raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:811

Shwachman-Diamond syndrome

Synonyms: Pancreatic insufficiency and bone marrow dysfunction · SDS · Shwachman syndrome · Shwachman-Bodian-Diamond syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal, Childhood, Infancy, Neonatal
Status
active

Shwachman-Diamond syndrome (SDS) is a rare multisystemic syndrome characterized by chronic and usually mild neutropenia, pancreatic exocrine insufficiency associated with steatorrhea and growth failure, skeletal dysplasia with short stature, and an increased risk of bone marrow aplasia or leukemic transformation.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enShwachman-Diamond syndromePancreatic insufficiency and bone marrow dysfunction · SDS · Shwachman syndrome · Shwachman-Bodian-Diamond syndrome
frSyndrome de Shwachman-DiamondInsuffisance pancréatique et dysfonctionnement de la moelle osseuse · SDS · SSD · Syndrome de Shwachman · Syndrome de Shwachman-Bodian-Diamond
deShwachman-Diamond-SyndromPankreasinsuffizienz und Knochenmarkdysfunktion · SDS · Shwachman-Bodian-Diamond-Syndrom · Shwachman-Syndrom
esSíndrome de Shwachman-DiamondInsuficiencia pancreática y disfunción de la médula ósea · SDS · Síndrome de Shwachman · Síndrome de Shwachman-Bodian-Diamond
itSindrome di Shwachman-DiamondInsufficienza del pancreas e disfunzione del midollo osseo · SDS · Sindrome di Shwachman · Sindrome di Shwachman-Bodian-Diamond
nlSyndroom van Shwachman-DiamondPancreasinsufficiëntie en beenmergdisfunctie · SDS · Syndroom van Shwachman · Syndroom van Shwachman-Bodian-Diamond
ptSíndrome Shwachman-DiamondSDS · Síndrome Shwachman
plZespół Shwachmana i DiamondaNiewydolność trzustki i dysfunkcja szpiku kostnego · SDS · Zespół Shwachmana · Zespół Shwachmana, Bodiana i Diamonda
csShwachmanův-Diamondův syndromSDS · Insuficience pankreatu a dysfunkce kostní dřeně · Shwachmanův syndrom · Shwachmanův-Bodianův-Diamondův syndrom · Shwachman-Diamondův syndrom · Shwachman-Bodian-Diamondův syndrom
ukСиндром Швахмана-ДаймондаПідшлункова недостатність і дисфункція кісткового мозку · SDS · Синдром Швахмана · Синдром Швахмана-Бодіана-Даймонда
zhShwachman-Diamond综合征胰腺功能不全和骨髓功能障碍
trShwachman-Diamond sendromuSDS · Shwachman sendromu · Shwachman-Bodian-Diamond sendromu · Pankreas yetmezliği ve kemik iliği disfonksiyonu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM260400BTNTvalidated
OMIM617941BTNTvalidated
ICD-10D61.0NTBTinclusionvalidated
ICD-113A70.0NTBTindexvalidated
MONDO0009833Evalidated
MeSHD000081003Evalidated
UMLSC0272170Evalidated
GARD4863Evalidated
MedDRA10067940Evalidated

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 (8):

No children.

4

Genes

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
DNAJC21Disease-causing germline mutation(s) inAssessedHGNC:27030ENSG000001687246170485p13.2DnaJ heat shock protein family (Hsp40) member C2128062395[PMID]
EFL1Disease-causing germline mutation(s) inAssessedHGNC:25789ENSG0000014059861753815q25.2elongation factor like GTPase 128331068[PMID]
SBDSDisease-causing germline mutation(s) inAssessedHGNC:19440ENSG000001265246074447q11.21SBDS ribosome maturation factor20301722[PMID]
5

Prevalence and incidence

7 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.59 / 100 000ItalyValue and classValidated22887728[PMID]
Prevalence at birth1-9 / 1 000 0000.5 / 100 000United KingdomValue and classValidatedISBN:407002049[OTHER]
Prevalence at birth1-9 / 1 000 0000.67 / 100 000Puerto ricoValue and classValidated8637967[PMID]
Prevalence at birth1-9 / 100 0001.3 / 100 000CanadaValue and classValidated11254457[PMID]
Prevalence at birth1-9 / 1 000 000—EuropeClass onlyValidatedORPHANET
Prevalence at birth1-9 / 1 000 0000.5 / 100 000WorldwideValue and classValidated[EXPERT]
Point prevalence1-9 / 1 000 0000.28 / 100 000WorldwideValue and classValidated22491737[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

69 annotations · validated 2020-06-05
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001871Abnormality of blood and blood-forming tissues
HP:0011024Abnormality of the gastrointestinal tract
HP:0000924Abnormality of the skeletal system
HP:0001903Anemia
HP:0001875Decreased total neutrophil count
HP:0001738Exocrine pancreatic insufficiency
HP:0002630Fat malabsorption
Frequent (79-30%)
HP:0000708Atypical behavior
HP:0410252Chronic neutropenia
HP:0002750Delayed skeletal maturation
HP:0001508Failure to thrive
HP:0001510Growth delay
HP:0410289Hypoamylasemia
HP:0040238Impaired neutrophil chemotaxis
HP:0005518Increased mean corpuscular volume
HP:0012202Increased serum bile acid concentration
HP:0004905Low levels of vitamin A
HP:0100512Low levels of vitamin D
HP:0100513Low levels of vitamin E
HP:0011892Low levels of vitamin K
HP:0001972Macrocytic anemia
HP:0004395Malnutrition
HP:0002863Myelodysplasia
HP:0001897Normocytic anemia
HP:0002594Pancreatic hypoplasia
HP:0004322Short stature
HP:0002570Steatorrhea
HP:0001873Thrombocytopenia
HP:0410255Transient neutropenia
Occasional (29-5%)
HP:0001627Abnormal heart morphology
HP:0001367Abnormal joint morphology
HP:0045027Abnormality of the thoracic cavity
HP:0004808Acute myeloid leukemia
HP:0001915Aplastic anemia
HP:0000729Autistic behavior
HP:0005528Bone marrow hypocellularity
HP:0000670Carious teeth
HP:0000886Deformed rib cage
HP:0001249Intellectual disability
HP:0001909Leukemia
HP:0001882Leukopenia
HP:0005871Metaphyseal chondrodysplasia
HP:0003025Metaphyseal irregularity
HP:0003016Metaphyseal widening
HP:0000938Osteopenia
HP:0001876Pancytopenia
HP:0002090Pneumonia
HP:0002718Recurrent bacterial infections
HP:0004429Recurrent viral infections
HP:0000736Short attention span
HP:0000246Sinusitis
HP:0000988Skin rash
HP:0002953Vertebral compression fracture
Very rare (<4-1%)
HP:0001167Abnormality of finger
HP:0000356Abnormality of the outer ear
HP:0000824Decreased response to growth hormone stimulation test
HP:0000684Delayed eruption of teeth
HP:0000819Diabetes mellitus
HP:0000964Eczematoid dermatitis
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0000365Hearing impairment
HP:0002240Hepatomegaly
HP:0040075Hypopituitarism
HP:0008064Ichthyosis
HP:0002721Immunodeficiency
HP:0000155Oral ulcer
HP:0002754Osteomyelitis
HP:0006461Proximal femoral epiphysiolysis
HP:0100806Sepsis

Run the differential on the 7 obligate / very frequent terms

Annotation source: 20301722[PMID]_29939643[PMID]

7

Sources for this card