Zimmermann-Laband syndrome

General Information (adopted from Orphanet):

Synonyms, Signs: FIBROMATOSIS, GINGIVAL, WITH ABNORMAL FINGERS, FINGERNAILS, NOSE AND EARS, AND SPLENOMEGALY
ZLS
laband syndrome
Gingival fibromatosis - hepatosplenomegaly - other anomalies
Number of Symptoms 74
OrphanetNr: 3473
OMIM Id: 135500
ICD-10: Q87.8
UMLs:
MeSH:
MedDRA:
Snomed:

Prevalence, inheritance and age of onset:

Prevalence: No data available.
Inheritance: Unknown
[Orphanet]
Age of onset: Neonatal
Infancy
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: Genetic malformation syndrome with odontal and/or periodontal component
 -Rare genetic disease
Malformation syndrome with odontal and/or periodontal component
 -Rare developmental defect during embryogenesis
 -Rare odontologic disease
Multiple congenital anomalies/dysmorphic syndrome-intellectual deficit
 -Rare developmental defect during embryogenesis
 -Rare genetic disease
Rare genetic intellectual deficit with developmental anomaly
 -Rare genetic disease
Rare intellectual deficit with developmental anomaly
 -Rare neurologic disease

Symptom Information: Sort by abundance 

1
(HPO:0000518) Cataract 454 / 7739
2
(HPO:0000486) Strabismus Occasional [Orphanet] 576 / 7739
3
(HPO:0000545) Myopia 286 / 7739
4
(HPO:0001638) Cardiomyopathy Occasional [Orphanet] 192 / 7739
5
(HPO:0005113) Dilatation of the aortic arch 12 / 7739
6
(HPO:0001643) Patent ductus arteriosus Occasional [Orphanet] 228 / 7739
7
(HPO:0000158) Macroglossia Occasional [Orphanet] 119 / 7739
8
(HPO:0001252) Muscular hypotonia 990 / 7739
9
(HPO:0008947) Infantile muscular hypotonia 482 / 7739
10
(HPO:0010547) Muscle flaccidity 466 / 7739
11
(HPO:0001324) Muscle weakness 859 / 7739
12
(HPO:0006887) Intellectual disability, progressive rare [HPO] 68 / 7739
13
(HPO:0010864) Intellectual disability, severe rare [HPO:skoehler] 120 / 7739
14
(HPO:0002167) Neurological speech impairment Frequent [Orphanet] 308 / 7739
15
(HPO:0001250) Seizures Occasional [Orphanet] 1245 / 7739
16
(HPO:0009882) Short distal phalanx of finger Very frequent [Orphanet] 125 / 7739
17
(HPO:0001187) Hyperextensibility of the finger joints 12 / 7739
18
(HPO:0001857) Short distal phalanx of toe 6 / 7739
19
(HPO:0011305) Partial absence of toe Very frequent [Orphanet] 18 / 7739
20
(HPO:0000772) Abnormality of the ribs Occasional [Orphanet] 146 / 7739
21
(HPO:0003312) Abnormal form of the vertebral bodies Occasional [Orphanet] 172 / 7739
22
(HPO:0002650) Scoliosis Frequent [Orphanet] 705 / 7739
23
(HPO:0003298) Spina bifida occulta 67 / 7739
24
(HPO:0001382) Joint hypermobility Frequent [Orphanet] 231 / 7739
25
(HPO:0011362) Abnormal hair quantity Very frequent [Orphanet] 92 / 7739
26
(HPO:0000664) Synophrys 112 / 7739
27
(HPO:0000574) Thick eyebrow 96 / 7739
28
(HPO:0002162) Low posterior hairline Frequent [Orphanet] 88 / 7739
29
(HPO:0001007) Hirsutism 91 / 7739
30
(HPO:0000998) Hypertrichosis 52 / 7739
31
(HPO:0001231) Abnormality of the fingernails Very frequent [Orphanet] 116 / 7739
32
(HPO:0001792) Small nail 55 / 7739
33
(HPO:0001804) Hypoplastic fingernail Very frequent [Orphanet] 62 / 7739
34
(HPO:0001800) Hypoplastic toenails Very frequent [Orphanet] 74 / 7739
35
(HPO:0001805) Thick nail Very frequent [Orphanet] 96 / 7739
36
(HPO:0005242) Extrahepatic biliary duct atresia 9 / 7739
37
(HPO:0002240) Hepatomegaly Frequent [Orphanet] 467 / 7739
38
(HPO:0001744) Splenomegaly Frequent [Orphanet] 337 / 7739
39
(HPO:0001537) Umbilical hernia 206 / 7739
40
(HPO:0000040) Long penis Occasional [Orphanet] 17 / 7739
41
(HPO:0000280) Coarse facial features Very frequent [Orphanet] 189 / 7739
42
(HPO:0000179) Thick lower lip vermilion 72 / 7739
43
(HPO:0012471) Thick vermilion border Frequent [Orphanet] 115 / 7739
44
(HPO:0000168) Abnormality of the gingiva Very frequent [Orphanet] 51 / 7739
45
(HPO:0000169) Gingival fibromatosis 14 / 7739
46
(HPO:0000212) Gingival overgrowth 43 / 7739
47
(HPO:0000218) High palate 356 / 7739
48
(HPO:0000684) Delayed eruption of teeth Very frequent [Orphanet] 117 / 7739
49
(HPO:0011069) Increased number of teeth Occasional [Orphanet] 39 / 7739
50
(HPO:0000221) Furrowed tongue Occasional [Orphanet] 24 / 7739
51
(HPO:0000288) Abnormality of the philtrum Frequent [Orphanet] 54 / 7739
52
(HPO:0000154) Wide mouth Frequent [Orphanet] 137 / 7739
53
(HPO:0005105) Abnormal nasal morphology Very frequent [Orphanet] 114 / 7739
54
(HPO:0000436) Abnormality of the nasal tip Frequent [Orphanet] 18 / 7739
55
(HPO:0000431) Wide nasal bridge 290 / 7739
56
(HPO:0000445) Wide nose Very frequent [Orphanet] 190 / 7739
57
(HPO:0010516) Thymus hyperplasia Occasional [Orphanet] 4 / 7739
58
(HPO:0009748) Large earlobe Very frequent [Orphanet] 27 / 7739
59
(HPO:0000358) Posteriorly rotated ears 163 / 7739
60
(HPO:0000787) Nephrolithiasis rare [HPO:skoehler] 78 / 7739
61
(HPO:0002616) Aortic root dilatation 27 / 7739
62
(HPO:0001507) Growth abnormality 36 / 7739
63
(HPO:0000365) Hearing impairment Occasional [Orphanet] 539 / 7739
64
(HPO:0000006) Autosomal dominant inheritance 2518 / 7739
65
(HPO:0400004) Long ear Very frequent [Orphanet] 94 / 7739
66
(HPO:0012758) Neurodevelopmental delay Occasional [Orphanet] 949 / 7739
67
(OMIM) Birthweight greater than 90th percentile 1 / 7739
68
(OMIM) Diabetes, nonautoimmune (rare) 1 / 7739
69
(OMIM) Dry, thick skin 1 / 7739
70
(OMIM) Fleshy nose 1 / 7739
71
(OMIM) Long, lobulated ears 1 / 7739
72
(OMIM) Mental retardation, severe in some patients 1 / 7739
73
(OMIM) Poor muscle bulk 1 / 7739
74
(OMIM) Prominent mandible 5 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) Zimmermann-Laband syndrome is a rare disorder characterized by gingival fibromatosis, dysplastic or absent nails, hypoplasia of the distal phalanges, scoliosis, hepatosplenomegaly, hirsutism, and abnormalities of the cartilage of the nose and/or ears (summary by Balasubramanian and Parker, 2010). ...
Clinical Description OMIM Zimmermann (1928) is credited with the first description of this disorder in 2 patients (Kim et al., 2007).

Laband et al. (1964) and Alavandar (1965) reported 2 Asiatic Indian families (one living in the Caribbean and ...

Population genetics OMIM Kim et al. (2007) stated that 39 patients with ZLS had been reported worldwide.