raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:99852

Ravine syndrome

Synonyms: Progressive encephalopathy with severe infantile anorexia · Reunion island-anorexia-vomiting which is irrepressible-neurological signs syndrome

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

Ravine syndrome is an extremely rare genetic neurological disorder, reported in a small number of patients in a specific community on Reunion Island (Ravine region), characterized by infantile anorexia with irrepressible and repeated vomiting, acute brainstem dysfunction, severe failure to thrive, and progressive encephalopathy with MRI showing vanishing of medulla oblongata and cerebellar white matter and severe atrophy of pons, along with supra-tentorial periventricular white-matter hyperintensities and basal ganglia anomalies.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enRavine syndromeProgressive encephalopathy with severe infantile anorexia · Reunion island-anorexia-vomiting which is irrepressible-neurological signs syndrome
frSyndrome RavineEncéphalopathie progressive avec anorexie infantile sévère · Syndrome d'anorexie-vomissement irrépressible-signes neurologiques
deRavine-SyndromProgressive Enzephalopathie mit schwerer infantiler Anorexie · Réunion-Anorexie-unkontrollierbares Erbrechen-Neurologische Symptome-Syndrom
esSíndrome de RavineEncefalopatía progresiva con anorexia grave del lactante · Síndrome de la Isla de la Reunión-anorexia-vómitos incontenibles-signos neurológicos
itSindrome RAVINEEncefalopatia progressiva con anoressia infantile grave · Isola di Reunion - anoressia - vomito incoercibile - segni neurologici
nlRavine-syndroomProgressieve encefalopathie met ernstige infantiele anorexia · Réunion-eiland - anorexie - onbedwingbaar braken - neurologische tekenen-syndroom
ptReunião, Anorexia, Vómito Incoercível, e sinais NEurológicos (RAVINE)
plZespół RavinePostępująca encefalopatia z ciężką anoreksją niemowlęcą · Zespół wyspy Reunion, anoreksji, niepohamowanych wymiotów i objawów neurologicznych
csRAVINE syndromProgresivní encefalopatie s těžkou dětskou anorexií · Syndrom zahrnující anorexii ostrova Reunion, nepotlačitelné zvracení a neurologické znaky
ukСиндром РавінаПрогресуюча енцефалопатія з тяжкою формою дитячої анорексії · Острів воззєднання - анорексія - нестримне блювання - синдром неврологічних ознак
zhRAVINE综合征无法抑制的 Reunion岛-食欲减退-呕吐 神经性体征综合征
trRavine sendromuAğır infantil anoreksiyalı İlerleyici ensefalopati · Reunion adası-anoreksi-önlenemeyen kusma-nörolojik belirti sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10E75.2NTBTattributedvalidated
ICD-118A44.3NTBTindexvalidated
MONDO0020505Evalidated
UMLSC4275006Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SLC7A2-IT1Disease-causing germline mutation(s) inAssessedHGNC:54925ENSG000002799038p22SLC7A2 intronic transcript 122411793[PMID]_23637635[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families38 casesWorldwideCase(s)Validated10429812[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_10429812[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

14 annotations · validated 2016-10-04
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0002039AnorexiaDiagnostic criterion
HP:0004325Decreased body weight
HP:0001508Failure to thrive
HP:0002448Progressive encephalopathyDiagnostic criterion
Very frequent (99-80%)
HP:0002134Abnormal basal ganglia morphology
HP:0002363Abnormal brainstem morphologyDiagnostic criterion
HP:0000932Abnormality of the posterior cranial fossaDiagnostic criterion
HP:0001251Ataxia
HP:0007366Atrophy/Degeneration affecting the brainstemDiagnostic criterion
HP:0001257Spasticity
Frequent (79-30%)
HP:0006958Abnormal auditory evoked potentials
HP:0000496Abnormality of eye movement
Occasional (29-5%)
HP:0001600Abnormality of the larynx
HP:0002104Apnea

Run the differential on the 10 obligate / very frequent terms

Annotation source: 22411793[PMID]

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Sources for this card