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Frias syndrome

MedGen UID:
400621
Concept ID:
C1864825
Disease or Syndrome
Synonyms: 14q22q23 microdeletion syndrome; CHROMOSOME 14q22 DELETION SYNDROME; Growth deficiency, facial anomalies, and brachydactyly
SNOMED CT: Monosomy 14q22q23 (771439009); 14q22q23 microdeletion syndrome (771439009); 14q22-q23 microdeletion syndrome (771439009); Monosomy 14q22-q23 (771439009)
 
Monarch Initiative: MONDO:0012324
OMIM®: 609640
Orphanet: ORPHA264200

Definition

Frias syndrome is characterized by mild exophthalmia, palpebral ptosis, hypertelorism, short square hands with minimal proximal syndactyly between the second and third fingers, small broad great toes, and short stature. Some patients may exhibit bilateral pedunculated postminimi (summary by Martinez-Fernandez et al., 2014). [from OMIM]

Clinical features

From HPO
Short stature
MedGen UID:
87607
Concept ID:
C0349588
Finding
A height below that which is expected according to age and gender norms. Although there is no universally accepted definition of short stature, many refer to "short stature" as height more than 2 standard deviations below the mean for age and gender (or below the 3rd percentile for age and gender dependent norms).
Posteriorly rotated ears
MedGen UID:
96566
Concept ID:
C0431478
Congenital Abnormality
A type of abnormal location of the ears in which the position of the ears is characterized by posterior rotation (the superior part of the ears is rotated towards the back of the head, and the inferior part of the ears towards the front).
Cupped ear
MedGen UID:
335186
Concept ID:
C1845447
Congenital Abnormality
Laterally protruding ear that lacks antihelical folding (including absence of inferior and superior crura).
Global developmental delay
MedGen UID:
107838
Concept ID:
C0557874
Finding
A delay in the achievement of motor or mental milestones in the domains of development of a child, including motor skills, speech and language, cognitive skills, and social and emotional skills. This term should only be used to describe children younger than five years of age.
Micrognathia
MedGen UID:
44428
Concept ID:
C0025990
Congenital Abnormality
Developmental hypoplasia of the mandible.
Downslanted palpebral fissures
MedGen UID:
98391
Concept ID:
C0423110
Finding
The palpebral fissure inclination is more than two standard deviations below the mean.
Ptosis
MedGen UID:
2287
Concept ID:
C0005745
Disease or Syndrome
The upper eyelid margin is positioned 3 mm or more lower than usual and covers the superior portion of the iris (objective); or, the upper lid margin obscures at least part of the pupil (subjective).
Proptosis
MedGen UID:
41917
Concept ID:
C0015300
Disease or Syndrome
An eye that is protruding anterior to the plane of the face to a greater extent than is typical.
Hypertelorism
MedGen UID:
9373
Concept ID:
C0020534
Finding
Although hypertelorism means an excessive distance between any paired organs (e.g., the nipples), the use of the word has come to be confined to ocular hypertelorism. Hypertelorism occurs as an isolated feature and is also a feature of many syndromes, e.g., Opitz G syndrome (see 300000), Greig cephalopolysyndactyly (175700), and Noonan syndrome (163950) (summary by Cohen et al., 1995).

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFrias syndrome
Follow this link to review classifications for Frias syndrome in Orphanet.

Recent clinical studies

Etiology

Kakajiwala A, Chiotos K, Brothers J, Lederman A, Amaral S
Pediatr Nephrol 2016 Dec;31(12):2249-2251. Epub 2016 Jan 27 doi: 10.1007/s00467-015-3305-1. PMID: 26815660Free PMC Article
Hernandez F, Andres AM, Encinas JL, Domínguez E, Gamez M, Murcia FJ, Leal N, Martinez L, Molina M, Ramos E, Sarria J, Martinez-Ojinaga E, Prieto G, Frauca E, Lopez-Santamaria M
Pediatr Transplant 2013 Sep;17(6):556-60. doi: 10.1111/petr.12124. PMID: 23890077
Galán-Gómez E, Sánchez EB, Arias-Castro S, Cardesa-García JJ
Eur J Med Genet 2007 Mar-Apr;50(2):144-8. Epub 2007 Jan 20 doi: 10.1016/j.ejmg.2006.12.001. PMID: 17321227

Diagnosis

Cruz L, Schnur RE, Post EM, Bodagala H, Ahmed R, Smith C, Lulis LB, Stahl GE, Kushnir A
J Perinatol 2014 Dec;34(12):948-50. doi: 10.1038/jp.2014.162. PMID: 25421130
Patel RV, Kumar H, More B, Rajimwale A
BMJ Case Rep 2014 Jan 24;2014 doi: 10.1136/bcr-2013-200477. PMID: 24464842Free PMC Article
Martínez-Fernández ML, Bermejo-Sánchez E, Fernández B, MacDonald A, Fernández-Toral J, Martínez-Frías ML
Am J Med Genet A 2014 Feb;164A(2):338-45. Epub 2013 Dec 5 doi: 10.1002/ajmg.a.36224. PMID: 24311462
Martinovici D, Ransy V, Vanden Eijnden S, Ridremont C, Pardou A, Cassart M, Avni F, Donner C, Lingier P, Mathieu A, Gulbis B, De Brouckère V, Cnop M, Abramowicz M, Désir J
Eur J Med Genet 2010 Jan-Feb;53(1):25-8. Epub 2009 Nov 1 doi: 10.1016/j.ejmg.2009.10.004. PMID: 19887127
Galán-Gómez E, Sánchez EB, Arias-Castro S, Cardesa-García JJ
Eur J Med Genet 2007 Mar-Apr;50(2):144-8. Epub 2007 Jan 20 doi: 10.1016/j.ejmg.2006.12.001. PMID: 17321227

Therapy

Hernandez F, Andres AM, Encinas JL, Domínguez E, Gamez M, Murcia FJ, Leal N, Martinez L, Molina M, Ramos E, Sarria J, Martinez-Ojinaga E, Prieto G, Frauca E, Lopez-Santamaria M
Pediatr Transplant 2013 Sep;17(6):556-60. doi: 10.1111/petr.12124. PMID: 23890077

Prognosis

Estefanía-Fernández K, Andrés A, Alcolea A, Velayos-López M, Pastrían LG, Ramírez-Amorós C, Gonzalez R, Sarría M, Ramos E, López-Santamaria M, Hernández F
Pediatr Transplant 2022 Aug;26(5):e14270. Epub 2022 Mar 20 doi: 10.1111/petr.14270. PMID: 35307919
Cruz L, Schnur RE, Post EM, Bodagala H, Ahmed R, Smith C, Lulis LB, Stahl GE, Kushnir A
J Perinatol 2014 Dec;34(12):948-50. doi: 10.1038/jp.2014.162. PMID: 25421130
Martinovici D, Ransy V, Vanden Eijnden S, Ridremont C, Pardou A, Cassart M, Avni F, Donner C, Lingier P, Mathieu A, Gulbis B, De Brouckère V, Cnop M, Abramowicz M, Désir J
Eur J Med Genet 2010 Jan-Feb;53(1):25-8. Epub 2009 Nov 1 doi: 10.1016/j.ejmg.2009.10.004. PMID: 19887127
Galán-Gómez E, Sánchez EB, Arias-Castro S, Cardesa-García JJ
Eur J Med Genet 2007 Mar-Apr;50(2):144-8. Epub 2007 Jan 20 doi: 10.1016/j.ejmg.2006.12.001. PMID: 17321227

Clinical prediction guides

Martínez-Fernández ML, Bermejo-Sánchez E, Fernández B, MacDonald A, Fernández-Toral J, Martínez-Frías ML
Am J Med Genet A 2014 Feb;164A(2):338-45. Epub 2013 Dec 5 doi: 10.1002/ajmg.a.36224. PMID: 24311462
Bershof JF, Guyuron B, Olsen MM
J Craniomaxillofac Surg 1992 Jan;20(1):24-7. doi: 10.1016/s1010-5182(05)80192-1. PMID: 1564117
Wilson GN, Oliver WJ
J Med Genet 1988 Mar;25(3):157-63. doi: 10.1136/jmg.25.3.157. PMID: 3351901Free PMC Article

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