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Start free with EleplanCornelia de Lange syndrome
ORPHA:199Malformation syndrome
Also called Brachmann-de Lange syndrome
What it is
A rare multiple congenital anomalies syndrome characterized by facial dysmorphism, hypertrichosis, mild to profound intellectual disability, intrauterine growth restriction (IUGR) and/or postnatal growth restriction, feeding difficulties, abnormalities of the hands and feet (ranging from severe reductional limb abnormalities, oligodactyly, to brachymetacarpia of the first metacarpus). Variable visceral malformations may be present.
Key facts
- Prevalence
- 1-9 / 1 000 000 (Denmark)
- Age of onset
- Antenatal, Neonatal
- Inheritance
- Autosomal dominant, Not applicable, X-linked 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
Very common80–99%
35- Abnormally low-pitched voice
- Anteverted nares
- Atresia of the external auditory canal
- Brachycephaly
- Curly eyelashes
- Delayed eruption of teeth
- Delayed skeletal maturation
- Depressed nasal bridge
- Downturned corners of mouth
- Gastroesophageal reflux
- Generalized hirsutism
- Highly arched eyebrow
- High palate
- Hypertonia
- Intellectual disability
- Intellectual disability, severe
- Long eyelashes
- Long philtrum
- Low anterior hairline
- Low posterior hairline
- Microcephaly
- Micrognathia
- Micromelia
- Proximal placement of thumb
- Short 1st metacarpal
- Short foot
- Short neck
- Short nose
- Short stature
- Small hand
- Synophrys
- Thick eyebrow
- Thin vermilion border
- Toe syndactyly
- Widely spaced teeth
Common30–79%
31- Abnormality of speech or vocalization
- Anxiety
- Attention deficit hyperactivity disorder
- Bilateral single transverse palmar creases
- Blepharitis
- Clinodactyly of the 5th finger
- Compulsive behaviors
- Conductive hearing impairment
- Cryptorchidism
- Cutis marmorata
- Elbow dislocation
- Failure to thrive
- Feeding difficulties in infancy
- Hypoplasia of penis
- Hypoplastic labia majora
- Hypoplastic nipples
- Hypospadias
- Intrauterine growth retardation
- Joint stiffness
- Microcornea
- Multicystic kidney dysplasia
- Myopia
- Phthisis bulbi
- Posteriorly rotated ears
- Premature birth
- Ptosis
- Radioulnar synostosis
- Sensorineural hearing impairment
- Severe postnatal growth retardation
- Sleep abnormality
- Vesicoureteral reflux
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.
Genes
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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