Phenotypes
Db Link Name Definition Comment Is a
HPO HP:0001636 Tetralogy of Fallot "A congenital cardiac malformation comprising pulmonary stenosis, overriding aorta, ventricular septum defect, and right ventricular hypertrophy. The diagnosis of TOF is made if at least three of the four above mentioned features are present." [HPO:probinson] HP:0001710
HPO HP:0000337 Broad forehead "Width of the forehead or distance between the frontotemporales is more than two standard deviations above the mean (objective); or apparently increased distance between the two sides of the forehead." [PMID:19125436] Frontotemporalis is a point lateral to the vertical component of the supraorbital ridge, where there is a hollowing. Spreading caliper tips are placed in the deepest part of that hollow. Note that this term should not be confused with prominent forehead. HP:0000290
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
HPO HP:0001511 Intrauterine growth retardation "An abnormal restriction of fetal growth with fetal weight below the tenth percentile for gestational age." [HPO:probinson] Intrauterine growth restriction is a newer term that is preferred over Intrauterine growth retardation. The causes of IUGR include maternal abnormalities (chronic hypertension, cyanotic heart disease, smoking, drug abuse), placental or umbilical cord abnormalities (including placenta previa and cord anomalies), maternal medicationas, and genetic disorders of the fetus. HP:0001510
HPO HP:0004209 Clinodactyly of the 5th finger "Clinodactyly refers to a bending or curvature of the fifth finger in the radial direction (i.e., towards the 4th finger)." [HPO:curators, PMID:16252026] Minor degrees of curvature of the small finger are so common as to be considered normal. HP:0009179, HP:0040019
HPO HP:0000520 Proptosis "An eye that is protruding anterior to the plane of the face to a greater extent than is typical." [HPO:sdoelken, PMID:19125427] Some sources define "exophthalmos" as a protrusion of the globe greater than 18 mm and "proptosis" as a protusion equal to or less than 18 mm. Others define "exophthalmos" as protusion secondary to endocrine dysfunction and "proptosis" as any non-endocrine-mediated protusion (Source: Wikipedia). This finding should be distinguished frm underdevelopment of the supraorbital ridge or maxilla/zygoma. In proptosis, the globe is anteriorly protuberant to the overall plane of the face. HP:0100886
HPO HP:0001156 Brachydactyly "Digits that appear disproportionately short compared to the hand/foot. The word brachydactyly is used here to describe a series distinct patterns of shortened digits (brachydactyly types A-E). This is the sense used here." [HPO:probinson] HP:0011927
HPO HP:0005105 Abnormal nasal morphology This is a category for overall abnormal morphology that may be replaced later with more exact descriptions. HP:0000366
HPO HP:0100779 Urogenital sinus anomaly "A rare birth defect in women where the urethra and vagina both open into a common channel." [HPO:curators] HP:0000142, HP:0000795
HPO HP:0003251 Male infertility HP:0000789, HP:0012041
HPO HP:0000027 Azoospermia "Absence of any measurable level of sperm in his semen." [HPO:probinson, PMID:20514278] HP:0008669
HPO HP:0002225 Sparse pubic hair "Reduced number or density of pubic hair." [HPO:probinson] HP:0008070, HP:0100133
HPO HP:0000047 Hypospadias "Abnormal position of urethral meatus on the ventral penile shaft (underside) characterized by displacement of the urethral meatus from the tip of the glans penis to the ventral surface of the penis, scrotum, or perineum." [HPO:probinson, PMID:21968448] HP:0100627
HPO HP:0000149 Ovarian gonadoblastoma "The presence of a gonadoblastoma of the ovary." [eMedicine:986581, HPO:probinson] Gonadoblastoma is a rare benign tumor that has the potential for malignant transformation and affects a subset of patients with an intersex disorder or disorder of sex development. HP:0000150, HP:0100615
HPO HP:0000771 Gynecomastia "Abnormal development of large mammary glands in males resulting in breast enlargement." [HPO:probinson] HP:0031093
HPO HP:0000133 Gonadal dysgenesis HP:0000812
HPO HP:0012244 Abnormal sex determination "Anomaly of primary or secondary sexual development or characteristics." [HPO:probinson, MP:0002210] HP:0012243
HPO HP:0008232 Elevated circulating follicle stimulating hormone level "An elevated concentration of follicle-stimulating hormone in the blood." [HPO:probinson] HP:0000837, HP:0030346
HPO HP:0000045 Abnormality of the scrotum HP:0000032
HPO HP:0000100 Nephrotic syndrome "Nephrotic syndrome is a collection of findings resulting from glomerular dysfunction with an increase in glomerular capillary wall permeability associated with pronounced proteinuria. Nephrotic syndrome refers to the constellation of clinical findings that result from severe renal loss of protein, with Proteinuria and hypoalbuminemia, edema, and hyperlipidemia." [HPO:probinson] In adults, nephrotic syndrome is characterized by protein excretion of 3.5 g or more per day. In children, nephrotic syndrome is accompanied by protein excretion of more than 40 mg/m2/h and hypalbuminemia < 2.5 mg/dl. HP:0012211
HPO HP:0040171 Decreased serum testosterone concentration HP:0030087, HP:0030349
HPO HP:0000815 Hypergonadotropic hypogonadism "Reduced function of the gonads (testes in males or ovaries in females) associated with excess pituitary gonadotropin secretion and resulting in delayed sexual development and growth delay." [HPO:curators] HP:0000135
HPO HP:0008665 Clitoral hypertrophy "Hypertrophy of the clitoris." [HPO:probinson] Increased size of the clitoris. HP:0040253
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
HPO HP:0000062 Ambiguous genitalia "A genital phenotype that is not clearly assignable to a single gender. Ambiguous genitalia can be evaluated using the Prader scale: Prader 0: Normal female external genitalia. Prader 1: Female external genitalia with clitoromegaly. Prader 2: Clitoromegaly with partial labial fusion forming a funnel-shaped urogenital sinus. Prader 3: Increased phallic enlargement. Complete labioscrotal fusion forming a urogenital sinus with a single opening. Prader 4: Complete scrotal fusion with urogenital opening at the base or on the shaft of the phallus. Prader 5: Normal male external genitalia. The diagnosis of ambiguous genitalia is made for Prader 1-4." [HPO:probinson, PMID:15102623] Note that this term can include or combine variations in size and shape, with partial or complete absence of structures. It is preferable to describe the individual components, which are defined below. It is nonetheless a widely used bundled term and as such is retained here. The distinction of this finding from a marked degree of Hypospadias is an example of how this term can be problematic. Genetic gender is determined at fertilization, whereby the presence of a Y chromosome determines male gender. Normally, genetic gender determines gonadal gender which in turn determines phenotypic gender. Testicular development is an active process requiring expression of the primary testis determining gene SRY, which is located on the Y chromosome. HP:0000811