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MORM syndrome(MORMS)

MedGen UID:
341851
Concept ID:
C1857802
Disease or Syndrome
Synonyms: Mental retardation, truncal obesity, retinal dystrophy and micropenis; MORMS
SNOMED CT: Intellectual disability, truncal obesity, retinal dystrophy and micropenis syndrome (715628009); MORM syndrome (715628009); Mental retardation, truncal obesity, retinal dystrophy and micropenis syndrome (715628009); MORM (mental retardation, truncal obesity, retinal dystrophy, micropenis) syndrome (715628009)
Modes of inheritance:
Autosomal recessive inheritance
MedGen UID:
141025
Concept ID:
C0441748
Intellectual Product
Source: Orphanet
A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in individuals with two pathogenic alleles, either homozygotes (two copies of the same mutant allele) or compound heterozygotes (whereby each copy of a gene has a distinct mutant allele).
 
Gene (location): INPP5E (9q34.3)
 
Monarch Initiative: MONDO:0012423
OMIM®: 610156
Orphanet: ORPHA75858

Definition

Impaired intellectual development, truncal obesity, retinal dystrophy, and micropenis syndrome (MORMS) is an autosomal recessive disorder characterized by these findings (Hampshire et al., 2006). [from OMIM]

Clinical features

From HPO
Micropenis
MedGen UID:
1633603
Concept ID:
C4551492
Congenital Abnormality
Abnormally small penis. At birth, the normal penis is about 3 cm (stretched length from pubic tubercle to tip of penis) with micropenis less than 2.0-2.5 cm.
Childhood-onset truncal obesity
MedGen UID:
348475
Concept ID:
C1859846
Finding
Truncal obesity with onset during childhood, defined as between 2 and 10 years of age.
Truncal obesity
MedGen UID:
1637490
Concept ID:
C4551560
Finding
Obesity located preferentially in the trunk of the body as opposed to the extremities.
Intellectual disability, moderate
MedGen UID:
7680
Concept ID:
C0026351
Mental or Behavioral Dysfunction
Moderate mental retardation is defined as an intelligence quotient (IQ) in the range of 35-49.
Spasticity
MedGen UID:
7753
Concept ID:
C0026838
Sign or Symptom
A motor disorder characterized by a velocity-dependent increase in tonic stretch reflexes with increased muscle tone, exaggerated (hyperexcitable) tendon reflexes.
Delayed speech and language development
MedGen UID:
105318
Concept ID:
C0454644
Finding
A degree of language development that is significantly below the norm for a child of a specified age.
Hypotonia
MedGen UID:
10133
Concept ID:
C0026827
Finding
Hypotonia is an abnormally low muscle tone (the amount of tension or resistance to movement in a muscle). Even when relaxed, muscles have a continuous and passive partial contraction which provides some resistance to passive stretching. Hypotonia thus manifests as diminished resistance to passive stretching. Hypotonia is not the same as muscle weakness, although the two conditions can co-exist.
Night blindness
MedGen UID:
10349
Concept ID:
C0028077
Disease or Syndrome
Inability to see well at night or in poor light.
Cataract
MedGen UID:
39462
Concept ID:
C0086543
Disease or Syndrome
A cataract is an opacity or clouding that develops in the crystalline lens of the eye or in its capsule.
Reduced visual acuity
MedGen UID:
65889
Concept ID:
C0234632
Finding
Diminished clarity of vision.
Retinal dystrophy
MedGen UID:
208903
Concept ID:
C0854723
Finding
Retinal dystrophy is an abnormality of the retina associated with a hereditary process. Retinal dystrophies are defined by their predominantly monogenic inheritance and they are frequently associated with loss or dysfunction of photoreceptor cells as a primary or secondary event.

Term Hierarchy

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

Recent clinical studies

Etiology

Khan S, Lin S, Harlalka GV, Ullah A, Shah K, Khalid S, Mehmood S, Hassan MJ, Ahmad W, Self JE, Crosby AH, Baple EL, Gul A
Ann Hum Genet 2019 Nov;83(6):477-482. Epub 2019 Jun 7 doi: 10.1111/ahg.12336. PMID: 31173343
de Goede C, Yue WW, Yan G, Ariyaratnam S, Chandler KE, Downes L, Khan N, Mohan M, Lowe M, Banka S
Eur J Paediatr Neurol 2016 Mar;20(2):286-295. Epub 2015 Dec 18 doi: 10.1016/j.ejpn.2015.11.012. PMID: 26748598

Diagnosis

Drole Torkar A, Avbelj Stefanija M, Bertok S, Trebušak Podkrajšek K, Debeljak M, Stirn Kranjc B, Battelino T, Kotnik P
Front Endocrinol (Lausanne) 2021;12:581134. Epub 2021 Jun 15 doi: 10.3389/fendo.2021.581134. PMID: 34211432Free PMC Article
Khan S, Lin S, Harlalka GV, Ullah A, Shah K, Khalid S, Mehmood S, Hassan MJ, Ahmad W, Self JE, Crosby AH, Baple EL, Gul A
Ann Hum Genet 2019 Nov;83(6):477-482. Epub 2019 Jun 7 doi: 10.1111/ahg.12336. PMID: 31173343
de Goede C, Yue WW, Yan G, Ariyaratnam S, Chandler KE, Downes L, Khan N, Mohan M, Lowe M, Banka S
Eur J Paediatr Neurol 2016 Mar;20(2):286-295. Epub 2015 Dec 18 doi: 10.1016/j.ejpn.2015.11.012. PMID: 26748598
Hampshire DJ, Ayub M, Springell K, Roberts E, Jafri H, Rashid Y, Bond J, Riley JH, Woods CG
Eur J Hum Genet 2006 May;14(5):543-8. doi: 10.1038/sj.ejhg.5201577. PMID: 16493448

Clinical prediction guides

Hampshire DJ, Ayub M, Springell K, Roberts E, Jafri H, Rashid Y, Bond J, Riley JH, Woods CG
Eur J Hum Genet 2006 May;14(5):543-8. doi: 10.1038/sj.ejhg.5201577. PMID: 16493448

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