raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:659609

Facial dysmorphism-global developmental delay-hypotonia-polymicrogyria syndrome

Synonyms: RAC3-related syndrome

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

A rare multiple congenital anomalies/dysmorphic syndrome characterized by global developmental delay (in some patients also severe language deficiency), intellectual disability, hypotonia, peculiar brain malformations (including dysplastic corpus callosum, cortical malformations included dysgyria and polymicrogyria), and facial dysmorphism (including wide forehead with frontal bossing and high anterior hairline, prominent eyes with upslanted palpebral fissures, arched eyebrows, long eyelashes, midface hypoplasia, broad nasal bridge and anteverted nares). Dysphagia, failure to thrive, seizures, musculoskeletal abnormalities (such as scoliosis, vertebral defects, pes planus and joint laxity) are also present in the majority of the patients. Additional clinical features may include dyspraxia, genitourinary, ocular, respiratory, endocrinological and behavioural abnormalities.

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Names in Orphadata languages

10 of 12 languages
LangNameSynonyms
enFacial dysmorphism-global developmental delay-hypotonia-polymicrogyria syndromeRAC3-related syndrome
frSyndrome de dysmorphie faciale-retard global de développement-hypotonie-polymicrogyrieSyndrome associé à RAC3
deGesichtsdysmorphie-globale Entwicklungsverzögerung-Hypotonie-Polymikrogyrie-SyndromNeuroentwicklungsstörung mit strukturellen Hirnanomalien und dysmorphen Gesichtszügen · RAC3-assoziiertes Syndrom
esSíndrome de dismorfia facial-retraso global del desarrollo-hipotonía-polimicrogiriaSíndrome asociado a RAC3
itSindrome dismorfismi facciali-ritardo dello sviluppo globale-ipotonia-polimicrogiriaSindrome correlata a RAC3
nlFaciale dysmorfie - algehele ontwikkelingsachterstand - hypotonie - polymicrogyrie-syndroomRAC3-gerelateerd syndroom
ptSíndrome de dismorfia facial-perturbação do desenvolvimento intelectual-hipotonia-polimicrogiriaSíndrome RAC3-relacionada
plZespół z dysmorfią twarzy, globalnym opóżnieniem rozwoju, hipotonią i polimikrogyrią= en
csSyndrom zahrnující faciální dysmorfii, celkové vývojové opoždění, hypotonii a polymikrogyrii= en
ukСиндром дисморфізму обличчя-глобальної затримки розвитку-гіпотонії-полімікрогіріїСиндром, повязаний з RAC3

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618577Evalidated
ICD-10Q04.8NTBTattributedvalidated
MONDO0032820Evalidated
MONDO32820Evalidated
UMLSC5925138Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

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Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RAC3Disease-causing germline mutation(s) (gain of function) inAssessedHGNC:9803ENSG0000016975060205017q25.3Rac family small GTPase 335851598[PMID]
5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Cases/families15 casesWorldwideCase(s)Validated35851598[PMID]_30293988[PMID]
Lifetime Prevalence<1 / 1 000 000—WorldwideClass onlyValidated35851598[PMID]_30293988[PMID]_ORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated35851598[PMID]_30293988[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.

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HPO phenotypes

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

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Sources for this card