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Hepatic fibrosis-renal cysts-intellectual disability syndrome

MedGen UID:
Concept ID:
Disease or Syndrome
Synonym: Cerebellar vermis aplasia with associated features suggesting Smith-Lemli-Opitz syndrome and Meckel syndrome
Monarch Initiative: MONDO:0008941
OMIM®: 213010
Orphanet: ORPHA2031


Hepatic fibrosis-renal cysts-intellectual disability syndrome is a rare, syndromic intellectual disability characterized by early developmental delay with failure to thrive, intellectual disability, congenital hepatic fibrosis, renal cystic dysplasia, and dysmorphic facial features (bilateral ptosis, anteverted nostrils, high arched palate, and micrognathia). Variable additional features have been reported, including cerebellar anomalies, postaxial polydactyly, syndactyly, genital anomalies, tachypnea. There have been no further descriptions in the literature since 1987. [from ORDO]

Clinical features

From HPO
Abnormality of the urinary system
MedGen UID:
Concept ID:
Disease or Syndrome
An abnormality of the urinary system.
Postaxial polydactyly
MedGen UID:
Concept ID:
Disease or Syndrome
Polydactyly refers to the occurrence of supernumerary digits and is the most frequent of congenital hand and foot deformities. Based on the location of the extra digits, polydactyly can be classified into preaxial, involving the thumb or great toe; postaxial, affecting the fifth digit; and central, involving the 3 central digits. Postaxial polydactyly (PAP) is further subclassified into 2 types: in type A, a well-formed extra digit articulates with the fifth or a sixth metacarpal, whereas in type B, a rudimentary, poorly developed extra digit is present (summary by Umm-e-Kalsoom et al., 2012). Genetic Heterogeneity of Postaxial Polydactyly Other forms of postaxial polydactyly type A include PAPA2 (602085) on chromosome 13q21; PAPA3 (607324) on chromosome 19p13; PAPA4 (608562) on chromosome 7q22; PAPA5 (263450) on chromosome 13q13; PAPA6 (615226), caused by mutation in the ZNF141 gene (194648) on chromosome 4p16; PAPA7 (617642), caused by mutation in the IQCE gene (617631) on chromosome 7p22; PAPA8 (618123), caused by mutation in the GLI1 gene (165220) on chromosome 12q13; PAPA9 (618219), caused by mutation in the FAM98A gene (617273) on chromosome 8q22; and PAPA10 (618498), caused by mutation in the KIAA0825 gene (617266) on chromosome 5q15.
Periportal fibrosis
MedGen UID:
Concept ID:
Disease or Syndrome
The presence of fibrosis affecting the interlobular stroma of liver.
Occipital encephalocele
MedGen UID:
Concept ID:
Congenital Abnormality
A type of encephalocele (that is, a a protrusion of part of the cranial contents including brain tissue through a congenital opening in the cranium, typically covered with skin or mucous membrane) in the occipital region of the skull. Occipital encephalocele presents as a midline swelling over the occipital bone. It is usually covered with normal full-thickness scalp.
Agenesis of cerebellar vermis
MedGen UID:
Concept ID:
Congenital Abnormality
Congenital absence of the vermis of cerebellum.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVHepatic fibrosis-renal cysts-intellectual disability syndrome
Follow this link to review classifications for Hepatic fibrosis-renal cysts-intellectual disability syndrome in Orphanet.

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