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ORPHA:99330Malformation syndrome
What it is
A rare Y chromosome number anomaly with a variable phenotype mainly characterized by moderate to severe intellectual disability, speech delay, hypotonia, and mild dysmorphic features, including facial asymmetry, hypertelorism, bilateral low set 'lop' ears, and micrognatia. Skeletal abnormalities (such as skull deformities, radioulnar synostosis, elbow flexion, clinodactyly, brachydactyly) and behavourial problems have also been associated with this condition. Genitalia are normal at birth, although hypogonadism and azoospermia has been reported in adults.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Antenatal, Infancy, Neonatal
- Classified as
- Malformation syndrome
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
36- Abnormal cerebral white matter morphology
- Abnormal facial shape
- Abnormality of the epiphyses of the elbow
- Abnormality of the genitourinary system
- Abnormality of the testis size
- Atypical behavior
- Azoospermia
- Bridged palmar crease
- Coarse facial features
- Cubitus valgus
- Decreased serum testosterone concentration
- Decreased testicular size
- Delayed skeletal maturation
- Delayed speech and language development
- Eunuchoid habitus
- External genital hypoplasia
- Finger clinodactyly
- Global developmental delay
- Gynecomastia
- Hypertelorism
- Hypotonia
- Impulsivity
- Increased circulating gonadotropin level
- Intellectual disability
- Large carpal bones
- Low frustration tolerance
- Male hypogonadism
- Micrognathia
- Moderate global developmental delay
- Posteriorly rotated ears
- Primary gonadal insufficiency
- Radioulnar synostosis
- Recurrent upper respiratory tract infections
- Scoliosis
- Short 5th finger
- Ventriculomegaly
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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