Phenotypes
Db Link Name Definition Comment Is a
HPO HP:0000505 Visual impairment "Visual impairment (or vision impairment) is vision loss (of a person) to such a degree as to qualify as an additional support need through a significant limitation of visual capability resulting from either disease, trauma, or congenital or degenerative conditions that cannot be corrected by conventional means, such as refractive correction, medication, or surgery." [DDD:gblack] HP:0000504
HPO HP:0030276 Small scrotum "Apparently small scrotum for age." [PMID:23650202] A small scrotum is often accompanied by Cryptorchidism which should be coded separately. The size of the scrotum is dependent on the ambient temperature: a low temperature may cause the testes to retract, leading to the false impression of a small scrotum. HP:0000045
HPO HP:0002650 Scoliosis "The presence of an abnormal lateral curvature of the spine." [HPO:probinson] HP:0010674
HPO HP:0000348 High forehead "An abnormally increased height of the forehead." [HPO:probinson] HP:0000290
HPO HP:0000252 Microcephaly "Head circumference below 2 standard deviations below the mean for age and gender." [PMID:15806441, PMID:19125436, PMID:25465325, PMID:9683597] Head circumference is measured from just above the glabella (the most prominent point on the frontal bone above the root of the nose) to the most posterior prominent point of the occipital bone using a tape measure. Some standard charts are organized by centiles, others by standard deviations. It is important to add an indication of how far below the normal standard the head circumference is if an accurate assessment of this can be made. Microcephaly is an absolute term. The term relative microcephaly can be used when the head size centile is less than the centile for height, for example, head size at the 3rd centile with height at the 75% for age and sex. On prenatal ultrasound, microcephaly is diagnosed if the head circumference or the biparietal diameter is more than three standard deviations below the mean. Microcephaly is divided into primary microcephaly, which is present at birth, and secondary microcephaly, which develops postnatally. The crucial difference between these groupings is that primary microcephaly is usually a static developmental anomaly, whereas secondary microcephaly indicates a progressive neurodegenerative condition HP:0007364, HP:0040195
HPO HP:0001212 Prominent fingertip pads "A soft tissue prominence of the ventral aspects of the fingertips. The term \"persistent fetal fingertip pads\" is often used as a synonym, but should better not be used because it implies knowledge of history of the patient which often does not exist." [HPO:probinson] HP:0001211, HP:0011298
HPO HP:0001250 Seizure "A seizure is an intermittent abnormality of nervous system physiology characterised by a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain." [HPO:probinson, PMID:15816939] A type of electrographic seizure has been proposed in neonates which does not have a clinical correlate, it is electrographic only. The term epilepsy is not used to describe recurrent febrile seizures. Epilepsy presumably reflects an abnormally reduced seizure threshold. HP:0012638
HPO HP:0011081 Incisor macrodontia "Increased size of the incisor tooth." [HPO:ibailleulforestier] HP:0001572, HP:0011063
HPO HP:0000826 Precocious puberty "The onset of secondary sexual characteristics before a normal age. Although it is difficult to define normal age ranges because of the marked variation with which puberty begins in normal children, precocious puberty can be defined as the onset of puberty before the age of 8 years in girls or 9 years in boys." [HPO:probinson] HP:0100000
HPO HP:0002553 Highly arched eyebrow "Increased height of the central portion of the eyebrow, forming a crescent, semicircular, or inverted U shape." [PMID:19125427] Most eyebrows have some arch with downturning medially and laterally. HP:0000534
HPO HP:0031629 Impaired tandem gait "Reduced ability to walk in a straight line while placing the feet heel to toe." [] HP:0001288
HPO HP:0011304 Broad thumb "Increased thumb width without increased dorso-ventral dimension." [PMID:19125433] Note that this term should not be used for thumbs that meet the definition for Macrodactyly. HP:0009602, HP:0009768
HPO HP:0001273 Abnormal corpus callosum morphology "Abnormality of the corpus callosum." [HPO:probinson, PMID:21263138] The corpus callosum, a broad thick band of nerve fibers that connects the right and left cerebral hemispheres, is the largest white matter structure in the brain. This finding can be demonstrated by cerebral magenetic resonance tomography. The corpus callosum structurally consists of 4 major anatomic features including the rostrum, genu, corpus, and splenium. HP:0002500
HPO HP:0001252 Hypotonia "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." [HPO:probinson, PMID:21418198] Hypotonia can be caused by abnormalities of the central nervous system, any element of the motor unit (including the lower motoneuron), or both. Hypotonia is not a specific diagnosis, but can be observed in hundreds of genetic and other diseases. The first distinction to make when assessing a child with hypotonia is whether decreased muscle tone is a result of an abnormality of the central nervous system (CNS), peripheral neuromuscular system, or a combined abnormality involving both. Clinical findings suggestive of an abnormality of the CNS may include hyperreflexia, cognitive developmental delay, and seizures. In contrast, physical findings pointing towards a neuromuscular origin may include weakness, lack of antigravity movements, muscle atrophy, fasciculations, and/or diminished reflexes, most often in the context of normal cognitive function. The HPO term does not distinguish between these etiologies. Additional HPO terms should be used as required to describe associated features. HP:0003808
HPO HP:0011220 Prominent forehead "Forward prominence of the entire forehead, due to protrusion of the frontal bone." [PMID:19125436] Not to be confused with frontal bossing. HP:0000290
HPO HP:0002381 Aphasia "An acquired language impairment of some or all of the abilities to produce or comprehend speech and to read or write." [] Aphasia is caused by brain injury. The most common cause is stroke, but aphasia can also be caused by other factors such as head trauma, brain tumors, or infections. HP:0002167
HPO HP:0006913 Frontal cortical atrophy "Atrophy of the frontal cortex." [HPO:probinson] HP:0002120
HPO HP:0001256 Intellectual disability, mild "Mild intellectual disability is defined as an intelligence quotient (IQ) in the range of 50-69." [HPO:probinson] HP:0001249
HPO HP:0002360 Sleep disturbance "An abnormality of sleep including such phenomena as 1) insomnia/hypersomnia, 2) non-restorative sleep, 3) sleep schedule disorder, 4) excessive daytime somnolence, 5) sleep apnea, and 6) restlessness." [HPO:curators] HP:0000708
HPO HP:0009921 Duane anomaly "A condition associated with a limitation of the horizontal ocular movement with retraction of the globe and narrowing of the palpebral fissure on adduction" [HPO:probinson] HP:0025068
HPO HP:0040018 Clinodactyly of hallux HP:0001863, HP:0010051
HPO HP:0010109 Short hallux "Underdevelopment (hypoplasia) of the big toe." [HPO:probinson] HP:0001831, HP:0008362
HPO HP:0000347 Micrognathia "Developmental hypoplasia of the mandible." [HPO:probinson] Mandibular hypoplasia, also known as micrognathia, is a term that describes an abnormally small lower jaw. HP:0009118
HPO HP:0200021 Down-sloping shoulders "Low set, steeply sloping shoulders." [HPO:probinson] HP:0003043
HPO HP:0000028 Cryptorchidism "Testis in inguinal canal. That is, absence of one or both testes from the scrotum owing to failure of the testis or testes to descend through the inguinal canal to the scrotum." [HPO:probinson, PMID:23650202] The gonad is mobile and can be retracted superiorly by the cremaster muscle reflex stimulated, for instance, by cold or touch. A retracted testis is not cryptorchidism. An abdominal testis cannot be distinguished by physical examination from an (Apparently) absent testis and requires radiological (or, rarely, surgical) procedures for assessment. HP:0000035