Aniridia-renal agenesis-psychomotor retardation syndrome

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ORPHA:1064OMIM:206750Q87.8
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Overview

Aniridia-renal agenesis-psychomotor retardation syndrome is an extremely rare genetic condition that affects multiple parts of the body. The name describes its three main features: aniridia (the colored part of the eye, called the iris, is missing or underdeveloped), renal agenesis (one or both kidneys fail to develop), and psychomotor retardation (delays in both mental and physical development). This condition is sometimes referred to as a contiguous gene deletion syndrome involving the PAX6 and WT1 genes on chromosome 11. Children born with this syndrome typically have significant vision problems due to the absence of the iris, which can also lead to sensitivity to light, glaucoma, and other eye complications. The kidney problems can range from having one missing kidney to both kidneys being absent or severely underdeveloped, which can be life-threatening. Developmental delays affect how children learn to sit, walk, talk, and think. Because this syndrome affects so many body systems, treatment requires a team of specialists working together. There is currently no cure, so treatment focuses on managing each symptom individually. This may include eye surgeries or aids for vision, dialysis or kidney transplant for kidney failure, and early intervention therapies such as physical therapy, occupational therapy, and speech therapy to support development. Some affected children may also be at increased risk for Wilms tumor, a type of kidney cancer, due to involvement of the WT1 gene, so regular screening is important.

Also known as:

Key symptoms:

Missing or underdeveloped iris (colored part of the eye)Sensitivity to bright lightVision problems or poor eyesightOne or both kidneys missing or underdevelopedDelayed motor milestones like sitting and walkingIntellectual disability or learning difficultiesSpeech and language delaysGlaucoma (increased eye pressure)Cataracts or clouding of the eye lensAbnormalities of the urinary tractIncreased risk of Wilms tumor (kidney cancer in children)Low muscle toneGenital or reproductive organ abnormalities

Clinical phenotype terms (16)— hover any for plain English
AniridiaHP:0000526Developmental glaucomaHP:0001087Communicating hydrocephalusHP:0001334
Inheritance

Variable

Can be inherited in different ways depending on the underlying gene

Age of Onset

Neonatal

Begins at or shortly after birth (first 4 weeks)

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Aniridia-renal agenesis-psychomotor retardation syndrome.

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No actively recruiting trials found for Aniridia-renal agenesis-psychomotor retardation syndrome at this time.

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No specialists are currently listed for Aniridia-renal agenesis-psychomotor retardation syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Aniridia-renal agenesis-psychomotor retardation syndrome.

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Community

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Caregiver Resources

NORD Caregiver Resources

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Mental Health Support

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Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.How much kidney function does my child have, and what is the long-term outlook for their kidneys?,How often should we screen for Wilms tumor, and what signs should I watch for?,What eye treatments or surgeries might be needed, and when?,What early intervention therapies do you recommend, and how often?,Are there any dietary restrictions we should follow because of the kidney problems?,Should other family members be tested for this genetic deletion?,Are there any clinical trials or new treatments being studied for this condition?

Common questions about Aniridia-renal agenesis-psychomotor retardation syndrome

What is Aniridia-renal agenesis-psychomotor retardation syndrome?

Aniridia-renal agenesis-psychomotor retardation syndrome is an extremely rare genetic condition that affects multiple parts of the body. The name describes its three main features: aniridia (the colored part of the eye, called the iris, is missing or underdeveloped), renal agenesis (one or both kidneys fail to develop), and psychomotor retardation (delays in both mental and physical development). This condition is sometimes referred to as a contiguous gene deletion syndrome involving the PAX6 and WT1 genes on chromosome 11. Children born with this syndrome typically have significant vision pr

At what age does Aniridia-renal agenesis-psychomotor retardation syndrome typically begin?

Typical onset of Aniridia-renal agenesis-psychomotor retardation syndrome is neonatal. Age of onset can vary across affected individuals.