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ORPHA:3447Malformation syndrome
Also called EZH2-related overgrowth syndrome
What it is
A rare PRC-2 complex-related overgrowth spectrum disorder characterized by pre- and post-natal overgrowth, facial dysmorphism (including hypertelorism, large fleshy ears and retrognathia with the appearance of a 'stuck-on' chin with associated horizontal skin crease) that is easily recognizable in early childhood. Majority of the patients present with mild intellectual disability. Additional variable features include macrocephaly, joint laxity, scoliosis, pectus excavatum, hypo- and/or hypertonia, poor coordination, soft dough skin, clinodactyly, camptodactyly of the fingers and/or toes, umbilical hernia, and a low hoarse cry in infancy. Many clinical features, including facial dysmorphism, attenuate with age. Patients may also have a higher risk of neuroblastoma.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Antenatal, 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%
22- Abnormal fingernail morphology
- Abnormally low-pitched voice
- Abnormal metaphysis morphology
- Accelerated skeletal maturation
- Broad forehead
- Deep-set nails
- Global developmental delay
- Hoarse voice
- Hypertelorism
- Hypertonia
- Hypoplastic toenails
- Intellectual disability
- Long philtrum
- Macrocephaly
- Macrotia
- Micrognathia
- Posteriorly rotated ears
- Redundant skin
- Retrognathia
- Spasticity
- Tall stature
- Thin nail
Common30–79%
10Sometimes5–29%
10- Abnormal cardiovascular system morphology
- Cryptorchidism
- Downslanted palpebral fissures
- Finger syndactyly
- Hypoplasia of penis
- Joint hypermobility
- Pes cavus
- Sandal gap
and 2 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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