRNF13-gerelateerde EOEE
ptEncefalopatia epilética grave de início precoce RNF13-relacionada
plCiężka wczesna encefalopatia padaczkowa związana z RNF13= en
csRNF13-vázaná závažná epileptická encefalopatie s časným nástupemRNF13-vázaná závažná EOEE
ukВажка рання епілептична енцефалопатія, повязана з RNF13Тяжка ЕОЕЕ, повязана з RNF13
zhRNF13基因相关严重早发型癫痫性脑病= en
trRNF13 -ilişkili ağır erken başlangıçlı epileptik ensefalopatiRNF13-ilişkili ağır EOEE

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618379Evalidated
ICD-10G40.4NTBTattributedvalidated
MONDO0034106Evalidated
UMLSC5193065Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RNF13Disease-causing germline mutation(s) (gain of function) inAssessedHGNC:10057ENSG000000829966092473q25.1ring finger protein 1330595371[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated30595371[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_30595371[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

49 annotations · validated 2020-06-16
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0000496Abnormality of eye movement
HP:0100704Cerebral visual impairment
HP:0011185EEG with focal epileptiform discharges
HP:0010845EEG with generalized slow activity
HP:0200134Epileptic encephalopathy
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0001371Flexion contracture
HP:0011471Gastrostomy tube feeding in infancy
HP:0001276Hypertonia
HP:0002079Hypoplasia of the corpus callosum
HP:0000023Inguinal hernia
HP:0002187Intellectual disability, profound
HP:0025373Interictal EEG abnormality
HP:0000737Irritability
HP:0000252Microcephaly
HP:0011800Midface retrusion
HP:0000341Narrow forehead
HP:0000446Narrow nasal bridge
HP:0000711Restlessness
HP:0002650Scoliosis
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
HP:0000331Short chin
HP:0003196Short nose
HP:0001257Spasticity
HP:0025405Visual fixation instability
Occasional (29-5%)
HP:0001999Abnormal facial shape
HP:0040126Abnormal vitamin B12 level
HP:0002069Bilateral tonic-clonic seizure
HP:0000518Cataract
HP:0001272Cerebellar atrophy
HP:0012448Delayed myelination
HP:0002750Delayed skeletal maturation
HP:0012098Edema of the dorsum of feet
HP:0007514Edema of the dorsum of hands
HP:0011432Elevated maternal circulating alpha-fetoprotein concentration
HP:0006094Finger joint hypermobility
HP:0001290Generalized hypotonia
HP:0001385Hip dysplasia
HP:0005072Hyperextensibility at wrists
HP:0000668Hypodontia
HP:0012469Infantile spasms
HP:0001382Joint hypermobility
HP:0006070Metacarpophalangeal joint contracture
HP:0002164Nail dysplasia
HP:0002098Respiratory distress
HP:0100806Sepsis
HP:0001182Tapered finger

Annotation source: 30595371[PMID]

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Sources for this card