raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:567502

B-cell immunodeficiency-limb anomaly-urogenital malformation syndrome

Synonyms: BILU syndrome · Hoffman syndrome

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

A rare genetic multiple congenital anomalies/dysmorphic syndrome characterized by almost complete lack of B-cells and severe hypogammaglobulinemia, anomalies of the hands and feet, urogenital malformations, and characteristic facial dysmorphism (including microcephaly, highly arched eyebrows, hypoplastic alae nasi, and micrognathia). Most patients are developmentally normal, although moderate mental retardation has also been described.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enB-cell immunodeficiency-limb anomaly-urogenital malformation syndromeBILU syndrome · Hoffman syndrome
frSyndrome de déficit immunitaire en lymphocytes B-anomalie des membres-malformation urogénitaleSyndrome BILU · Syndrome Hoffman
deB-Zell-Immundefekt-Extremitätenanomalien-urogenitale Fehlbildungen-SyndromBILU-Syndrom · Hoffman-Syndrom
esSíndrome de inmunodeficiencia de células B-anomalías de las extremidades-malformaciones urogenitalesSíndrome BILU · Síndrome de Hoffman
itSindrome da immunodeficienza dei linfociti B, anomalie degli arti e malformazioni urogenitaliSindrome BILU · Sindrome di Hoffman
nlB-cel-immuundeficiëntie - ledemaatanomalieën - urogenitale malformaties-syndroomBILU-syndroom · Syndroom van Hoffman
ptSíndrome de imunodeficiência de células-B
plZespół malformacji moczowo-płciowych, wad kończyn i niedoboru odporności związanej z komórkami B= en
csSyndrom zahrnující B-buněčnou imunodeficienci, anomálii končetin a urogenitální malformaci= en
ukСиндром В-клітинного імунодефіциту-аномалії кінцівок-урогенітальних вад розвиткуСиндром BILU · Синдром Гофмана
zhB细胞免疫缺陷-肢体异常-泌尿生殖器畸形综合征霍夫曼综合征(甲状腺功能减退性肌病)
trB hücre immün yetmezliği-ekstremite anomalisi-ürogenital malformasyon sendromuBILU sendromu · Hoffman sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM609296Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD2F.1YNTBTattributedvalidated
MONDO0035454Evalidated
MONDO12243Evalidated
MONDO35454Evalidated
MeSHC563745Evalidated
UMLSC1836437Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TOP2BDisease-causing germline mutation(s) inAssessedHGNC:11990ENSG000000770971264313p24.2DNA topoisomerase II beta31409799[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 casesWorldwideCase(s)Validated31409799[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_31409799[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

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card