raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:589618

Dystonia 28

Synonyms: DYT28 · KMT2B-related dystonia

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Childhood, Infancy
Status
active

A rare persistent combined dystonia characterized by childhood onset of progressive dystonia typically beginning in the lower limbs and eventually progressing to generalized dystonia with involvement of the upper limbs, trunk, face, and neck. Variable developmental delay and intellectual disability, as well as mild microcephaly, short stature, abnormal eye movements, and slightly dysmorphic facial features have been reported in association.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enDystonia 28DYT28 · KMT2B-related dystonia
frDystonie 28DYT28 · Dystonie KMT2B
deDystonie 28DYT28 · KMT2B-assoziierte Dystonie
esDistonía 28DYT28 · Distonía asociada a KMT2B · Distonía asociada al gen KMT2B
itDistonia 28DYT28 · Distonia correlata a KMT2B
nlDystonie 28DYT28 · KMT2B-gerelateerde dystonie
ptDistonia 28
plDystonia 28= en
csDystonie 28= en
ukДистонія 28DYT28 · Дистонія, повязана з КМТ2В
zhDystonia 28= en
trDystonia 28= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617284Evalidated
ICD-10G24.8NTBTattributedvalidated
MONDO0015004Evalidated
UMLSC4310633Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
KMT2BDisease-causing germline mutation(s) inAssessedHGNC:15840ENSG0000027233360683419q13.12lysine methyltransferase 2B27992417[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families160 casesWorldwideCase(s)ValidatedORPHANET
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET

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

27 annotations · validated 2022-10-04
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007325Generalized dystonia
HP:0033049Globus pallidus hypointensity on susceptibility-weighted imaging
Frequent (79-30%)
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0001249Intellectual disability
HP:0031959Leg dystonia
HP:0000252Microcephaly
HP:0012758Neurodevelopmental delay
HP:0004322Short stature
HP:0000473Torticollis
Occasional (29-5%)
HP:0007256Abnormal pyramidal sign
HP:0002425Anarthria
HP:0000739Anxiety
HP:0031960Arm dystonia
HP:0007018Attention deficit hyperactivity disorder
HP:0000729Autistic behavior
HP:0000414Bulbous nose
HP:0004209Clinodactyly of the 5th finger
HP:0000716Depression
HP:0001618Dysphonia
HP:0000821Hypothyroidism
HP:0000276Long face
HP:0000639Nystagmus
HP:0012048Oromandibular dystonia
HP:0000826Precocious puberty
Very rare (<4-1%)
HP:0000486Strabismus
Excluded (0%)
HP:0011968Feeding difficulties

Run the differential on the 2 obligate / very frequent terms

Annotation source: 33150406[PMID]

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Sources for this card