raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:647

Nijmegen breakage syndrome

Synonyms: AT V1 · Ataxia-telangiectasia, variant 1 · Berlin breakage syndrome · Immunodeficiency-microcephaly-chromosomal instability syndrome · Microcephaly-immunodeficiency-lymphoid malignancy syndrome · NBS · Seemanova syndrome type 2

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal, Infancy, Neonatal
Status
active

A rare, genetic chromosomal instability syndrome presenting at birth with microcephaly, dysmorphic facial features which become more noticeable with age, growth delay, recurring sinopulmonary infections and extremely high frequency of malignancies.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enNijmegen breakage syndromeAT V1 · Ataxia-telangiectasia, variant 1 · Berlin breakage syndrome · Immunodeficiency-microcephaly-chromosomal instability syndrome · Microcephaly-immunodeficiency-lymphoid malignancy syndrome · NBS · Seemanova syndrome type 2
frSyndrome de NijmegenAT V1 · Ataxie-télangiectasie variante 1 · Syndrome Berlin breakage · Syndrome Nijmegen breakage · Syndrome d'immunodéficience-microcéphalie-instabilité chromosomique · Syndrome de Nimègue · Syndrome de Seemanova type 2 · Syndrome de microcéphalie-immunodéficience-tumeur lymphoïde · Syndrome des cassures de Nijmegen
deNijmegen-Chromosomenbruch-SyndromAT V1 · Ataxia-Teleangiectasia Variante 1 · Berlin-breakage-Syndrom · Immundefekt-Mikrozephalie-Chromosomeninstabilität-Syndrom · Mikrozephalie-Immundefekt-Lymphoretikulom-Syndrom · NBS · Nijmegen-breakage-Syndrom · Seemanova-Syndrom, Typ 2
esSíndrome de rotura de NijmegenAtaxia-telangiectasia variante 1 · Síndrome de Seemanova tipo 2 · Síndrome de inmunodeficiencia-microcefalia-inestabilidad cromosómica · Síndrome de microcefalia-inmunodeficiencia-linfoma · Síndrome de rotura de Berlin
itSindrome di Nijmegen da frammentazione cromosomicaAT V1 · Atassia - telangectasia, variante 1 · Immunodeficienza - microcefalia - instabilità cromosomica · NBS · Sindrome da microcefalia, immunodeficienza e tumore linfoide · Sindrome da rotture cromosomiche di Berlino · Sindrome di Seemanova, tipo 2
nlNijmegen-breuksyndroomAT V1 · Ataxie-teleangiëctasie, variant 1 · Berlijn-breuksyndroom · Immuundeficiëntie - microcefalie - chromosomale instabiliteit-syndroom · Microcefalie - immuundeficiëntie - lymfoïde maligniteit-syndroom · NBS · Syndroom van Seemanova type 2
ptSíndrome de quebras de NijmegenSíndrome de imunodeficiência-microcefalia-instabilidade cromossómica · Síndrome de microcefalia-imunodeficiência-malignidade linfóide · Ataxia-telangiectasia, variante 1 · NBS · Síndrome Seemanova tipo 2
plZespół NijmegenAT V1 · Ataksja-telangiektazja, wariant 1 · Berlin breakage syndrome · Małogłowie - Niedobór odporności - lymphoreticuloma · NBS · Niedobór odporności- małogłowie - niestabilność chromosomowa · Zespół Seemanova typu 2
csNijmegen breakage syndromAT V1 · Ataxia telangiectasia, varianta 1 · Berlínský syndrom chromozomální instability · Syndrom zahrnující imunodeficit, mikrocefalii a chromozomální instabilitu · Syndrom zahrnující mikrocefalii, imunodeficit a lymforetikulom · NBS · Syndrom Seemanové, typ 2
ukСиндром хромосомної нестабільності НіймегенаAT V1 · Атаксія-телеангіектазія, варіант 1 · Синдром Берліна · Синдром імунодефіциту-мікроцефалії-хромосомної нестабільності · Синдром мікроцефалії-імунодефіциту-лімфоїдної злоякісної пухлини · NBS · Синдром Сіманова, тип 2
zhNijmegen breakage综合征免疫缺陷-小头畸形-染色体不稳定综合征
trNijmegen kırılma sendromuNBS · AT V1 · Berlin kırılma sendromu · Seemanova sendromu tip 2 · Ataksi-telenjiektazi, varyant 1 · Mikrosefali-immün yetmezlik-lenforetiküloma sendromu · İmmün yetmezlik-mikrosefali-kromozomal instabilite sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM251260Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-114A01.31NTBTindexvalidated
MONDO0009623Evalidated
MeSHD049932Evalidated
UMLSC0398791Evalidated
GARD3904Evalidated
MedDRA10067857Evalidated

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 (6):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NBNDisease-causing germline mutation(s) inAssessedHGNC:7652ENSG000001043206026678q21.3nibrin20301355[PMID]
5

Prevalence and incidence

8 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0001 / 100 000WorldwideValue and classNot yet validated20301355[PMID]
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET
Point prevalence<1 / 1 000 0000.7 / 100 000Russian FederationValue and classValidated33488600[PMID]
Point prevalence1-9 / 1 000 0003.1 / 100 000PolandValue and classValidated33488600[PMID]
Point prevalence1-9 / 1 000 0003.1 / 100 000Czech RepublicValue and classValidated33488600[PMID]
Point prevalence1-9 / 1 000 0002.6 / 100 000SlovakiaValue and classValidated33488600[PMID]
Point prevalence1-9 / 1 000 0002.3 / 100 000BelarusValue and classValidated33488600[PMID]
Point prevalence1-9 / 1 000 0001.3 / 100 000UkraineValue and classValidated33488600[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 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0011362Abnormal hair quantity
HP:0003220Abnormality of chromosome stability
HP:0000271Abnormality of the face
HP:0001595Abnormality of the hair
HP:0002023Anal atresia
HP:0002025Anal stenosis
HP:0012732Anorectal anomaly
HP:0007018Attention deficit hyperactivity disorder
HP:0001890Autoimmune hemolytic anemia
HP:0004326Cachexia
HP:0002028Chronic diarrhea
HP:0000444Convex nasal ridge
HP:0002002Deep philtrum
HP:0005280Depressed nasal bridge
HP:0000364Hearing abnormality
HP:0001878Hemolytic anemia
HP:0000294Low anterior hairline
HP:0000400Macrotia
HP:0001268Mental deterioration
HP:0000252Microcephaly
HP:0000426Prominent nasal bridge
HP:0000448Prominent nose
HP:0006532Recurrent pneumonia
HP:0002205Recurrent respiratory infections
HP:0005425Recurrent sinopulmonary infections
HP:0000278Retrognathia
HP:0000470Short neck
HP:0004322Short stature
HP:0000340Sloping forehead
HP:0001873Thrombocytopenia
HP:0000582Upslanted palpebral fissure
Frequent (79-30%)
HP:0002664Neoplasm
HP:0100515Pollakisuria
Occasional (29-5%)
HP:0000492Abnormal eyelid morphology
HP:0002269Abnormality of neuronal migration
HP:0003011Abnormality of the musculature
HP:0002488Acute leukemia
HP:0012191B-cell lymphoma
HP:0000175Cleft palate
HP:0000992Cutaneous photosensitivity
HP:0001480Freckling
HP:0009733Glioma
HP:0002665Lymphoma
HP:0001324Muscle weakness
HP:0100335Non-midline cleft of the upper lip
HP:0002878Respiratory failure
HP:0002859Rhabdomyosarcoma
HP:0003202Skeletal muscle atrophy
HP:0012190T-cell lymphoma

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card