raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:85173

IMAGe syndrome

Synonyms: Intrauterine growth retardation-metaphyseal dysplasia-adrenal hypoplasia congenita-genital anomalies syndrome

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

A rare genetic disease characterized by intrauterine growth restriction, metaphyseal dysplasia, congenital adrenal hypoplasia, and genital anomalies (such as cryptorchidism, posterior hypospadias, and micropenis). Patients may present shortly after birth with severe adrenal insufficiency. Additional manifestations include postnatal growth failure and delayed bone age, mild developmental delay, macrocephaly, mild facial dysmorphism (with frontal bossing, wide nasal bridge, and small, low-set ears), epiphyseal dysplasia, and hypercalcemia/hypercalciuria, among others.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enIMAGe syndromeIntrauterine growth retardation-metaphyseal dysplasia-adrenal hypoplasia congenita-genital anomalies syndrome
frSyndrome IMAGeSyndrome de retard de croissance intra-utérin-dysplasie métaphysaire-hypoplasie congénitale des surrénales-anomalies génitales
deIMAGe-SyndromIntrauterine Wachstumsretardierung - metaphysäre Dysplasie - kongenitale Nebennierenhypoplasie - Genitalanomalien
esSíndrome IMAGe
itSindrome IMAGeRitardo della crescita intrauterino - displasia metafisaria - ipoplasia congenita dei surreni - anomalie dei genitali
nlIMAGe-syndroomIntra-uteriene groeiachterstand - metafysaire dysplasie - congenitale adrenale hypoplasie - genitale anomalieën-syndroom · Intra-uteriene groeiachterstand - metafysaire dysplasie - congenitale bijnierhypoplasie - genitale anomalieën-syndroom
ptSíndrome IMAGeSíndrome de atraso de crecimento-displasia metafisária-hipoplasia supra-renal congénita-anomalias genitais
plZespół IMAGeWewnątrzmaciczne opóźnienie wzrostu - dysplazja przynasadowa - wrodzona hipoplazja nadnerczy- wady narządów płciowych
csIMAGe syndromSyndrom zahrnující intrauterinní růstovou retardaci, metafyzární dysplázii, vrozenou adrenální hypoplázii a anomálie genitálií
ukСиндром IMAGEСиндром внутрішньоутробної затримки росту - метафізарної дисплазії - вродженої гіпоплазії надниркових залоз - генітальних аномалій
zhIMAGe综合征宫内发育迟缓-干骺端发育不良-先天性肾上腺发育不良-生殖器畸形综合征
trIMAGe sendromuRahim içi büyüme geriliği-metafizyal displazi-adrenal hipoplazi konjenita-genital anomaliler sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM614732BTNTvalidated
OMIM618336BTNTvalidated
ICD-10Q87.1NTBTattributedvalidated
ICD-115A74.YNTBTindexvalidated
MONDO0013873Evalidated
MeSHC564543Evalidated
UMLSC1846009Evalidated
GARD12312Evalidated

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 (5):

No children.

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Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
POLEDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:9177ENSG0000017708417476212q24.33DNA polymerase epsilon, catalytic subunit30503519[PMID]
CDKN1CDisease-causing germline mutation(s) inAssessedHGNC:1786ENSG0000012975760085611p15.4cyclin dependent kinase inhibitor 1C22634751[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families28 casesWorldwideCase(s)Validated24624461[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24624461[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.

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HPO phenotypes

13 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000078Abnormality of the genital system
HP:0000835Adrenal hypoplasia
HP:0000028Cryptorchidism
HP:0005280Depressed nasal bridge
HP:0002007Frontal bossing
HP:0000126Hydronephrosis
HP:0000135Hypogonadism
HP:0000047Hypospadias
HP:0001252Hypotonia
HP:0001511Intrauterine growth retardation
HP:0000369Low-set ears
HP:0100255Metaphyseal dysplasia
HP:0002983Micromelia

Run the differential on the 12 obligate / very frequent terms

Annotation source: 10599684[PMID]

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Sources for this card