raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:912

Zellweger syndrome

Synonyms: Cerebrohepatorenal syndrome · Severe PBD-ZSD · Severe peroxisome biogenesis disorder-Zellweger spectrum disorder · ZS

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Neonatal
Status
active

A rare peroxisome biogenesis disorder (the most severe variant of Peroxisome biogenesis disorder spectrum) characterized by neuronal migration defects in the brain, dysmorphic craniofacial features, profound hypotonia, neonatal seizures, and liver dysfunction.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enZellweger syndromeCerebrohepatorenal syndrome · Severe PBD-ZSD · Severe peroxisome biogenesis disorder-Zellweger spectrum disorder · ZS
frSyndrome de ZellwegerABP-MSZ, forme sévère · Anomalie de la biogenèse du péroxysome-maladie du spectre de Zellweger, forme sévère · Syndrome cérébro-hépato-rénal
deZellweger-SyndromPeroxisomenbiogenesedefekt-Zellweger-Spektrum-Störung, schwere Form · Schweres PBD-ZSD · ZS · Zerebro-hepato-renales Syndrom
esSíndrome de ZellwegerPBD-ZSD grave · Síndrome cerebrohepatorrenal · Trastorno de la biogénesis del peroxisoma-trastorno del espectro Zellweger grave
itSindrome di ZellwegerDifetto grave della biogenesi dei perossisomi-spettro della sindrome di Zellweger · PBD-ZSD grave · Sindrome cerebro-epato-renale · ZS
nlSyndroom van ZellwegerCerebrohepatorenaal syndroom · Ernstige PBD-ZSD · Ernstige peroxisomale biogenesestoornis - Zellweger spectrum stoornis · ZS
ptSíndrome ZellwegerDoença do espectro Zellweger-disfunção grave da biogénese dos peroxissomas · Síndrome cérebro-hepato-renal · ZS
plZespół ZellwegeraZespół mózgowo-wątrobowo-nerkowy · ZS
csZellwegerův syndromCerebrohepatorenální syndrom · ZS · CHRS
ukСиндром ЦеллвегераЦереброгепаторенальний синдром · Тяжкий PBD-ZSD · Тяжке порушення біогенезу пероксисом - розлад спектра Целльвегера · ZS
zhZellweger综合征脑肝肾综合征
trZellweger sendromuZS · Serebrohepatorenal sendrom

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM214100Evalidated
OMIM214110BTNTvalidated
OMIM614859BTNTvalidated
OMIM614862BTNTvalidated
OMIM614866BTNTvalidated
OMIM614870BTNTvalidated
OMIM614872BTNTvalidated
OMIM614876BTNTvalidated
OMIM614882BTNTvalidated
OMIM614883BTNTvalidated
OMIM614886BTNTvalidated
OMIM614887BTNTvalidated
OMIM617370NTBTvalidated
ICD-10Q87.8NTBTinclusionvalidated
ICD-115C57.0NTBTindexvalidated
MONDO0019609Evalidated
MeSHD015211Evalidated
UMLSC0043459Evalidated
GARD7917Evalidated
MedDRA10053684Evalidated

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 (8):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

13 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PEX1Disease-causing germline mutation(s) inAssessedHGNC:8850ENSG000001279806021367q21.2peroxisomal biogenesis factor 120301621[PMID]
PEX10Disease-causing germline mutation(s) inAssessedHGNC:8851ENSG000001579116028591p36.32peroxisomal biogenesis factor 1020301621[PMID]
PEX11BDisease-causing germline mutation(s) inAssessedHGNC:8853ENSG000001317796038671q21.1peroxisomal biogenesis factor 11 beta22581968[PMID]
PEX12Disease-causing germline mutation(s) inAssessedHGNC:8854ENSG0000010873360175817q12peroxisomal biogenesis factor 1220301621[PMID]
PEX13Disease-causing germline mutation(s) inAssessedHGNC:8855ENSG000001629286017892p15peroxisomal biogenesis factor 1320301621[PMID]
PEX14Disease-causing germline mutation(s) inAssessedHGNC:8856ENSG000001426556017911p36.22peroxisomal biogenesis factor 1420301621[PMID]
PEX16Disease-causing germline mutation(s) inAssessedHGNC:8857ENSG0000012168060336011p11.2peroxisomal biogenesis factor 1620301621[PMID]
PEX19Disease-causing germline mutation(s) inAssessedHGNC:9713ENSG000001627356002791q23.2peroxisomal biogenesis factor 1920301621[PMID]
PEX2Disease-causing germline mutation(s) inAssessedHGNC:9717ENSG000001647511709938q21.13peroxisomal biogenesis factor 220301621[PMID]
PEX26Disease-causing germline mutation(s) inAssessedHGNC:22965ENSG0000021519360866622q11.21peroxisomal biogenesis factor 2620301621[PMID]
PEX3Disease-causing germline mutation(s) inAssessedHGNC:8858ENSG000000346936031646q24.2peroxisomal biogenesis factor 320301621[PMID]
PEX5Disease-causing germline mutation(s) inAssessedHGNC:9719ENSG0000013919760041412p13.31peroxisomal biogenesis factor 520301621[PMID]
PEX6Disease-causing germline mutation(s) inAssessedHGNC:8859ENSG000001245876014986p21.1peroxisomal biogenesis factor 620301621[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET
Point prevalence1-9 / 100 0008.2 / 100 000Specific populationValue and classValidated22894767[PMID]_[EXPERT]
Prevalence at birth1-9 / 100 0004.6 / 100 000IsraelValue and classValidated33239050[PMID]
Prevalence at birth1-9 / 100 0008.2 / 100 000Specific populationValue and classValidated33239050[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

55 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000377Abnormal pinna morphology
HP:0100543Cognitive impairment
HP:0007957Corneal opacity
HP:0001522Death in infancy
HP:0005280Depressed nasal bridge
HP:0002353EEG abnormality
HP:0000286Epicanthus
HP:0010655Epiphyseal stippling
HP:0001508Failure to thrive
HP:0008872Feeding difficulties in infancy
HP:0012368Flat face
HP:0001399Hepatic failure
HP:0002240Hepatomegaly
HP:0000348High forehead
HP:0000952Jaundice
HP:0012736Profound global developmental delay
HP:0001315Reduced tendon reflexes
HP:0002093Respiratory insufficiency
HP:0006829Severe muscular hypotonia
HP:0004322Short stature
HP:0002652Skeletal dysplasia
HP:0000582Upslanted palpebral fissure
HP:0008167Very long chain fatty acid accumulation
HP:0000260Wide anterior fontanel
HP:0000431Wide nasal bridge
Frequent (79-30%)
HP:0000518Cataract
HP:0000532Chorioretinal abnormality
HP:0008665Clitoral hypertrophy
HP:0000028Cryptorchidism
HP:0005469Flat occiput
HP:0000218High palate
HP:0000126Hydronephrosis
HP:0000047Hypospadias
HP:0000256Macrocephaly
HP:0002024Malabsorption
HP:0000252Microcephaly
HP:0000347Micrognathia
HP:0000003Multicystic kidney dysplasia
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0002126Polymicrogyria
HP:0000627Posterior embryotoxon
HP:0001622Premature birth
HP:0002021Pyloric stenosis
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
HP:0009891Underdeveloped supraorbital ridges
HP:0000505Visual impairment
Occasional (29-5%)
HP:0001928Abnormality of coagulation
HP:0000157Abnormality of the tongue
HP:0001088Brushfield spots
HP:0000501Glaucoma
HP:0008207Primary adrenal insufficiency
HP:0000474Thickened nuchal skin fold
HP:0001629Ventricular septal defect

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card