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Start free with EleplanWiedemann-Rautenstrauch syndrome
ORPHA:3455Malformation syndrome
Also called Neonatal progeroid syndrome
What it is
A rare multiple congenital anomalies/dysmorphic syndrome characterized by marked prenatal and postnatal growth retardation, decreased subcutaneous fat, hypotrichosis, relative macrocephaly and an unusual face. Mild to moderate intellectual disability is common.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Antenatal, 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
Very common80–99%
30- Broad forehead
- Congenital generalized lipodystrophy
- Convex nasal ridge
- Deeply set eye
- Downturned corners of mouth
- Entropion
- Frontal bossing
- Hypertelorism
- Intrauterine growth retardation
- Lipoatrophy
- Loss of facial adipose tissue
- Malar flattening
- Narrow mouth
- Natal tooth
- Pointed chin
- Posteriorly rotated ears
- Progeroid facial appearance
- Prominent scalp veins
- Reduced subcutaneous adipose tissue
- Relative macrocephaly
- Retrognathia
- Severe intrauterine growth retardation
- Short philtrum
- Short stature
- Slender build
- Sparse scalp hair
- Thin upper lip vermilion
- Triangular face
- Upslanted palpebral fissure
- Widely patent fontanelles and sutures
Common30–79%
61- Abnormality of the dentition
- Abnormality of the ear
- Acanthosis nigricans
- Aplasia/Hypoplasia of the nails
- Caesarian section
- Camptodactyly of finger
- Cataract
- CNS hypomyelination
- Confusion
- Corneal opacity
- Cranial asymmetry
- Cryptorchidism
- Decreased response to growth hormone stimulation test
- Dermal translucency
- Failure to thrive
- Feeding difficulties
- Fever
- Global developmental delay
- Growth delay
- Hearing abnormality
- Hepatic steatosis
- Hip dysplasia
- Hirsutism
- Hydrocephalus
- Hydronephrosis
- Hypermetropia
- Hypertonia
- Hypertriglyceridemia
- Hypodontia
- Hypogonadotropic hypogonadism
- Increased circulating prolactin concentration
- Increased subcutaneous truncal adipose tissue
- Intellectual disability, moderate
- Irregular sclerotic endplates
- Joint hypermobility
- Kyphoscoliosis
- Leukodystrophy
- Limb hypertonia
- Long fingers
- Long toe
- Low-set ears
- Myalgia
- Myopia
- Osteopenia
- Premature loss of teeth
- Premature skin wrinkling
- Recurrent otitis media
- Recurrent skin infections
- Short femur
- Short humerus
- Skeletal muscle hypertrophy
- Sparse hair
- Spasticity
- Submucous cleft soft palate
- Synophrys
- Synovitis
- Thickened calvaria
- Thin long bone diaphyses
- Thin skin
- Truncal ataxia
- Wide nasal ridge
Sometimes5–29%
26- 2-3 toe syndactyly
- Abnormal corpus striatum morphology
- Absent earlobe
- Action tremor
- Agenesis of corpus callosum
- Anteverted nares
- Ataxia
- Atlantoaxial abnormality
and 18 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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