Zellweger syndrome

A rare peroxisome biogenesis disorder (the most severe variant of Peroxisome biogenesis disorder spectrum) characterized by neuronal migration defects in the brain, dysmorphic craniofacial features, profound hypotonia, neonatal seizures, and liver dysfunction.



Input patient's signs and symptoms


Narrow down the case reports



Total: 86 (papers)

  


(per page)
Matched Phenotype  Gene  Mutation  MeSH
Rank
(Similarity)
PMID
(PMCID)
1
(63.5%)
12784304
A new autosomal recessive syndrome with Zellweger-like manifestations.
Ahn JK, Lev D, Leshinsky-Silver E, Ginzberg M, Lerman-Sagie T.
Am J Med Genet A. 2003;119A(3):352-5.
Micrognathia High forehead Upslanted palpebral fissure
SON
Child Child, Preschool Face Fatty Acids Females Genes, Recessive Homo sapiens Intellectual Disability Male Zellweger Syndrome
2
(57.8%)
22994209
Contiguous ABCD1 DXS1357E deletion syndrome: report of an autopsy case.
Iwasa M, Yamagata T, Mizuguchi M, Itoh M, Matsumoto A, Hironaka M, Honda A, Momoi MY, Shimozawa N.
Neuropathology. 2013;33(3):292-8.
Micrognathia
ABCD1 BCAP31 IDH3G PDZD4 PLXNB3 SRPK3 SSR4
ATP-Binding Cassette Transporters Autopsy Brain DNA Developmental Disabilities Dystonia Fatal Outcome Gene Deletion Homo sapiens Infant Male Microarray Analysis Phenotype Polymerase Chain Reaction Syndrome
3
(49.1%)
24382371
Oral manifestations and dental management of a child with Zellweger syndrome.
Lertsirivorakul J, Wongswadiwat M, Treesuwan P.
Spec Care Dentist. 2014;34(1):46-50.
Microdontia Clinodactyly
Child Dental Health Services Females Homo sapiens Zellweger Syndrome
4
(43.6%)
9761392
Neuropathological findings in Moebius syndrome.
Lammens M, Moerman Ph, Fryns JP, Schroder JM, Spinnewyn D, Casaer P, Dom R.
Clin Genet. 1998;54(2):136-41.
Fetal akinesia sequence Peromelia
Brain Stem Females Homo sapiens Infant, Newborn Male Spinal Cord
5
(40.2%)
3183838
Zellweger-like syndrome with detectable hepatic peroxisomes: a variant form of peroxisomal disorder.
Suzuki Y, Shimozawa N, Orii T, Igarashi N, Kono N, Matsui A, Inoue Y, Yokota S, Hashimoto T.
J Pediatr. 1988;113(5):841-5.
Large fontanelles Frontal bossing
GNPAT
Bile Acids and Salts Homo sapiens Infant, Newborn Liver Male Zellweger Syndrome
6
(39.0%)
12808498
[Zellweger syndrome. Reports on two new cases].
Caceres-Marzal C, Vaquerizo-Madrid J, Giros M, Ruiz F, Roels F.
Rev Neurol. 2003;36(11):1030-4.
Large fontanelles
Cyst Fatal Outcome Fatty Acids Homo sapiens Infant Infant, Newborn Male Phenotype Zellweger Syndrome
6
(39.0%)
1456281
Proximal 7q interstitial deletion in a severely mentally retarded and mildly abnormal infant.
Gillar PJ, Kaye CI, Ryan SG, Moore CM.
Am J Med Genet. 1992;44(2):138-41.
Plagiocephaly
Chromosome Banding Chromosome Deletion Chromosomes, Human, Pair 7 Face Hernia, Inguinal Homo sapiens Infant Intellectual Disability Male
8
(32.2%)
24030027
Zellweger syndrome: prenatal and postnatal growth failure with epiphyseal stippling.
Kumar S, Suthar R, Sharda S, Panigrahi I, Marwaha RK.
J Pediatr Endocrinol Metab. 2014;27(1-2):185-8.
Epiphyseal stippling
Growth Homo sapiens Infant Male Zellweger Syndrome
8
(32.2%)
2160110
[Symptomatic calcification in the newborn. Phenocopies of chondrodysplasia punctata].
Leicher-Duber A, Schumacher R, Spranger J.
Rofo. 1990;152(4):463-8.
Epiphyseal stippling
PEX1
4-Hydroxycoumarins Chondrodysplasia Punctata Chromosome Aberrations Chromosomes, Human, Pair 16 Females Fetal Alcohol Spectrum Disorders Homo sapiens Infant, Newborn Male Maternal-Fetal Exchange Pregnancy Zellweger Syndrome
10
(26.3%)
6879587
[A child with Zellweger's cerebrohepatorenal syndrome].
Govaerts L, Corstiaensen J, Bakkeren J, Trujbels F, Monnens L.
Tijdschr Kindergeneeskd. 1983;51(2):65-7.
High forehead
Chromosome Aberrations Genes, Recessive Hepatomegaly Homo sapiens Infant, Newborn Male Polycystic Kidney Diseases Psychomotor Disorders Syndrome
        

Phenotype(s) retrieved from Orphanet

    Total: 55

HPO ID Term Frequency
HP:0000260 Wide anterior fontanel Very frequent (99-80%)
HP:0000286 Epicanthus Very frequent (99-80%)
HP:0000348 High forehead Very frequent (99-80%)
HP:0000431 Wide nasal bridge Very frequent (99-80%)
HP:0000582 Upslanted palpebral fissure Very frequent (99-80%)
HP:0000952 Jaundice Very frequent (99-80%)
HP:0001315 Reduced tendon reflexes Very frequent (99-80%)
HP:0001399 Hepatic failure Very frequent (99-80%)
HP:0001508 Failure to thrive Very frequent (99-80%)
HP:0001522 Death in infancy Very frequent (99-80%)
HP:0002093 Respiratory insufficiency Very frequent (99-80%)
HP:0002240 Hepatomegaly Very frequent (99-80%)
HP:0002353 EEG abnormality Very frequent (99-80%)
HP:0002652 Skeletal dysplasia Very frequent (99-80%)
HP:0004322 Short stature Very frequent (99-80%)
HP:0005280 Depressed nasal bridge Very frequent (99-80%)
HP:0006829 Severe muscular hypotonia Very frequent (99-80%)
HP:0007957 Corneal opacity Very frequent (99-80%)
HP:0008167 Very long chain fatty acid accumulation Very frequent (99-80%)
HP:0008572 External ear malformation Very frequent (99-80%)
HP:0008872 Feeding difficulties in infancy Very frequent (99-80%)
HP:0010655 Epiphyseal stippling Very frequent (99-80%)
HP:0012368 Flat face Very frequent (99-80%)
HP:0012736 Profound global developmental delay Very frequent (99-80%)
HP:0100543 Cognitive impairment Very frequent (99-80%)
HP:0000003 Multicystic kidney dysplasia Frequent (79-30%)
HP:0000028 Cryptorchidism Frequent (79-30%)
HP:0000047 Hypospadias Frequent (79-30%)
HP:0000057 obsolete Clitoromegaly Frequent (79-30%)
HP:0000126 Hydronephrosis Frequent (79-30%)
HP:0000218 High palate Frequent (79-30%)
HP:0000252 Microcephaly Frequent (79-30%)
HP:0000256 Macrocephaly Frequent (79-30%)
HP:0000347 Micrognathia Frequent (79-30%)
HP:0000407 Sensorineural hearing impairment Frequent (79-30%)
HP:0000505 Visual impairment Frequent (79-30%)
HP:0000518 Cataract Frequent (79-30%)
HP:0000532 Abnormal chorioretinal morphology Frequent (79-30%)
HP:0000627 Posterior embryotoxon Frequent (79-30%)
HP:0000639 Nystagmus Frequent (79-30%)
HP:0000648 Optic atrophy Frequent (79-30%)
HP:0001250 Seizures Frequent (79-30%)
HP:0001622 Premature birth Frequent (79-30%)
HP:0002021 Pyloric stenosis Frequent (79-30%)
HP:0002024 Malabsorption Frequent (79-30%)
HP:0002126 Polymicrogyria Frequent (79-30%)
HP:0005469 Flat occiput Frequent (79-30%)
HP:0009891 Underdeveloped supraorbital ridges Frequent (79-30%)
HP:0000157 Abnormality of the tongue Occasional (29-5%)
HP:0000474 Thickened nuchal skin fold Occasional (29-5%)
HP:0000501 Glaucoma Occasional (29-5%)
HP:0001088 Brushfield spots Occasional (29-5%)
HP:0001629 Ventricular septal defect Occasional (29-5%)
HP:0001928 Abnormality of coagulation Occasional (29-5%)
HP:0008207 Primary adrenal insufficiency Occasional (29-5%)


Phenotype(s) retrieved from case reports

    Total: 44

HPO ID Term # of case reports
HP:0001250 Seizures 5
HP:0002240 Hepatomegaly 4
HP:0000803 Renal cortical cysts 2
HP:0010655 Epiphyseal stippling 2
HP:0032368 Acidemia 2
HP:0000028 Cryptorchidism 1
HP:0000066 Labial hypoplasia 1
HP:0000239 Large fontanelles 1
HP:0000347 Micrognathia 1
HP:0000348 High forehead 1
HP:0000463 Anteverted nares 1
HP:0000582 Upslanted palpebral fissure 1
HP:0000821 Hypothyroidism 1
HP:0001265 Hyporeflexia 1
HP:0001276 Hypertonia 1
HP:0001302 Pachygyria 1
HP:0001319 Neonatal hypotonia 1
HP:0001321 Cerebellar hypoplasia 1
HP:0001394 Cirrhosis 1
HP:0001396 Cholestasis 1
HP:0001433 Hepatosplenomegaly 1
HP:0001508 Failure to thrive 1
HP:0001518 Small for gestational age 1
HP:0001800 Hypoplastic toenails 1
HP:0001987 Hyperammonemia 1
HP:0002007 Frontal bossing 1
HP:0002089 Pulmonary hypoplasia 1
HP:0002375 Hypokinesia 1
HP:0002539 Cortical dysplasia 1
HP:0002617 Dilatation 1
HP:0002835 Aspiration 1
HP:0003159 Hyperoxaluria 1
HP:0003235 Hypermethioninemia 1
HP:0003530 Glutaric acidemia 1
HP:0004395 Malnutrition 1
HP:0006829 Severe muscular hypotonia 1
HP:0010880 Increased nuchal translucency 1
HP:0011220 Prominent forehead 1
HP:0012418 Hypoxemia 1
HP:0012804 Corneal ulceration 1
HP:0025356 Psychomotor retardation 1
HP:0030048 Colpocephaly 1
HP:0031690 Opportunistic infection 1
HP:0100662 Chondritis 1


Causative gene(s) retrieved from Orphanet

    Total: 13

Gene Symbol Gene Name Entrez Gene ID
PEX11B peroxisomal biogenesis factor 11 beta 8799
PEX2 peroxisomal biogenesis factor 2 5828
PEX1 peroxisomal biogenesis factor 1 5189
PEX10 peroxisomal biogenesis factor 10 5192
PEX12 peroxisomal biogenesis factor 12 5193
PEX13 peroxisomal biogenesis factor 13 5194
PEX14 peroxisomal biogenesis factor 14 5195
PEX16 peroxisomal biogenesis factor 16 9409
PEX19 peroxisomal biogenesis factor 19 5824
PEX26 peroxisomal biogenesis factor 26 55670
PEX3 peroxisomal biogenesis factor 3 8504
PEX5 peroxisomal biogenesis factor 5 5830
PEX6 peroxisomal biogenesis factor 6 5190