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Start free with EleplanAphonia-deafness-retinal dystrophy-bifid halluces-intellectual disability syndrome
ORPHA:324540Malformation syndrome
Also called Aphonia-deafness-retinal dystrophy-duplicated halluces-intellectual disability syndrome · Aphonia-hearing loss-retinal dystrophy-duplicated halluces-intellectual disability syndrome
What it is
A rare, genetic, multiple congenital anomalies/dysmorphic syndrome characterized by moderate to severe intellectual disability, congenital aphonia, hearing loss, optic atrophy, retinal dystrophy, broad thumbs and duplicated halluces. Facial dysmorphism (incl. thick eyebrows, ptosis, long, downslanting palpebral fissures, microstomia, low-set, posteriorly rotated ears) and genital abnormalities are also associated.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy, Neonatal
- Inheritance
- Autosomal recessive
- 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
Common30–79%
32- Bilateral ptosis
- Broad thumb
- Downslanted palpebral fissures
- Duplication of distal phalanx of toe
- Duplication of phalanx of hallux
- Feeding difficulties
- Flexion contracture of the 2nd finger
- Flexion contracture of thumb
- Full cheeks
- Hallux valgus
- Hypoplastic labia majora
- Intellectual disability, severe
- Intrauterine growth retardation
- Inverted nipples
- Joint contracture of the 5th finger
- Laryngeal stenosis
- Long eyelashes
- Long palpebral fissure
- Loss of voice
- Microdontia
- Narrow mouth
- Optic atrophy
- Posteriorly rotated ears
- Retinal dystrophy
- Sensorineural hearing impairment
- Short nail
- Strabismus
- Tapered finger
- Thick eyebrow
- Thick vermilion border
- Unilateral vocal cord paralysis
- Widely spaced teeth
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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