raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:819

Smith-Magenis syndrome

Synonyms: 17p11.2 microdeletion syndrome

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

A rare, genetic, neurodevelopmental disorder characterized by cognitive impairment of variable severity, behavioral abnormalities, and sleep disturbance. Patients present with distinctive physical features and a wide range of malformations (e.g. cardiac, renal).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSmith-Magenis syndrome17p11.2 microdeletion syndrome
frSyndrome de Smith-MagenisSyndrome de microdélétion 17p11.2
deSmith-Magenis-SyndromMikrodeletionssyndrom 17p11.2
esSíndrome de Smith-MagenisSíndrome de microdeleción 17p11.2
itSindrome di Smith-MagenisSindrome da microdelezione 17p11.2
nlSyndroom van Smith-Magenis17p11.2-microdeletiesyndroom
ptSíndrome Smith-MagenisDeleção 17p11.2
plZespół Smitha i MagenisZespół mikrodelecji 17p11.2
csSmithové-Magenisové syndromMikrodeleční syndrom 17p11.2 · Smith-Magenisové syndrom
ukСиндром Сміта-МагенісаСиндром мікроделеції 17p11.2
zh史密斯-马吉利氏综合征17p11.2微缺失综合征
trSmith-Magenis sendromu17p11.2 mikrodelesyon sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM182290Evalidated
ICD-10Q93.5NTBTattributedvalidated
ICD-11LD44.H1NTBTindexvalidated
MONDO0008434Evalidated
MeSHD058496Evalidated
UMLSC0795864Evalidated
GARD8197Evalidated
MedDRA10081680Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RAI1Disease-causing germline mutation(s) inAssessedHGNC:9834ENSG0000010855760764217p11.2retinoic acid induced 120301487[PMID]
5

Prevalence and incidence

5 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 000—WorldwideClass onlyNot yet validated17468296[PMID]
Point prevalence1-9 / 100 0004 / 100 000WorldwideValue and classNot yet validated17468296[PMID]
Point prevalence1-9 / 100 0005.35 / 100 000EuropeValue and classValidated[EXPERT]_ORPHANET
Prevalence at birth1-9 / 100 000—United StatesClass onlyNot yet validated1746552[PMID]_16354942[PMID]
Point prevalence1-9 / 100 0005.35 / 100 000United StatesValue and classNot yet validated1746552[PMID]_16354942[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

95 annotations · validated 2024-05-13
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012689Abnormal pineal melatonin secretionPathognomonic sign
HP:0000733Abnormal repetitive mannerisms
HP:0005607Abnormal tracheobronchial morphology
HP:0002167Abnormality of speech or vocalization
HP:0000164Abnormality of the dentition
HP:0000739Anxiety
HP:0007018Attention deficit hyperactivity disorder
HP:0000248Brachycephaly
HP:0001156Brachydactyly
HP:0000337Broad forehead
HP:0000490Deeply set eye
HP:0000680Delayed eruption of primary teeth
HP:0000750Delayed speech and language development
HP:0005280Depressed nasal bridge
HP:0002007Frontal bossing
HP:0001263Global developmental delay
HP:0001609Hoarse voice
HP:0001265Hyporeflexia
HP:0001252Hypotonia
HP:0001249Intellectual disability
HP:0100729Large face
HP:0011800Midface retrusion
HP:0001513Obesity
HP:0000403Recurrent otitis media
HP:0100716Self-injurious behavior
HP:0002360Sleep abnormality
HP:0000664Synophrys
HP:0000679Taurodontia
HP:0010804Tented upper lip vermilion
HP:0000582Upslanted palpebral fissure
HP:0000431Wide nasal bridge
Frequent (79-30%)
HP:0030680Abnormal cardiovascular system morphology
HP:0001627Abnormal heart morphology
HP:0025160Abnormal temper tantrums
HP:0000463Anteverted nares
HP:0007370Aplasia/Hypoplasia of the corpus callosum
HP:0001169Broad palm
HP:0004209Clinodactyly of the 5th finger
HP:0000280Coarse facial features
HP:0100543Cognitive impairment
HP:0000405Conductive hearing impairment
HP:0002019Constipation
HP:0001558Decreased fetal movement
HP:0002353EEG abnormality
HP:0001531Failure to thrive in infancy
HP:0008872Feeding difficulties in infancy
HP:0001288Gait disturbance
HP:0002020Gastroesophageal reflux
HP:0010780Hyperacusis
HP:0003124Hypercholesterolemia
HP:0000316Hypertelorism
HP:0002155Hypertriglyceridemia
HP:0007328Impaired pain sensation
HP:0100710Impulsivity
HP:0000303Mandibular prognathia
HP:0000482Microcornea
HP:0000347Micrognathia
HP:0000545Myopia
HP:0032509Onychotillomania
HP:0000194Open mouth
HP:0009830Peripheral neuropathy
HP:0001763Pes planus
HP:0032508Polyembolokoilamania
HP:0002788Recurrent upper respiratory tract infections
HP:0002650Scoliosis
HP:0003196Short nose
HP:0000322Short philtrum
HP:5200360Short rem sleep
HP:0004322Short stature
HP:0006979Sleep-wake cycle disturbance
HP:0000321Square face
HP:0000486Strabismus
HP:0030051Tip-toe gait
HP:0001770Toe syndactyly
HP:0000220Velopharyngeal insufficiency
HP:0002119Ventriculomegaly
HP:0032041Vocal cord polyp
Occasional (29-5%)
HP:0100542Abnormal localization of kidney
HP:0000119Abnormality of the genitourinary system
HP:0000069Abnormality of the ureter
HP:0011675Arrhythmia
HP:0000175Cleft palate
HP:0000204Cleft upper lip
HP:0002720Decreased circulating IgA level
HP:0000823Delayed puberty
HP:0001161Hand polydactyly
HP:0000821Hypothyroidism
HP:0034819Iris nodule
HP:0001387Joint stiffness
HP:0000252Microcephaly
HP:0000826Precocious puberty
HP:0008678Renal hypoplasia/aplasia
HP:0000541Retinal detachment
HP:0001250Seizure
HP:0010535Sleep apnea

Run the differential on the 12 obligate / very frequent terms

Annotation source: 35205380[PMID]_20301487[PMID]

7

Sources for this card