raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:85329

X-linked intellectual disability-hypotonia-facial dysmorphism-aggressive behavior syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Childhood, Infancy
Status
active

A rare X-linked syndromic intellectual disability characterized by severe to profound intellectual disability, muscular hypotonia in childhood, delayed walking, delayed or minimal/absent speech, behavioral abnormalities including aggressiveness, agitation, and self-injurious behavior, and dysmorphic facial features (such as triangular face with high forehead, prominent ears, and small, pointed chin). Additional reported manifestations include microcephaly, short stature, and seizures, among others.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enX-linked intellectual disability-hypotonia-facial dysmorphism-aggressive behavior syndrome
frSyndrome de déficience intellectuelle liée à l'X-hypotonie-dysmorphie faciale-comportement agressif
deX-chromosomale Intelligenzminderung-Hypotonie-Gesichtsdysmorphien-aggressives Verhalten-Syndrom
esSíndrome de discapacidad intelectual-hipotonía-dismorfia facial-conducta agresiva ligado al cromosoma X
itSindrome disabilità intellettiva legata all'X-ipotonia-dismorfismi facciali-comportamento aggressivo
nlX-gebonden intellectuele achterstand - hypotonie - faciale dysmorfie - agressief gedrag-syndroom
ptSíndrome de perturbação do desenvolvimento intelectual-hipotonia-dismorfia facial-comportamento agressivo ligada ao X
plNiepełnosprawność intelektualna sprzężona z chromosomem X - hipotonia - dysmorfia twarzy - agresywne zachowanie
csX-vázaný syndrom zahrnující mentální retardaci, hypotonii, faciální dysmorfismus a agresivní chování
ukСиндром Х-зчепленої розумової відсталості-гіпотонії-дисморфізму обличчя- агресивної поведінки
zhX连锁智力障碍-张力减退-面部畸形-攻击行为综合征
trX'e bağlı zihinsel yetersizlik-hipotoni-yüz dismorfizmi-agresif davranış sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM304340NTBTvalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD90NTBTattributedvalidated
UMLSC4304918Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AP1S2Disease-causing germline mutation(s) inAssessedHGNC:560ENSG00000182287300629Xp22.2adaptor related protein complex 1 subunit sigma 217186471[PMID]_12599187[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 casesWorldwideCase(s)Validated12599187[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_12599187[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

19 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0000718Aggressive behavior
HP:0011968Feeding difficulties
HP:0001288Gait disturbance
HP:0001290Generalized hypotonia
HP:0001263Global developmental delay
HP:0000348High forehead
HP:0002187Intellectual disability, profound
HP:0000276Long face
HP:0003189Long nose
HP:0000252Microcephaly
HP:0000194Open mouth
HP:0000411Protruding ear
HP:0000331Short chin
HP:0003202Skeletal muscle atrophy
HP:0000325Triangular face
Frequent (79-30%)
HP:0002353EEG abnormality
HP:0003198Myopathy
Occasional (29-5%)
HP:0004322Short stature

Run the differential on the 12 obligate / very frequent terms

Annotation source: 12599187[PMID]

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Sources for this card