raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:642763

Autosomal dominant intellectual disability-craniofacial dysmorphism-macrocephaly-hypotonia syndrome due to H1-4 mutation

Synonyms: H1-4-related neurodevelopmental disorder · Rahman syndrome

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

A rare multiple congenital anomalies/dysmorphic syndrome characterized by mild to severe intellectual disability frequently co-occuring with behavioral problems (including anxiety, attention deficit hyperactivity disorder and autistic spectrum disorder), variable somatic overgrowth, macrocephaly and distinctive dysmorphic facial features including high hairline, frontal bossing, downslanting palpebral fissures, telecanthus, hypertelorism, deep-set eyes and full cheeks. Pierre Robin sequence with submucous cleft has also been reported. Additional clinical features include skeletal abnormalities, hypotonia, cardiac anomalies, hypothyroidism, cryptorchidism, visual disturbances and ectodermal problems such as sparse hair, thin nails, and abnormal dentition.

1

Names in Orphadata languages

10 of 12 languages
LangNameSynonyms
enAutosomal dominant intellectual disability-craniofacial dysmorphism-macrocephaly-hypotonia syndrome due to H1-4 mutationH1-4-related neurodevelopmental disorder · Rahman syndrome
frSyndrome de déficience intellectuelle autosomique dominante-dysmorphie craniofaciale-macrocéphalie-hypotonie dû à une mutation du gène H1-4Syndrome de Rahman · Trouble neurologique du développement associé à H1-4
deIntelligenzminderung-kraniofaziale Dysmorphien-Makrozephalie-Hypotonie-Syndrom durch H1-4-MutationH1-4-assoziierte neurologische Entwicklungsstörung · HIST1H1E-Syndrom · Rahman-Syndrom
esSíndrome de discapacidad intelectual-dismorfia craneofacial-macrocefalia-hipotonía autosómico dominante por mutación en el gen H1-4Síndrome de Rahman · Trastorno del neurodesarrollo asociado a H1-4
itSindrome disabilità intellettiva-dismorfismi craniofacciali-macrocefalia-ipotonia da mutazione autosomica dominante di H1-4Malattia dello sviluppo neurologico correlata a H1-4 · Sindrome di Rahman
nlAutosomaal dominante intellectuele achterstand - craniofaciale dysmorfie - macrocefalie - hypotonie-syndroom door H1-4-mutatieH1-4-gerelateerde neurologische ontwikkelingsstoornis · Syndroom van Rahman
ptSíndrome de perturbação do desenvolvimento intelectual-dismorfia craniofacial-macrocefalia-hipotonia autossómica dominante por mutação H1-4Doença do neurodesenvolvimento H1-4-relacionada · Síndrome Rahman
plAutosomalny dominujący zespół niepełnosprawności intelektualnej - dysmorfii twarzoczaszki - makrocefalii - hipotonii spowodowany mutacją H1-4= en
csAutozomálně dominantní syndrom způsobený mutací H1-4 zahrnující mentální retardaci, kraniofaciální dysmorfii, makrocefalii a hypotonii= en
ukАутосомно-домінантний синдром розумової відсталості-черепно-лицьового дисморфізму-макроцефалії-гіпотонії, зумовлений мутацією H1-4H1-4, повязані з порушенням нейророзвитку · Синдром Рахмана

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617537Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0044323Evalidated
UMLSC4479637Evalidated

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
H1-4Disease-causing germline mutation(s) inAssessedHGNC:4718ENSG000001682981422206p22.2H1.4 linker histone, cluster member31400068[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families49 casesWorldwideCase(s)Validated28475857[PMID]_31400068[PMID]_35154720[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated28475857[PMID]_31400068[PMID]_35154720[PMID]_ORPHANET

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