raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:861

Treacher-Collins syndrome

Synonyms: Franceschetti-Klein syndrome · Mandibulofacial dysostosis without limb anomalies

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

A rare genetic mandibulofacial dysostosis characterized by bilateral symmetrical oto-mandibular dysplasia including underdeveloped cheekbones (malar hypoplasia), a very small low jaw (micrognathia) and downward-slanting palpebral fissures, coloboma of the lower eyelids, microtia, hearing loss and without abnormalities of the extremities. Intelligence is normal.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTreacher-Collins syndromeFranceschetti-Klein syndrome · Mandibulofacial dysostosis without limb anomalies
frSyndrome de Treacher-CollinsDysostose mandibulo-faciale sans anomalies des extrémités · Syndrome de Franceschetti-Klein
deTreacher-Collins-SyndromFranceschetti-Klein-Syndrom · Mandibulofaziale Dysostose ohne Extremitätenanomalien
esSíndrome de Treacher-Collins
itSindrome di Treacher-CollinsDisostosi mandibolofacciale · Sindrome di Franceschetti-Klein
nlSyndroom van Treacher-CollinsMandibulofaciale dysostose zonder ledemaatanomalieën · Syndroom van Franceschetti-Klein
ptSíndrome Treacher-CollinsDisostose mandibulofacial · Síndrome Franceschetti-Klein
plZespół Treachera i CollinsaDyzostoza żuchwowo-twarzowa bez wad kończyn · Zespół Franceschetti i Kleina
csTreacher Collinsův syndromFranceschettiho syndrom · Franceschetti-Zwahlen-Klein syndrom · Franceschettiho-Kleinův syndrom · Mandibulofaciální dysostóza s anomáliemi končetin · Franceschetti-Kleinův syndrom
ukСиндром Трічера-КоллінзаСиндром Франческетті-Клейна · Мандибулофаціальний дизостоз без аномалій кінцівок
zh下颌面骨发育不全下颌面骨发育不全不伴肢体畸形
trTreacher-Collins sendromuFranceschetti-Klein sendromu · Ekstremite anomalileri olmayan mandibulofasiyal dizostoz

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM154500Evalidated
OMIM248390BTNTvalidated
OMIM613717BTNTvalidated
OMIM618939BTNTvalidated
ICD-10Q75.4NTBTinclusionvalidated
ICD-11LD2F.16NTBTindexvalidated
MONDO0002457Evalidated
UMLSC0242387Evalidated
GARD9124Evalidated

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 (12):

No children.

4

Genes

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
POLR1BDisease-causing germline mutation(s) inAssessedHGNC:20454ENSG000001256306020002q14.1RNA polymerase I subunit B25790162[PMID]
POLR1CDisease-causing germline mutation(s) inAssessedHGNC:20194ENSG000001714536100606p21.1RNA polymerase I and III subunit C20301704[PMID]
POLR1DDisease-causing germline mutation(s) inAssessedHGNC:20422ENSG0000018618461371513q12.2RNA polymerase I and III subunit D20301704[PMID]
TCOF1Disease-causing germline mutation(s) inAssessedHGNC:11654ENSG000000708146068475q32-q33.1treacle ribosome biogenesis factor 120301704[PMID]
5

Prevalence and incidence

6 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.63 / 100 000FranceValue and classValidated22925539[PMID]
Point prevalence1-9 / 1 000 000—FranceClass onlyValidated22925539[PMID]
Prevalence at birth1-9 / 100 0006.9 / 100 000JapanValue and classValidated7424972[PMID]
Point prevalence1-9 / 100 000—JapanClass onlyNot yet validated7424972[PMID]
Prevalence at birth1-9 / 100 0002 / 100 000EuropeValue and classValidated6024864[PMID]_14198411[PMID]_21131976[PMID]_[EXPERT]
Point prevalence1-9 / 100 000—EuropeClass onlyValidated6024864[PMID]_14198411[PMID]_ [EXPERT]

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

68 annotations · validated 2024-04-23
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0004348Abnormality of bone mineral density
HP:0000494Downslanted palpebral fissures
HP:0000327Hypoplasia of the maxilla
HP:0010669Hypoplasia of the zygomatic bone
HP:0000272Malar flattening
HP:0000347Micrognathia
HP:0011800Midface retrusion
HP:0010807Open bite
HP:0000278Retrognathia
HP:0011219Short face
HP:0002652Skeletal dysplasia
Frequent (79-30%)
HP:0000164Abnormality of the dentition
HP:0000370Abnormality of the middle ear
HP:0000356Abnormality of the outer ear
HP:0000561Absent eyelashes
HP:0000413Atresia of the external auditory canal
HP:0000405Conductive hearing impairment
HP:0000750Delayed speech and language development
HP:0000689Dental malocclusion
HP:0000625Eyelid coloboma
HP:0002007Frontal bossing
HP:0000612Iris coloboma
HP:0000294Low anterior hairline
HP:0008551Microtia
HP:0011386Narrow internal auditory canal
HP:0000358Posteriorly rotated ears
HP:0000486Strabismus
HP:0009804Tooth agenesis
HP:0000505Visual impairment
HP:0000431Wide nasal bridge
Occasional (29-5%)
HP:0030680Abnormal cardiovascular system morphology
HP:0006482Abnormal dental morphology
HP:0011481Abnormal lacrimal duct morphology
HP:0000682Abnormality of dental enamel
HP:0000834Abnormality of the adrenal glands
HP:0000925Abnormality of the vertebral column
HP:0002381Aphasia
HP:0000643Blepharospasm
HP:0000248Brachycephaly
HP:0009795Branchial fistula
HP:0000518Cataract
HP:0000453Choanal atresia
HP:0000175Cleft palate
HP:0000204Cleft upper lip
HP:0000028Cryptorchidism
HP:0002084Encephalocele
HP:0002006Facial cleft
HP:0001508Failure to thrive
HP:0008872Feeding difficulties in infancy
HP:0001263Global developmental delay
HP:0000162Glossoptosis
HP:0000218High palate
HP:0000316Hypertelorism
HP:0008736Hypoplasia of penis
HP:0000778Hypoplasia of the thymus
HP:0000568Microphthalmia
HP:0005701Multiple enchondromatosis
HP:0000160Narrow mouth
HP:0001643Patent ductus arteriosus
HP:0009554Preauricular hair displacement
HP:0000384Preauricular skin tag
HP:0000143Rectovaginal fistula
HP:0002093Respiratory insufficiency
HP:0000046Small scrotum
HP:0005990Thyroid hypoplasia
HP:0002575Tracheoesophageal fistula
HP:0000154Wide mouth

Run the differential on the 12 obligate / very frequent terms

Annotation source: 20301704[PMID]_34573374[PMID]

7

Sources for this card