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Start free with EleplanKabuki syndrome
ORPHA:2322Malformation syndrome
Also called Kabuki make-up syndrome · Niikawa-Kuroki syndrome
What it is
A rare multiple congenital anomalies/neurodevelopmental disorder characterized by five major features: intellectual disability (typically mild to moderate), visceral malformations (frequently congenital heart defects), persistence of fetal fingertip pads, post-natal short stature, skeletal anomalies (brachymesophalangy, brachydactyly V, spinal column abnormalities and fifth digit clinodactyly) and specific facial features (arched and broad eyebrows, long palpebral fissures, eversion of the lower eyelid, large prominent, cupped ears, depressed nasal tip and short columella). Various additional features are frequently observed.
Key facts
- Prevalence
- 1-9 / 100 000 (Europe)
- Age of onset
- Antenatal, Infancy, Neonatal
- Inheritance
- Autosomal dominant, Not applicable
- 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%
18- Abnormal dermatoglyphics
- Abnormal form of the vertebral bodies
- Abnormality of the outer earDiagnostic criterion
- Butterfly vertebrae
- Eversion of lateral third of lower eyelidsDiagnostic criterion
- Hemivertebrae
- Highly arched eyebrowDiagnostic criterion
- Intellectual disabilityDiagnostic criterion
- Long eyelashes
- MacrotiaDiagnostic criterion
- Neurodevelopmental delayDiagnostic criterion
- Postnatal growth retardation
- Protruding ear
- Short 5th finger
- Short columellaDiagnostic criterion
- Short middle phalanx of finger
- Sparse lateral eyebrow
- Vertebral clefting
Common30–79%
38- Abnormal cardiac septum morphology
- Abnormal dental morphology
- Abnormal heart morphology
- Abnormality of the dentitionDiagnostic criterion
- Abnormality of the urinary system
- Absent pubertal growth spurt
- Cerebral cortical atrophy
- Chronic otitis media
- Cleft lip
- Cleft palateDiagnostic criterion
- Coarctation of aorta
- Conductive hearing impairment
- Depressed nasal tipDiagnostic criterion
- Failure to thrive
- Feeding difficulties
- Floppy infantDiagnostic criterion
- High palate
- Hydrocephalus
- HypodontiaDiagnostic criterion
- Hypotonia
- Joint dislocation
- Joint hypermobilityDiagnostic criterion
- Long palpebral fissureDiagnostic criterion
- Marcus Gunn jaw winking synkinesis
- Microcephaly
- Microdontia
- Orofacial cleft
- Peters anomaly
- Premature thelarche
- Prominent fingertip padsDiagnostic criterion
- PtosisDiagnostic criterion
- Recurrent infections
- Scoliosis
- Sensorineural hearing impairment
- Short stature
- StrabismusDiagnostic criterion
- Ventriculomegaly
- Widely spaced teeth
Sometimes5–29%
31- Abnormal localization of kidney
- Atrial septal defect
- Autistic behavior
- Blue scleraeDiagnostic criterion
- BrachydactylyDiagnostic criterion
- Clinodactyly of the 5th fingerDiagnostic criterion
- Coloboma
- Congenital diaphragmatic hernia
and 23 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.
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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