raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:994

Fetal akinesia deformation sequence

Synonyms: Arthrogryposis multiplex congenita-pulmonary hypoplasia syndrome · FADS · Pena-Shokeir syndrome type 1

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

The fetal akinesia/hypokinesia sequence (or Pena-Shokeir syndrome type I) is characterized by multiple joint contractures, facial anomalies and pulmonary hypoplasia. Whatever the cause, the common feature of this sequence is decreased foetal activity.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFetal akinesia deformation sequenceArthrogryposis multiplex congenita-pulmonary hypoplasia syndrome · FADS · Pena-Shokeir syndrome type 1
frSéquence d'akinésie foetaleSyndrome d'arthrogrypose multiple congénitale-hypoplasie pulmonaire · Syndrome de Pena-Shokeir type 1
deFetale Akinesie/Hypokinesie-SequenzArthrogryposis multiplex congenita mit Lungenhypoplasie · FADS · Pena-Shokeir-Syndrom Typ 1
esSecuencia deformante de aquinesia fetalArtrogriposis múltiple congénita-hipoplasia pulmonar · FADS · Síndrome de Pena-Shokeir tipo 1
itSequenza dell'acinesia fetaleArtrogriposi multipla congenita - ipoplasia polmonare · FADS · Sindrome di Pena-Shokeir, tipo 1
nlFoetale akinesie - deformatie-sequentieArthrogryposis multiplex congenita - pulmonale hypoplasie-syndroom · FADS · Syndroom van Pena-Shokeir type 1
ptSequência de deformação de acinesia fetal
plSekwencja deformacyjna akinazji płoduArtrogrypoza - hipoplazja płuc · FADS · Zespół Pena i Shokeira typu 1
csDeformace plodu způsobené akinezí/nehybnostíSyndrom zahrnující artrogryposis multiplex congenita a pulmonální hypoplázii · FADS · Penaův-Shokeirův syndrom, typ 1 · Pena-Shokeirův syndrom, typ 1
ukПослідовність деформації акінезії плодаСиндром множинного артрогрипозу-вродженої легеневої гіпоплазії · FADS · Синдром Пена-Шокіра, тип 1
zh胎儿运动迟缓/运动减退序列关节挛缩多发性先天性-肺发育不全综合征
trFetal akinezi deformasyon dizisiFADS · Pena-Shokeir sendromu tip 1 · Artrogripozis multipleks konjenita-pulmoner hipoplazi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM208150Evalidated
OMIM300073BTNTvalidated
OMIM617194BTNTvalidated
OMIM618388BTNTvalidated
OMIM618389BTNTvalidated
OMIM618393BTNTvalidated
OMIM618975NDnot yet validated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD2F.1YNTBTindexvalidated
MONDO100101Evalidated
MeSHC536647Evalidated
UMLSC1276035Evalidated
GARD9634Evalidated

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 (6):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

10 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
DOK7Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:26594ENSG000001759206102854p16.3docking protein 719261599[PMID]
KIF21ADisease-causing germline mutation(s) (loss of function) inAssessedHGNC:19349ENSG0000013911660828312q12kinesin family member 21A34740919[PMID]
MUSKDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:7525ENSG000000303046012969q31.3muscle associated receptor tyrosine kinase25612909[PMID]_25537362[PMID]
MYOD1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:7611ENSG0000012915215997011p15.1myogenic differentiation 126733463[PMID]
NUP88Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:8067ENSG0000010855960255217p13.2nucleoporin 8830543681[PMID]
RAPSNDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:9863ENSG0000016591760159211p11.2receptor associated protein of the synapse18179903[PMID]
GLDNDisease-causing germline mutation(s) inAssessedHGNC:29514ENSG0000018641760860315q21.2gliomedin32812332[PMID]
MAGEL2Disease-causing germline mutation(s) inAssessedHGNC:6814ENSG0000025458560528315q11.2MAGE family member L226365340[PMID]
SLC18A3Disease-causing germline mutation(s) inAssessedHGNC:10936ENSG0000018771460033610q11.23solute carrier family 18 member A331059209[PMID]
TUBA1ADisease-causing germline mutation(s) inAssessedHGNC:20766ENSG0000016755260252912q13.12tubulin alpha 1a35686685[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.6 / 100 000EuropeValue and classValidatedEUROCAT European surveillance of congenital anomalies 2010[OTHER]
Point prevalence<1 / 1 000 000—EuropeClass onlyNot yet validatedORPHANET_EUROCAT European surveillance of congenital anomalies 2010[OTHER]

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

24 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0010489Absent palmar crease
HP:0002304Akinesia
HP:0002804Arthrogryposis multiplex congenita
HP:0100490Camptodactyly of finger
HP:0001262Excessive daytime somnolence
HP:0001989Fetal akinesia sequence
HP:0002375Hypokinesia
HP:0001511Intrauterine growth retardation
HP:0000347Micrognathia
HP:0002828Multiple joint contractures
HP:0002089Pulmonary hypoplasia
HP:0002093Respiratory insufficiency
Frequent (79-30%)
HP:0000175Cleft palate
HP:0000028Cryptorchidism
HP:0000476Cystic hygroma
HP:0005280Depressed nasal bridge
HP:0003700Generalized amyotrophy
HP:0000316Hypertelorism
HP:0001561Polyhydramnios
HP:0000358Posteriorly rotated ears
HP:0002650Scoliosis
Occasional (29-5%)
HP:0001305Dandy-Walker malformation
HP:0005245Intestinal hypoplasia
HP:0001059Pterygium

Run the differential on the 12 obligate / very frequent terms

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Sources for this card