raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:959

Acro-renal-ocular syndrome

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

A rare syndrome of multiple congenital anomalies characterized by radial ray malformations, renal abnormalities (mild malrotation, ectopia, horseshoe kidney, renal hypoplasia, vesico-ureteral reflux, bladder diverticula), and ophthalmological abnormalities (mainly colobomas, but also microphthalmia, ptosis, and Duane anomaly). The phenotype overlaps with other <i>SALL4</i>-related disorders including Okihiro syndrome and Holt-Oram syndrome.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAcro-renal-ocular syndrome
frSyndrome acro-réno-oculaire
deAkro-reno-okuläres Syndrom
esSíndrome acro-reno-ocular
itSindrome acro-reno-oculare
nlAcro-renaal-oculair syndroom
ptSíndrome acro-reno-ocular
plZespół kończynowo-nerkowo-oczny
csAkrorenálněokulární syndrom
ukАкро-ренально-очний синдром
zh肩胛-肾-眼综合征
trAkro-renal-oküler sendrom

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM607323NTBTvalidated
ICD-10Q87.8NTBTattributedvalidated
UMLSC5848304Evalidated

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
SALL4Disease-causing germline mutation(s) inAssessedHGNC:15924ENSG0000010111560734320q13.2spalt like transcription factor 416086360[PMID]_20301547[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families20 familiesWorldwideFamily(ies)ValidatedORPHANET
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

44 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002818Abnormal morphology of the radius
HP:0001172Abnormal thumb morphology
HP:0006501Aplasia/Hypoplasia of the radius
HP:0004736Crossed fused renal ectopia
HP:0000085Horseshoe kidney
HP:0004712Renal malrotation
HP:0009650Short distal phalanx of the thumb
HP:0009778Short thumb
Frequent (79-30%)
HP:0000015Bladder diverticulum
HP:0010059Broad hallux phalanx
HP:0000405Conductive hearing impairment
HP:0003022Hypoplasia of the ulna
HP:0000588Optic disc coloboma
HP:0007766Optic disc hypoplasia
HP:0001177Preaxial hand polydactyly
HP:0004059Radial club hand
HP:0008678Renal hypoplasia/aplasia
HP:0001852Sandal gap
HP:0000407Sensorineural hearing impairment
HP:0010109Short hallux
HP:0012745Short palpebral fissure
HP:0000486Strabismus
HP:0001199Triphalangeal thumb
HP:0000505Visual impairment
Occasional (29-5%)
HP:0002251Aganglionic megacolon
HP:0000518Cataract
HP:0000567Chorioretinal coloboma
HP:0000589Coloboma
HP:0000286Epicanthus
HP:0006101Finger syndactyly
HP:0000316Hypertelorism
HP:0000612Iris coloboma
HP:0000482Microcornea
HP:0000568Microphthalmia
HP:0000639Nystagmus
HP:0008897Postnatal growth retardation
HP:0000508Ptosis
HP:0005792Short humerus
HP:0001883Talipes
HP:0001636Tetralogy of Fallot
HP:0001770Toe syndactyly
HP:0002948Vertebral fusion
HP:0003422Vertebral segmentation defect
HP:0000076Vesicoureteral reflux

Run the differential on the 8 obligate / very frequent terms

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Sources for this card