raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:86818

Alport syndrome-intellectual disability-midface hypoplasia-elliptocytosis syndrome

Synonyms: AMME syndrome · ATS-MR · AMME complex

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Antenatal, Infancy, Neonatal
Status
active

A rare constitutional hemolytic anemia that is characterised by the association of Alport syndrome, midface hypoplasia, intellectual deficit and elliptocytosis. It has been described in two families. The syndrome is transmitted as an X-linked trait is caused by a contiguous gene deletion in Xq22.3 involving several genes including <i>COL4A5</i>, <i>FACL4</i> and <i>AMMECR1</i>.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAlport syndrome-intellectual disability-midface hypoplasia-elliptocytosis syndromeAMME syndrome · ATS-MR · AMME complex
frSyndrome d'Alport-déficience intellectuelle-hypoplasie du visage-elliptocytoseATS-MR · Complexe AMME · Syndrome AMME
deAlport-Syndrom-Intelligenzminderung-Mittelgesichtshypoplasie-Elliptozytose-SyndromAMME-Komplex · AMME-Syndrom · ATS-MR
esSíndrome de Alport-discapacidad intelectual-hipoplasia medio facial-eliptocitosisATS-MR · Complejo AMME · Síndrome AMME
itSindrome di Alport-disabilità intellettiva-ipoplasia mediofacciale-ellissocitosiATS-MR · Complesso AMME · Sindrome AMME
nlSyndroom van Alport - intellectuele achterstand - hypoplasie van middengezicht - elliptocytose-syndroomAMME-complex · AMME-syndroom · ATS-MR
ptSíndrome Alport-perturbação do desenvolvimento intelectual-hipoplasia do terço médio da face-eliptocitoseATS-MR · Complexo AMME · Síndrome AMME
plZespół Alporta - niepełnosprawność intelektualna - hipoplazja środkowej części twarzy - eliptocytozaATS-MR · Kompleks AMME · Zespół AMME
csAlportův syndrom s mentální retardací, hypoplázií střední části obličeje a eliptocytózouAMME komplex · AMME syndrom · ATS-MR
ukСиндром Альпорта-інтелектуальна недостатність-гіпоплазія середини обличчя-еліптоцитозКомплекс AMME · Синдром AMME · ATS-MR
zhAlport综合征-智力障碍-面中部发育不全-椭圆形红细胞增多症综合征AMME综合征
trAlport sendromu-zihinsel yetersizlik-orta yüz hipoplazisi-elliptositoz sendromuATS-MR · AMME kompleksi · AMME sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300194Evalidated
OMIM300990NTBTvalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD2H.YNTBTattributedvalidated
MONDO0010263Evalidated
MeSHC564570Evalidated
UMLSC1846242Evalidated

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

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ACSL4Role in the phenotype ofAssessedHGNC:3571ENSG00000068366300157Xq23acyl-CoA synthetase long chain family member 411889465[PMID]_9598718[PMID]
AMMECR1Role in the phenotype ofAssessedHGNC:467ENSG00000101935300195Xq23AMMECR nuclear protein 110049589[PMID]_27811305[PMID]
KCNE5Role in the phenotype ofAssessedHGNC:6241ENSG00000176076300328Xq23potassium voltage-gated channel subfamily E regulatory subunit 512011158[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 familiesWorldwideFamily(ies)Validated7923864[PMID]_9598718[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

22 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001595Abnormality of the hair
HP:0000463Anteverted nares
HP:0005280Depressed nasal bridge
HP:0000494Downslanted palpebral fissures
HP:0100820Glomerulopathy
HP:0010864Intellectual disability, severe
HP:0000272Malar flattening
HP:0002907Microscopic hematuria
HP:0000093Proteinuria
Frequent (79-30%)
HP:0004445Elliptocytosis
HP:0000365Hearing impairment
HP:0001252Hypotonia
HP:0000083Renal insufficiency
HP:0001182Tapered finger
HP:0012471Thick vermilion border
HP:0000233Thin vermilion border
Occasional (29-5%)
HP:0001646Abnormal aortic valve morphology
HP:0000944Abnormal metaphysis morphology
HP:0000545Myopia
HP:0001643Patent ductus arteriosus
HP:0000486Strabismus
HP:0011069Supernumerary tooth

Run the differential on the 9 obligate / very frequent terms

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Sources for this card