Smith-Lemli-Opitz syndrome
- Synonyms
- 7-Dehydrocholesterol reductase deficiency; LETHAL ACRODYSGENITAL SYNDROME; POLYDACTYLY, SEX REVERSAL, RENAL HYPOPLASIA, AND UNILOBAR LUNG; RSH syndrome; RUTLEDGE LETHAL MULTIPLE CONGENITAL ANOMALY SYNDROME; SLO syndrome type 1; Smith-Lemli-Opitz syndrome type 1
- Modes of inheritance
- Autosomal recessive inheritance (Orphanet)
Summary
Excerpted from the GeneReview:- Full text of GeneReview (by section):
- Summary
- Diagnosis
- Clinical Characteristics
- Genetically Related (Allelic) Disorders
- Differential Diagnosis
- Management
- Genetic Counseling
- Resources
- Molecular Genetics
- Chapter Notes
- References
- Authors:
- Malgorzata JM Nowaczyk
- Christopher A Wassif
- view full author information
Available tests
Check Related conditions for additional relevant tests.
Clinical features
Help- Abnormality of head or neck
- Anteverted nares
Anteverted nares
- MedGen UID: 326648
- Concept ID: C1840077
- Finding: Finding
Abnormality of head or neck
- Bifid uvula
Bifid uvula
- MedGen UID: 1646931
- Concept ID: C4551488
- Finding: Congenital Abnormality
Abnormality of head or neck
- Broad alveolar ridges
Broad alveolar ridges
- MedGen UID: 347470
- Concept ID: C1857500
- Finding: Finding
Abnormality of head or neck
- Cleft palate
Cleft palate
- MedGen UID: 756015
- Concept ID: C2981150
- Finding: Congenital Abnormality
Abnormality of head or neck
- Dental crowding
Dental crowding
- MedGen UID: 11850
- Concept ID: C0040433
- Finding: Finding
Abnormality of head or neck
- Depressed nasal bridge
Depressed nasal bridge
- MedGen UID: 373112
- Concept ID: C1836542
- Finding: Finding
Abnormality of head or neck
- Epicanthus
Epicanthus
- MedGen UID: 151862
- Concept ID: C0678230
- Finding: Congenital Abnormality
Abnormality of head or neck
- Long philtrum
Long philtrum
- MedGen UID: 351278
- Concept ID: C1865014
- Finding: Finding
Abnormality of head or neck
- Microglossia
Microglossia
- MedGen UID: 10029
- Concept ID: C0025988
- Finding: Congenital Abnormality
Abnormality of head or neck
- Narrow forehead
Narrow forehead
- MedGen UID: 326956
- Concept ID: C1839758
- Finding: Finding
Abnormality of head or neck
- Wide nasal bridge
Wide nasal bridge
- MedGen UID: 341441
- Concept ID: C1849367
- Finding: Finding
Abnormality of head or neck
- Anteverted nares
- Abnormality of limbs
- 2-3 toe cutaneous syndactyly
2-3 toe cutaneous syndactyly
- MedGen UID: 98470
- Concept ID: C0432040
- Finding: Congenital Abnormality
Abnormality of limbs
- 2-3 toe syndactyly
2-3 toe syndactyly
- MedGen UID: 1645640
- Concept ID: C4551570
- Finding: Congenital Abnormality
Abnormality of limbs
- Hammertoe
Hammertoe
- MedGen UID: 209712
- Concept ID: C1136179
- Finding: Anatomical Abnormality
Abnormality of limbs
- Hip subluxation
Hip subluxation
- MedGen UID: 140946
- Concept ID: C0434785
- Finding: Injury or Poisoning
Abnormality of limbs
- Metatarsus adductus
Metatarsus adductus
- MedGen UID: 898667
- Concept ID: C4082169
- Finding: Anatomical Abnormality
Abnormality of limbs
- Micromelia
Micromelia
- MedGen UID: 10031
- Concept ID: C0025995
- Finding: Congenital Abnormality
Abnormality of limbs
- Overlapping toe
Overlapping toe
- MedGen UID: 182531
- Concept ID: C0920299
- Finding: Anatomical Abnormality
Abnormality of limbs
- Postaxial foot polydactyly
Postaxial foot polydactyly
- MedGen UID: 384489
- Concept ID: C2112129
- Finding: Finding
Abnormality of limbs
- Postaxial hand polydactyly
Postaxial hand polydactyly
- MedGen UID: 609221
- Concept ID: C0431904
- Finding: Congenital Abnormality
Abnormality of limbs
- Proximal placement of thumb
Proximal placement of thumb
- MedGen UID: 356033
- Concept ID: C1865572
- Finding: Finding
Abnormality of limbs
- Short thumb
Short thumb
- MedGen UID: 98469
- Concept ID: C0431890
- Finding: Congenital Abnormality
Abnormality of limbs
- Short toe
Short toe
- MedGen UID: 322858
- Concept ID: C1836195
- Finding: Finding
Abnormality of limbs
- Talipes calcaneovalgus
Talipes calcaneovalgus
- MedGen UID: 56270
- Concept ID: C0152237
- Finding: Anatomical Abnormality
Abnormality of limbs
- 2-3 toe cutaneous syndactyly
- Abnormality of metabolism/homeostasis
- Elevated circulating 7-dehydrocholesterol concentration
Elevated circulating 7-dehydrocholesterol concentration
- MedGen UID: 376537
- Concept ID: C1849185
- Finding: Finding
Abnormality of metabolism/homeostasis
- Hypoalbuminemia
Hypoalbuminemia
- MedGen UID: 68694
- Concept ID: C0239981
- Finding: Finding
Abnormality of metabolism/homeostasis
- Hypocholesterolemia
Hypocholesterolemia
- MedGen UID: 57479
- Concept ID: C0151718
- Finding: Disease or Syndrome
Abnormality of metabolism/homeostasis
- Elevated circulating 7-dehydrocholesterol concentration
- Abnormality of prenatal development or birth
- Breech presentation
Breech presentation
- MedGen UID: 654
- Concept ID: C0006157
- Finding: Pathologic Function
Abnormality of prenatal development or birth
- Decreased fetal movement
Decreased fetal movement
- MedGen UID: 68618
- Concept ID: C0235659
- Finding: Finding
Abnormality of prenatal development or birth
- Premature birth
Premature birth
- MedGen UID: 57721
- Concept ID: C0151526
- Finding: Pathologic Function
Abnormality of prenatal development or birth
- Breech presentation
- Abnormality of the cardiovascular system
- Atrial septal defect
Atrial septal defect
- MedGen UID: 6753
- Concept ID: C0018817
- Finding: Congenital Abnormality
Abnormality of the cardiovascular system
- Coarctation of aorta
Coarctation of aorta
- MedGen UID: 1617
- Concept ID: C0003492
- Finding: Congenital Abnormality
Abnormality of the cardiovascular system
- Hypertensive disorder
Hypertensive disorder
- MedGen UID: 6969
- Concept ID: C0020538
- Finding: Disease or Syndrome
Abnormality of the cardiovascular system
- Hypertrophic cardiomyopathy
Hypertrophic cardiomyopathy
- MedGen UID: 2881
- Concept ID: C0007194
- Finding: Disease or Syndrome
Abnormality of the cardiovascular system
- Patent ductus arteriosus
Patent ductus arteriosus
- MedGen UID: 4415
- Concept ID: C0013274
- Finding: Congenital Abnormality
Abnormality of the cardiovascular system
- Ventricular fibrillation
Ventricular fibrillation
- MedGen UID: 21844
- Concept ID: C0042510
- Finding: Disease or Syndrome
Abnormality of the cardiovascular system
- Ventricular septal defect
Ventricular septal defect
- MedGen UID: 42366
- Concept ID: C0018818
- Finding: Congenital Abnormality
Abnormality of the cardiovascular system
- Atrial septal defect
- Abnormality of the digestive system
- Abdominal distention
Abdominal distention
- MedGen UID: 34
- Concept ID: C0000731
- Finding: Finding
Abnormality of the digestive system
- Cholestatic liver disease
Cholestatic liver disease
- MedGen UID: 163651
- Concept ID: C0860204
- Finding: Disease or Syndrome
Abnormality of the digestive system
- Cirrhosis of liver
Cirrhosis of liver
- MedGen UID: 7368
- Concept ID: C0023890
- Finding: Disease or Syndrome
Abnormality of the digestive system
- Constipation
Constipation
- MedGen UID: 1101
- Concept ID: C0009806
- Finding: Sign or Symptom
Abnormality of the digestive system
- Feeding difficulties
Feeding difficulties
- MedGen UID: 65429
- Concept ID: C0232466
- Finding: Finding
Abnormality of the digestive system
- Gastroesophageal reflux
Gastroesophageal reflux
- MedGen UID: 1368658
- Concept ID: C4317146
- Finding: Finding
Abnormality of the digestive system
- Gastrointestinal dysmotility
Gastrointestinal dysmotility
- MedGen UID: 324638
- Concept ID: C1836923
- Finding: Finding
Abnormality of the digestive system
- Hepatic steatosis
Hepatic steatosis
- MedGen UID: 398225
- Concept ID: C2711227
- Finding: Disease or Syndrome
Abnormality of the digestive system
- Hepatomegaly
Hepatomegaly
- MedGen UID: 42428
- Concept ID: C0019209
- Finding: Finding
Abnormality of the digestive system
- Intestinal malrotation
Intestinal malrotation
- MedGen UID: 113153
- Concept ID: C0221210
- Finding: Congenital Abnormality
Abnormality of the digestive system
- Poor suck
Poor suck
- MedGen UID: 324693
- Concept ID: C1837142
- Finding: Finding
Abnormality of the digestive system
- Pyloric stenosis
Pyloric stenosis
- MedGen UID: 18780
- Concept ID: C0034194
- Finding: Pathologic Function
Abnormality of the digestive system
- Vomiting
Vomiting
- MedGen UID: 12124
- Concept ID: C0042963
- Finding: Sign or Symptom
Abnormality of the digestive system
- Abdominal distention
- Abnormality of the ear
- Hearing impairment
Hearing impairment
- MedGen UID: 235586
- Concept ID: C1384666
- Finding: Disease or Syndrome
Abnormality of the ear
- Low-set ears
Low-set ears
- MedGen UID: 65980
- Concept ID: C0239234
- Finding: Congenital Abnormality
Abnormality of the ear
- Posteriorly rotated ears
Posteriorly rotated ears
- MedGen UID: 96566
- Concept ID: C0431478
- Finding: Congenital Abnormality
Abnormality of the ear
- Hearing impairment
- Abnormality of the endocrine system
- Precocious puberty
Precocious puberty
- MedGen UID: 18752
- Concept ID: C0034013
- Finding: Disease or Syndrome
Abnormality of the endocrine system
- Precocious puberty
- Abnormality of the eye
- Cataract
Cataract
- MedGen UID: 39462
- Concept ID: C0086543
- Finding: Disease or Syndrome
Abnormality of the eye
- Hypertelorism
Hypertelorism
- MedGen UID: 9373
- Concept ID: C0020534
- Finding: Finding
Abnormality of the eye
- Nystagmus
Nystagmus
- MedGen UID: 45166
- Concept ID: C0028738
- Finding: Disease or Syndrome
Abnormality of the eye
- Ptosis
Ptosis
- MedGen UID: 2287
- Concept ID: C0005745
- Finding: Disease or Syndrome
Abnormality of the eye
- Strabismus
Strabismus
- MedGen UID: 21337
- Concept ID: C0038379
- Finding: Disease or Syndrome
Abnormality of the eye
- Cataract
- Abnormality of the genitourinary system
- Ambiguous genitalia
Ambiguous genitalia
- MedGen UID: 78596
- Concept ID: C0266362
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Bicornuate uterus
Bicornuate uterus
- MedGen UID: 78599
- Concept ID: C0266387
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Bifid scrotum
Bifid scrotum
- MedGen UID: 90968
- Concept ID: C0341787
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Cryptorchidism
Cryptorchidism
- MedGen UID: 8192
- Concept ID: C0010417
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Duplicated collecting system
Duplicated collecting system
- MedGen UID: 346936
- Concept ID: C1858565
- Finding: Anatomical Abnormality
Abnormality of the genitourinary system
- Hydronephrosis
Hydronephrosis
- MedGen UID: 42531
- Concept ID: C0020295
- Finding: Disease or Syndrome
Abnormality of the genitourinary system
- Hypoplasia of scrotum
Hypoplasia of scrotum
- MedGen UID: 98138
- Concept ID: C0431659
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Hypospadias
Hypospadias
- MedGen UID: 163083
- Concept ID: C0848558
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Micropenis
Micropenis
- MedGen UID: 1633603
- Concept ID: C4551492
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Penoscrotal hypospadias
Penoscrotal hypospadias
- MedGen UID: 105291
- Concept ID: C0452147
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Renal agenesis
Renal agenesis
- MedGen UID: 154237
- Concept ID: C0542519
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Renal cyst
Renal cyst
- MedGen UID: 854361
- Concept ID: C3887499
- Finding: Disease or Syndrome
Abnormality of the genitourinary system
- Renal hypoplasia
Renal hypoplasia
- MedGen UID: 120571
- Concept ID: C0266295
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Septate vagina
Septate vagina
- MedGen UID: 82741
- Concept ID: C0266411
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Unilateral renal agenesis
Unilateral renal agenesis
- MedGen UID: 75607
- Concept ID: C0266294
- Finding: Congenital Abnormality
Abnormality of the genitourinary system
- Ureteropelvic junction obstruction
Ureteropelvic junction obstruction
- MedGen UID: 105482
- Concept ID: C0521619
- Finding: Anatomical Abnormality
Abnormality of the genitourinary system
- Ambiguous genitalia
- Abnormality of the immune system
- Eczema
Eczema
- MedGen UID: 3968
- Concept ID: C0013595
- Finding: Disease or Syndrome
Abnormality of the immune system
- Recurrent otitis media
Recurrent otitis media
- MedGen UID: 155436
- Concept ID: C0747085
- Finding: Disease or Syndrome
Abnormality of the immune system
- Splenomegaly
Splenomegaly
- MedGen UID: 52469
- Concept ID: C0038002
- Finding: Finding
Abnormality of the immune system
- Eczema
- Abnormality of the integument
- Sacral dimple
Sacral dimple
- MedGen UID: 98428
- Concept ID: C0426848
- Finding: Finding
Abnormality of the integument
- Severe photosensitivity
Severe photosensitivity
- MedGen UID: 341399
- Concept ID: C1849186
- Finding: Finding
Abnormality of the integument
- Sacral dimple
- Abnormality of the musculoskeletal system
- Dandy-Walker syndrome
Dandy-Walker syndrome
- MedGen UID: 4150
- Concept ID: C0010964
- Finding: Disease or Syndrome
Abnormality of the musculoskeletal system
- Epiphyseal stippling
Epiphyseal stippling
- MedGen UID: 349104
- Concept ID: C1859126
- Finding: Finding
Abnormality of the musculoskeletal system
- Generalized hypotonia
Generalized hypotonia
- MedGen UID: 346841
- Concept ID: C1858120
- Finding: Finding
Abnormality of the musculoskeletal system
- Hip dislocation
Hip dislocation
- MedGen UID: 42455
- Concept ID: C0019554
- Finding: Injury or Poisoning
Abnormality of the musculoskeletal system
- Hypertonia
Hypertonia
- MedGen UID: 10132
- Concept ID: C0026826
- Finding: Finding
Abnormality of the musculoskeletal system
- Hypotonia
Hypotonia
- MedGen UID: 10133
- Concept ID: C0026827
- Finding: Finding
Abnormality of the musculoskeletal system
- Microcephaly
Microcephaly
- MedGen UID: 1644158
- Concept ID: C4551563
- Finding: Finding
Abnormality of the musculoskeletal system
- Micrognathia
Micrognathia
- MedGen UID: 44428
- Concept ID: C0025990
- Finding: Congenital Abnormality
Abnormality of the musculoskeletal system
- Microretrognathia
Microretrognathia
- MedGen UID: 326907
- Concept ID: C1839546
- Finding: Finding
Abnormality of the musculoskeletal system
- Dandy-Walker syndrome
- Abnormality of the nervous system
- Aganglionic megacolon
Aganglionic megacolon
- MedGen UID: 5559
- Concept ID: C0019569
- Finding: Disease or Syndrome
Abnormality of the nervous system
- Aggressive behavior
Aggressive behavior
- MedGen UID: 1375
- Concept ID: C0001807
- Finding: Individual Behavior
Abnormality of the nervous system
- Arachnoid cyst
Arachnoid cyst
- MedGen UID: 86860
- Concept ID: C0078981
- Finding: Disease or Syndrome
Abnormality of the nervous system
- Autism
Autism
- MedGen UID: 13966
- Concept ID: C0004352
- Finding: Mental or Behavioral Dysfunction
Abnormality of the nervous system
- Cerebellar atrophy
Cerebellar atrophy
- MedGen UID: 196624
- Concept ID: C0740279
- Finding: Disease or Syndrome
Abnormality of the nervous system
- Chiari type I malformation
Chiari type I malformation
- MedGen UID: 196689
- Concept ID: C0750929
- Finding: Congenital Abnormality
Abnormality of the nervous system
- Colpocephaly
Colpocephaly
- MedGen UID: 98131
- Concept ID: C0431384
- Finding: Congenital Abnormality
Abnormality of the nervous system
- Diffuse cerebral atrophy
Diffuse cerebral atrophy
- MedGen UID: 108958
- Concept ID: C0598275
- Finding: Finding
Abnormality of the nervous system
- Global brain atrophy
Global brain atrophy
- MedGen UID: 66840
- Concept ID: C0241816
- Finding: Pathologic Function
Abnormality of the nervous system
- Global developmental delay
Global developmental delay
- MedGen UID: 107838
- Concept ID: C0557874
- Finding: Finding
Abnormality of the nervous system
- Holoprosencephaly sequence
Holoprosencephaly sequence
- MedGen UID: 38214
- Concept ID: C0079541
- Finding: Congenital Abnormality
Abnormality of the nervous system
- Hydrocephalus
Hydrocephalus
- MedGen UID: 9335
- Concept ID: C0020255
- Finding: Disease or Syndrome
Abnormality of the nervous system
- Hyperactivity
Hyperactivity
- MedGen UID: 98406
- Concept ID: C0424295
- Finding: Finding
Abnormality of the nervous system
- Hypoplasia of the corpus callosum
Hypoplasia of the corpus callosum
- MedGen UID: 138005
- Concept ID: C0344482
- Finding: Congenital Abnormality
Abnormality of the nervous system
- Hypoplasia of the frontal lobes
Hypoplasia of the frontal lobes
- MedGen UID: 341396
- Concept ID: C1849172
- Finding: Finding
Abnormality of the nervous system
- Intellectual disability
Intellectual disability
- MedGen UID: 811461
- Concept ID: C3714756
- Finding: Mental or Behavioral Dysfunction
Abnormality of the nervous system
- Partial agenesis of the corpus callosum
Partial agenesis of the corpus callosum
- MedGen UID: 98127
- Concept ID: C0431368
- Finding: Congenital Abnormality
Abnormality of the nervous system
- Periventricular heterotopia
Periventricular heterotopia
- MedGen UID: 1766888
- Concept ID: C5399973
- Finding: Disease or Syndrome
Abnormality of the nervous system
- Seizure
Seizure
- MedGen UID: 20693
- Concept ID: C0036572
- Finding: Sign or Symptom
Abnormality of the nervous system
- Self-mutilation
Self-mutilation
- MedGen UID: 19925
- Concept ID: C0036601
- Finding: Injury or Poisoning
Abnormality of the nervous system
- Sleep-wake cycle disturbance
Sleep-wake cycle disturbance
- MedGen UID: 371548
- Concept ID: C1833362
- Finding: Finding
Abnormality of the nervous system
- Aganglionic megacolon
- Abnormality of the respiratory system
- Abnormal lung lobation
Abnormal lung lobation
- MedGen UID: 195782
- Concept ID: C0685695
- Finding: Congenital Abnormality
Abnormality of the respiratory system
- Pulmonary hypoplasia
Pulmonary hypoplasia
- MedGen UID: 78574
- Concept ID: C0265783
- Finding: Congenital Abnormality
Abnormality of the respiratory system
- Abnormal lung lobation
- Growth abnormality
- Failure to thrive
Failure to thrive
- MedGen UID: 746019
- Concept ID: C2315100
- Finding: Disease or Syndrome
Growth abnormality
- Fetal growth restriction
Fetal growth restriction
- MedGen UID: 4693
- Concept ID: C0015934
- Finding: Pathologic Function
Growth abnormality
- Growth delay
Growth delay
- MedGen UID: 99124
- Concept ID: C0456070
- Finding: Pathologic Function
Growth abnormality
- Short stature
Short stature
- MedGen UID: 87607
- Concept ID: C0349588
- Finding: Finding
Growth abnormality
- Failure to thrive
- Neoplasm
- Facial capillary hemangioma
Facial capillary hemangioma
- MedGen UID: 347662
- Concept ID: C1858545
- Finding: Finding
Neoplasm
- Facial capillary hemangioma
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