raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:98915

Synaptic congenital myasthenic syndrome

Type
Etiological subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

This disease is described under Congenital myasthenic syndrome

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSynaptic congenital myasthenic syndrome
frSyndrome myasthénique congénital synaptique
deSynaptisches kongenitales myasthenes Syndrom
esSíndrome miasténico congénito sináptico
itSindrome miastenica congenita sinaptica
nlSynaptisch congenitaal myastheen syndroomSynaptisch CMS
ptSíndromes miasténicos, congénitos, sinápticos
plWrodzone synaptyczne zespoły miasteniczne
csSynaptické vrozené myastenické syndromy
ukСинаптичні вроджені міастенічні синдроми
zh突触性先天性肌无力综合征
trSinaptik doğumsal miyastenik sendromlar
2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM603034BTNTvalidated
OMIM616720BTNTvalidated
ICD-10G70.2NTBTattributedvalidated
ICD-118C61NTBTattributedvalidated
UMLSC5681640Evalidated

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 (1):

No children.

4

Genes

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
COL13A1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:2190ENSG0000019746712035010q22.1collagen type XIII alpha 1 chain26626625[PMID]
COLQDisease-causing germline mutation(s) inAssessedHGNC:2226ENSG000002065616030333p25.1collagen like tail subunit of asymmetric acetylcholinesterase20301347[PMID]
LAMB2Disease-causing germline mutation(s) inAssessedHGNC:6487ENSG000001720371503253p21.31laminin subunit beta 219251977[PMID]_25792100[PMID]
5

Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

54 annotations · validated 2018-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003403EMG: decremental response of compound muscle action potential to repetitive nerve stimulation
HP:0003324Generalized muscle weakness
HP:0003701Proximal muscle weakness
Frequent (79-30%)
HP:0012379Abnormal enzyme/coenzyme activity
HP:0003398Abnormal synaptic transmission at the neuromuscular junction
HP:0001488Bilateral ptosis
HP:0003443Decreased size of nerve terminals
HP:0002460Distal muscle weakness
HP:0002015Dysphagia
HP:0010628Facial palsy
HP:0001263Global developmental delay
HP:0001265Hyporeflexia
HP:0001252Hypotonia
HP:0003198Myopathy
HP:0000467Neck muscle weakness
HP:0000597Ophthalmoparesis
HP:0002421Poor head control
HP:0002033Poor suck
HP:0003436Prolonged miniature endplate currents
HP:0000508Ptosis
HP:0002098Respiratory distress
HP:0002093Respiratory insufficiency
HP:0003691Scapular winging
HP:0030203Unfavorable response of muscle weakness to acetylcholine esterase inhibitors
HP:0002515Waddling gait
HP:0001612Weak cry
Occasional (29-5%)
HP:0002815Abnormality of the knee
HP:0001284Areflexia
HP:0003327Axial muscle weakness
HP:0003388Easy fatigability
HP:0000218High palate
HP:0002791Hypoventilation
HP:0005216Impaired mastication
HP:0001249Intellectual disability
HP:0007941Limited extraocular movements
HP:0001324Muscle weakness
HP:0002643Neonatal respiratory distress
HP:0002783Recurrent lower respiratory tract infections
HP:0002650Scoliosis
HP:0003202Skeletal muscle atrophy
HP:0010535Sleep apnea
HP:0030211Slow pupillary light response
HP:0003803Type 1 muscle fiber predominance
Very rare (<4-1%)
HP:0001999Abnormal facial shape
HP:0002875Exertional dyspnea
HP:0002359Frequent falls
HP:0030237Hand muscle weakness
HP:0006251Limited wrist extension
HP:0000303Mandibular prognathia
HP:0002092Pulmonary arterial hypertension
HP:0001667Right ventricular hypertrophy
HP:0001762Talipes equinovarus
HP:0000207Triangular mouth
HP:0003554Type 2 muscle fiber atrophy

Run the differential on the 3 obligate / very frequent terms

Annotation source: 18180250[PMID]_9758617[PMID]_8390325[PMID]

7

Sources for this card