Holmes-Gang syndrome

General Information (adopted from Orphanet):

Synonyms, Signs: CHUDLEY-LOWRY SYNDROME
XLMR-HYPOTONIC FACIES SYNDROME
MRXHF1
SMITH-FINEMAN-MYERS SYNDROME 1
HOLMES-GANG SYNDROME
JUBERG-MARSIDI SYNDROME
CARPENTER-WAZIRI SYNDROME
MENTAL RETARDATION, X-LINKED, WITH GROWTH RETARDATION, DEAFNESS, AND MICROGENITALISM
SFMS
JMS
SFM1
Number of Symptoms 73
OrphanetNr: 93970
OMIM Id: 309580
ICD-10: Q01
Q05
UMLs:
MeSH:
MedDRA:
Snomed:

Prevalence, inheritance and age of onset:

Prevalence: 3 cases [Orphanet]
Inheritance: X-linked recessive
[Orphanet]
Age of onset: Neonatal
Infancy
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: X-linked intellectual deficit - hypotonic face
 -Rare developmental defect during embryogenesis
 -Rare genetic disease
 -Rare neurologic disease

Symptom Information: Sort by abundance 

1
 (HPO:0000104) Renal agenesis 68 / 7739
2
 (HPO:0000054) Micropenis 257 / 7739
3
 (HPO:0008734) Decreased testicular size 105 / 7739
4
 (HPO:0000089) Renal hypoplasia 78 / 7739
5
 (HPO:0000028) Cryptorchidism 347 / 7739
6
 (HPO:0000047) Hypospadias 250 / 7739
7
 (HPO:0000046) Scrotal hypoplasia 54 / 7739
8
 (HPO:0000135) Hypogonadism 89 / 7739
9
 (HPO:0000076) Vesicoureteral reflux 94 / 7739
10
 (HPO:0010958) Bilateral renal agenesis 16 / 7739
11
 (HPO:0002307) Drooling 43 / 7739
12
 (HPO:0000268) Dolichocephaly 144 / 7739
13
 (HPO:0005280) Depressed nasal bridge 381 / 7739
14
 (HPO:0000194) Open mouth 70 / 7739
15
 (HPO:0000218) High palate 356 / 7739
16
 (HPO:0010804) Tented upper lip vermilion 47 / 7739
17
 (HPO:0000582) Upslanted palpebral fissure 185 / 7739
18
 (HPO:0000341) Narrow forehead 96 / 7739
19
 (HPO:0000280) Coarse facial features 189 / 7739
20
 (HPO:0001566) Widely-spaced maxillary central incisors 15 / 7739
21
 (HPO:0000431) Wide nasal bridge 290 / 7739
22
 (HPO:0011800) Midface retrusion 221 / 7739
23
 (HPO:0000252) Microcephaly 832 / 7739
24
 (HPO:0000154) Wide mouth 137 / 7739
25
 (HPO:0000179) Thick lower lip vermilion 72 / 7739
26
 (HPO:0000347) Micrognathia 426 / 7739
27
 (HPO:0000463) Anteverted nares 305 / 7739
28
 (HPO:0010808) Protruding tongue 28 / 7739
29
 (HPO:0000286) Epicanthus 371 / 7739
30
 (HPO:0000316) Hypertelorism 644 / 7739
31
 (HPO:0010806) U-Shaped upper lip vermilion 18 / 7739
32
 (HPO:0000470) Short neck 345 / 7739
33
 (HPO:0000451) Triangular nasal tip 8 / 7739
34
 (HPO:0000508) Ptosis 459 / 7739
35
 (HPO:0000648) Optic atrophy 238 / 7739
36
 (HPO:0000486) Strabismus 576 / 7739
37
 (HPO:0000577) Exotropia 43 / 7739
38
 (HPO:0000407) Sensorineural hearing impairment 524 / 7739
39
 (HPO:0000369) Low-set ears 372 / 7739
40
 (HPO:0000358) Posteriorly rotated ears 163 / 7739
41
 (HPO:0008551) Microtia 98 / 7739
42
 (HPO:0001327) Photomyoclonic seizures 125 / 7739
43
 (HPO:0000752) Hyperactivity 140 / 7739
44
 (HPO:0001250) Seizures 1245 / 7739
45
 (HPO:0000749) Paroxysmal bursts of laughter 8 / 7739
46
 (HPO:0001347) Hyperreflexia 363 / 7739
47
 (HPO:0001763) Pes planus 176 / 7739
48
 (HPO:0002857) Genu valgum 144 / 7739
49
 (HPO:0002750) Delayed skeletal maturation 250 / 7739
50
 (HPO:0001884) Talipes calcaneovalgus 14 / 7739
51
 (HPO:0002751) Kyphoscoliosis 131 / 7739
52
 (HPO:0001762) Talipes equinovarus 309 / 7739
53
 (HPO:0002019) Constipation 194 / 7739
54
 (HPO:0002013) Vomiting 191 / 7739
55
 (HPO:0002020) Gastroesophageal reflux 101 / 7739
56
 (HPO:0001510) Growth delay 295 / 7739
57
 (HPO:0004322) Short stature 1232 / 7739
58
 (HPO:0008947) Infantile muscular hypotonia 482 / 7739
59
 (OMIM) Clinodactyly of isolated digits 8 / 7739
60
 (OMIM) Fingers in mouth 7 / 7739
61
 (MedDRA:10072883) Brachydactyly 153 / 7739
62
 (OMIM) Absence of Hb H inclusions in red blood cells 7 / 7739
63
 (OMIM) Mental retardation, severe, profound 7 / 7739
64
 (OMIM) Short, thin upper lip 7 / 7739
65
 (OMIM) Everted ears 7 / 7739
66
 (OMIM) Self-absorbed 7 / 7739
67
 (OMIM) Hypertonia of lower limbs, later 7 / 7739
68
 (OMIM) Obesity, mild (less common) 8 / 7739
69
 (OMIM) Small philtrum 7 / 7739
70
 (OMIM) Gut dysmotility 7 / 7739
71
 (OMIM) Repetitive, self-stimulatory behavior using upper limbs 7 / 7739
72
 (OMIM) Slender, tapering fingers 7 / 7739
73
 (OMIM) Hyperfolded ears 7 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) The term 'X-linked mental retardation-hypotonic facies syndrome' comprises several syndromes previously reported separately. These include Juberg-Marsidi, Carpenter-Waziri, Holmes-Gang, and Smith-Fineman-Myers syndromes as well as 1 family with X-linked mental retardation with spastic paraplegia. All these syndromes were found ...
Clinical Description OMIM Smith et al. (1980) described 2 brothers with a combination of mental retardation, microcephaly, short stature, and unusual facial appearance, including slanted palpebral fissures, narrow face with maxillary overjet, alternating exotropia, and ptosis. Muscle tone was hypotonic, but ...
Molecular genetics OMIM In 1 surviving affected member and many heterozygous carriers of a family previously reported by Mattei et al. (1983) as having Juberg-Marsidi syndrome, Villard et al. (1996) identified a mutation in the ATRX gene (300032.0011).

In ...