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Any autosomal dominant Robinow syndrome in which the cause of the disease is a mutation in the DVL1 gene.
Features include always present findings: Short nose, Calvarial osteosclerosis, Thin corpus callosum, and Oligodontia and others; and very common findings: Broad hallux, Hypertelorism, Long philtrum, and Anteverted nares and others. 70 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 6 | Cleft palate, Cleft soft palate, Thin upper lip vermilion |
Ears | 4 | Hearing loss (hearing impairment), Inner ear hearing loss (sensorineural hearing impairment), Conductive hearing impairment |
Brain and nerves | 3 | Seizure, Global developmental delay, Depressed nasal bridge |
Bones and joints | 3 | Calvarial osteosclerosis, Kyphoscoliosis, Sideways curvature of the spine (scoliosis) |
Heart and blood vessels | 2 | Abnormal atrial septum morphology, Ventricular septal defect |
Arms and legs | 2 | Short distal phalanx of finger, Partial duplication of the phalanx of hand |
Growth and development | 1 | Short stature |
Lungs and breathing | 1 | Obstructive sleep apnea |
Skin | 1 | Nail dysplasia |
Digestive system | 1 | Enlarged liver (hepatomegaly) |
Autosomal dominant Robinow syndrome (ADRS) is a skeletal dysplasia in which affected individuals typically have short stature, mesomelic limb shortening (predominantly of the upper limbs), and brachydactyly. A variety of other (variably present) anomalies may also suggest the diagnosis. Facial. Craniofacial features of ADRS are summarized in . These features are most recognizable at birth or in early childhood. The distinctive facial features become less apparent with age.
Source: GeneReviews — "Autosomal Dominant Robinow Syndrome"
DVL1 encodes dishevelled segment polarity protein 1 (695 aa). Participates in Wnt signaling by binding to the cytoplasmic C-terminus of frizzled family members and transducing the Wnt signal to down-stream effectors. Highest expression in Muscle Skeletal (151.4 TPM) and Testis (135.6 TPM).
Autosomal dominant Robinow syndrome 2 is associated with mutations in the DVL1 gene on chromosome 1.
The DVL1 protein participates in DVL1 is bound by the HECT ubiquitin ligase HECW1 pathway.
DVL1 is classified as a druggable target with score 52.2.
No clear genotype-phenotype correlation is known.
Source: GeneReviews — "Autosomal Dominant Robinow Syndrome"
Autosomal dominant Robinow syndrome (ADRS) should be suspected in individuals with the following clinical and family history findings [, , , ].
Clinical Findings
Skeletal
Short stature
Mesomelic limb shortening predominantly affecting the upper limbs
Brachydactyly
Genital
In males: micropenis/ webbed penis, hypoplastic scrotum, and cryptorchidism
In females: hypoplastic clitoris and labia majora
Craniofacial
Source: GeneReviews — "Autosomal Dominant Robinow Syndrome"
ROR2-related Robinow syndrome is an autosomal recessive skeletal dysplasia caused by biallelic pathogenic variants in ROR2. Features similar to those of ADRS include the distinctive fetal face features, short stature, mesomelic limb shortening, and genital hypoplasia. ROR2-related Robinow syndrome appears to be more severe than ADRS, with renal anomalies, congenital heart defects, vertebral defects, rib fusions, scoliosis, and cognitive delay occurring more frequently than in ADRS. A distinguishing feature of ROR2-related Robinow syndrome is clefting of the distal phalanges, mainly of the thumbs. NXN-related Robinow syndrome (OMIM 618529), also inherited in an autosomal recessive manner, was described in three individuals with biallelic NXN pathogenic variants from two unrelated families.
Source: GeneReviews — "Autosomal Dominant Robinow Syndrome"
Genetic testing for DVL1 is available. Testing is considered confirmatory for diagnosis.
No approved treatments are currently available for autosomal dominant Robinow syndrome 2. The disease remains an area of unmet medical need.
Evaluations Following Initial Diagnosis To establish the extent of disease and needs in an individual diagnosed with autosomal dominant Robinow syndrome (ADRS), the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended. Table 2. Recommended Evaluations Following Initial Diagnosis in Individuals with Autosomal Dominant Robinow Syndrome
System/Concern | Evaluation | Comment |
|---|---|---|
Craniofacial | Clinical assessment for presence of orofacial clefting | Consider referral to craniofacial team Orthodontics consultation |
Ears | Hearing assessment | — |
Cardiovascular | Echocardiogram | To evaluate for congenital heart defect |
Genitourinary | Renal ultrasound | To assess for renal anomalies hydronephrosis Males: assessment for abnormal penile insertion / penoscrotal position cryptorchidism |
Musculoskeletal | Radiographs of limbs, chest, vertebrae, skull | To establish the extent of skeletal involvement |
Source: GeneReviews — "Autosomal Dominant Robinow Syndrome"
Search ClinicalTrials.gov in the US and EU Clinical Trials Register in Europe for information on clinical studies for a wide range of diseases and conditions. Note: There may not be clinical trials for this disorder.
Source: GeneReviews — "Autosomal Dominant Robinow Syndrome"
View trials for autosomal dominant Robinow syndrome 2
Table 4. Recommended Surveillance for Individuals with Autosomal Dominant Robinow Syndrome
System/Concern | Evaluation | Frequency |
|---|---|---|
Craniofacial | Dental eval | Every 6 mos to 1 yr or per dental professional |
Ears | Hearing assessment | In childhood |
Cardiovascular | Standard monitoring in those w/cardiac involvement | Per cardiologist |
Genitourinary | Standard monitoring in those w/renal involvement | Per urologist |
Neurologic | Assessment of developmental progress | At each visit in childhood/adolescence |
Source: GeneReviews — "Autosomal Dominant Robinow Syndrome"
Phenotype severity distribution: 21 always present features, 8 very common features, 23 common features.
No clinical trials have been registered for autosomal dominant Robinow syndrome 2.
8 publications have been identified in PubMed for autosomal dominant Robinow syndrome 2. Research spans Basic Science / Preclinical (75%) and Case Report / Case Series (25%).
Volpi J (2026). [PMID: 40796658](https://pubmed.ncbi.nlm.nih.gov/40796658/). *Eur J Hum Genet*. [Basic Science / Preclinical]
Kantaputra P (2026). [PMID: 41265171](https://pubmed.ncbi.nlm.nih.gov/41265171/). *Int Dent J*. [Basic Science / Preclinical]
Zhang C (2025). [PMID: 40766624](https://pubmed.ncbi.nlm.nih.gov/40766624/). *bioRxiv : the preprint server for biology*. [Basic Science / Preclinical]
Zhong ZA (2025). [PMID: 41510274](https://pubmed.ncbi.nlm.nih.gov/41510274/). *Research square*. [Basic Science / Preclinical]
Akarsu G (2025). [PMID: 40600289](https://pubmed.ncbi.nlm.nih.gov/40600289/). *Developmental dynamics : an official publication of the American Association of Anatomists*. [Basic Science / Preclinical]
Tophkhane SS (2024). [PMID: 38967226](https://pubmed.ncbi.nlm.nih.gov/38967226/). *Dis Model Mech*. [Basic Science / Preclinical]
Smith CM (2024). [PMID: 38982229](https://pubmed.ncbi.nlm.nih.gov/38982229/). *Prenatal diagnosis*. [Case Report / Case Series]
Yang L (2024). [PMID: 38504427](https://pubmed.ncbi.nlm.nih.gov/38504427/). *Prenatal diagnosis*. [Case Report / Case Series]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 2:58 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Assessment for developmental delay |
Referral for formal neuropsychiatric/cognitive testing if present |
Other | Consultation w/clinical geneticist /or genetic counselor | Treatment of Manifestations Table 3. |
Treatment of Manifestations in Individuals with Autosomal Dominant Robinow Syndrome Manifestation/Concern | Treatment | Considerations/Other |
Cleft lip/palate | Surgical correction | Mgmt by multidisciplinary craniofacial team recommended |
Misaligned teeth or persistent primary dentition | Standard orthodontic treatment | — |
Hearing loss | Standard treatment | See Genetic Hearing Loss Overview. |
Congenital heart defects | Standard treatment per cardiologist /or cardiothoracic surgery | — |
Cryptorchidism | Orchidopexy | — |
Abnormal penile insertion / penoscrotal position | Referral to urologist | Discussion of potential surgical correction |
Micropenis | Consideration of hormonal therapy1 | Referral to endocrinologist Injection of human chorionic gonadotropin and testosterone improved penile length and testicular volume in three boys with severe micropenis . Surveillance Table 4. |
Recommended Surveillance for Individuals with Autosomal Dominant Robinow Syndrome System/Concern | Evaluation | Frequency |
Craniofacial | Dental eval | Every 6 mos to 1 yr or per dental professional |
Ears | Hearing assessment | In childhood |
Cardiovascular | Standard monitoring in those w/cardiac involvement | Per cardiologist |
Genitourinary | Standard monitoring in those w/renal involvement | Per urologist |
Neurologic | Assessment of developmental progress | At each visit in childhood/adolescence It is appropriate to evaluate the sibs of a proband in order to identify as early as possible those who would benefit from institution of treatment and surveillance. |