raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:88637

Hypomyelination-hypogonadotropic hypogonadism-hypodontia syndrome

Synonyms: 4H syndrome

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Adult, Childhood, Infancy
Status
active

This disease is described under 4H leukodystrophy

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHypomyelination-hypogonadotropic hypogonadism-hypodontia syndrome4H syndrome
frSyndrome d'hypomyélinisation-hypogonadisme hypogonadotrope-hypodontieSyndrome 4H
deHypomyelinisierung-Hypogonadotroper Hypogonadismus-Hypodontie-Syndrom
esSíndrome de hipomielinización-hipogonadismo hipogonadotrópico-hipodonciaSíndrome 4H
itSindrome ipomielinizzazione-ipogonadismo ipogonadotropo-ipodontiaSindrome 4H
nlHypomyelinisatie - hypogonadotroop hypogonadisme - hypodontie-syndroom4H-syndroom
ptSíndrome de hipomielinização-hipogonadismo hipogonadotrópico-hipodontiaSíndrome 4H
plZespół hipomielinizacji, hipogonadyzmu hipogonadotropowego i hipodoncjiZespół 4H
csSyndrom zahrnující hypomyelinizaci, hypogonadotropní hypogonadismus a hypodoncii4H syndrom
ukСиндром гіпомієлінізації-гіпогонадотропного гіпогонадизму-гіподонтіїСиндром 4H
zh髓鞘形成低下-促性腺激素性性腺功能减退症-牙发育不全综合征4H综合征
trHipomiyelinizasyon-hipogonadotropik hipogonadizm-hipodonti sendromu4H sendromu
2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM607694NTBTvalidated
OMIM614381BTNTvalidated
OMIM616494BTNTvalidated
ICD-10G11.1NTBTattributedvalidated
ICD-118A44.3NTBTindexvalidated
MeSHC567313Evalidated
UMLSC2676243Evalidated

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 (3):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
POLR1CDisease-causing germline mutation(s) inAssessedHGNC:20194ENSG000001714536100606p21.1RNA polymerase I and III subunit C26151409[PMID]
POLR3ADisease-causing germline mutation(s) inAssessedHGNC:30074ENSG0000014860661425810q22.3RNA polymerase III subunit A21855841[PMID]_22855961[PMID]
POLR3BDisease-causing germline mutation(s) inAssessedHGNC:30348ENSG0000001350361436612q23.3RNA polymerase III subunit B22855961[PMID]_22036172[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_29618326[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

4 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001251Ataxia
HP:0003429CNS hypomyelination
HP:0000815Hypergonadotropic hypogonadism
HP:0000668Hypodontia

Run the differential on the 4 obligate / very frequent terms

7

Sources for this card