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Start free with EleplanAcro-renal-ocular syndrome
ORPHA:959Malformation syndrome
What it is
A rare syndrome of multiple congenital anomalies characterized by radial ray malformations, renal abnormalities (mild malrotation, ectopia, horseshoe kidney, renal hypoplasia, vesico-ureteral reflux, bladder diverticula), and ophthalmological abnormalities (mainly colobomas, but also microphthalmia, ptosis, and Duane anomaly). The phenotype overlaps with other SALL4-related disorders including Okihiro syndrome and Holt-Oram syndrome.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Antenatal, Neonatal
- Inheritance
- Autosomal dominant
- 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%
8Common30–79%
16- Bladder diverticulum
- Broad hallux phalanx
- Conductive hearing impairment
- Hypoplasia of the ulna
- Optic disc coloboma
- Optic disc hypoplasia
- Preaxial hand polydactyly
- Radial club hand
- Renal hypoplasia/aplasia
- Sandal gap
- Sensorineural hearing impairment
- Short hallux
- Short palpebral fissure
- Strabismus
- Triphalangeal thumb
- Visual impairment
Sometimes5–29%
20- Aganglionic megacolon
- Cataract
- Chorioretinal coloboma
- Coloboma
- Epicanthus
- Finger syndactyly
- Hypertelorism
- Iris coloboma
and 12 more in this range
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.
Gene
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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