raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:821

Sotos syndrome

Synonyms: Cerebral gigantism

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

A rare genetic overgrowth syndrome characterized by a typical facial appearance, overgrowth with macrocephaly and variable intellectual impairment.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSotos syndromeCerebral gigantism
frSyndrome de SotosGigantisme cérébral
deSotos-SyndromGigantismus, zerebraler
esSíndrome de SotosGigantismo cerebral
itSindrome di SotosGigantismo cerebrale
nlSyndroom van SotosCerebraal gigantisme
ptSíndrome SotosGigantismo cerebral
plZespół SotosaGigantyzm mózgowy
csSotosův syndromCerebrální gigantismus
ukСиндром СотосаЦеребральний гігантизм
zhSotos综合征脑性巨人症
trSotos sendromuSerebral jigantizm

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM117550BTNTvalidated
OMIM617169BTNTvalidated
OMIM618677BTNTvalidated
ICD-10Q87.3NTBTinclusionvalidated
ICD-11LD2CNTBTindexvalidated
MONDO0019349Evalidated
MeSHD058495Evalidated
UMLSC0175695Evalidated
GARD10091Evalidated
MedDRA10064387Evalidated

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.

Codes that Orphanet moved or referred to this one:

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
APC2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:24036ENSG0000011526661203419p13.3APC regulator of Wnt signaling pathway 225753423[PMID]_31585108[PMID]
NSD1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:14234ENSG000001656716066815q35.3nuclear receptor binding SET domain protein 120301652[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0007.1 / 100 000WorldwideValue and classNot yet validated20301652[PMID]
Point prevalence1-9 / 100 000—WorldwideClass onlyNot yet validated20301652[PMID]
Prevalence at birth1-9 / 1 000 0000.5 / 100 000EuropeValue and classValidatedEUROCAT European surveillance of congenital anomalies 2005-2012[OTHER]
Point prevalence1-9 / 1 000 000—EuropeClass onlyValidatedORPHANET_EUROCAT European surveillance of congenital anomalies 2005-2010[OTHER]

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

107 annotations · validated 2020-03-26
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000280Coarse facial features
HP:0012771Increased arm span
HP:0000098Tall stature
Frequent (79-30%)
HP:0005616Accelerated skeletal maturation
HP:0000483Astigmatism
HP:0000708Atypical behavior
HP:0410263Brain imaging abnormality
HP:0000389Chronic otitis media
HP:0002019Constipation
HP:0000268Dolichocephaly
HP:0000494Downslanted palpebral fissures
HP:0011968Feeding difficulties
HP:0031284Flushing
HP:0001263Global developmental delay
HP:0000365Hearing impairment
HP:0001252Hypotonia
HP:0040194Increased head circumference
HP:0001256Intellectual disability, mild
HP:0001382Joint hypermobility
HP:0000276Long face
HP:0000275Narrow face
HP:0006579Prolonged neonatal jaundice
HP:0011220Prominent forehead
HP:0002650Scoliosis
HP:0001250Seizure
HP:0004768Sparse anterior scalp hair
HP:0400000Tall chin
Occasional (29-5%)
HP:0001627Abnormal heart morphology
HP:0000164Abnormality of the dentition
HP:0000077Abnormality of the kidney
HP:0000718Aggressive behavior
HP:0000739Anxiety
HP:0004942Aortic aneurysm
HP:0007370Aplasia/Hypoplasia of the corpus callosum
HP:0001631Atrial septal defect
HP:0000729Autistic behavior
HP:0002069Bilateral tonic-clonic seizure
HP:0002389Cavum septum pellucidum
HP:0001320Cerebellar vermis hypoplasia
HP:0002059Cerebral atrophy
HP:0002442Dyscalculia
HP:0002280Enlarged cisterna magna
HP:0001371Flexion contracture
HP:0002384Focal impaired awareness seizure
HP:0002020Gastroesophageal reflux
HP:0002123Generalized myoclonic seizure
HP:0002121Generalized non-motor (absence) seizure
HP:0002342Intellectual disability, moderate
HP:0010864Intellectual disability, severe
HP:0002808Kyphosis
HP:0001176Large hands
HP:0000256Macrocephaly
HP:0001643Patent ductus arteriosus
HP:0010741Pedal edema
HP:0001763Pes planus
HP:0002370Poor coordination
HP:0000083Renal insufficiency
HP:0001337Tremor
HP:0001629Ventricular septal defect
HP:0002119Ventriculomegaly
HP:0000076Vesicoureteral reflux
Very rare (<4-1%)
HP:00046912-3 toe syndactyly
HP:0003468Abnormal vertebral morphology
HP:0006721Acute lymphoblastic leukemia
HP:0002251Aganglionic megacolon
HP:0006349Agenesis of permanent teeth
HP:0006466Ankle flexion contracture
HP:0009592Astrocytoma
HP:0007018Attention deficit hyperactivity disorder
HP:0005617Bilateral camptodactyly
HP:0000518Cataract
HP:0009797Cholesteatoma
HP:0000405Conductive hearing impairment
HP:0010957Congenital posterior urethral valve
HP:0001363Craniosynostosis
HP:0000028Cryptorchidism
HP:0000144Decreased fertility
HP:0000696Delayed eruption of permanent teeth
HP:0001028Hemangioma
HP:0003273Hip contracture
HP:0000034Hydrocele testis
HP:0000126Hydronephrosis
HP:0003072Hypercalcemia
HP:0000540Hypermetropia
HP:0000953Hyperpigmentation of the skin
HP:0000668Hypodontia
HP:0001010Hypopigmentation of the skin
HP:0000047Hypospadias
HP:0000821Hypothyroidism
HP:0000023Inguinal hernia
HP:0000545Myopia
HP:0001998Neonatal hypoglycemia
HP:0002664Neoplasm
HP:0003006Neuroblastoma
HP:0000639Nystagmus
HP:0000767Pectus excavatum
HP:0001741Phimosis
HP:0032447Pulmonary bleb
HP:0000104Renal agenesis
HP:0030736Sacrococcygeal teratoma
HP:0030357Small cell lung carcinoma
HP:0001792Small nail
HP:0000486Strabismus
HP:0001762Talipes equinovarus
HP:0001537Umbilical hernia
HP:0000073Ureteral duplication
HP:0000074Ureteropelvic junction obstruction

Run the differential on the 3 obligate / very frequent terms

Annotation source: 20301652[PMID]_31479583[PMID]

7

Sources for this card