Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
Features include always present findings: Intellectual disability, Motor delay, Broad forehead, and Delayed speech and language development; and very common findings: Feeding difficulties, Thick lower lip vermilion, and Malar flattening. 53 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Dystonia, Intellectual disability, Global developmental delay |
YY1 function has not been fully characterized.
Gabriele de Vries syndrome is associated with mutations in the YY1 gene on chromosome 14.
No formal clinical diagnostic criteria exist for Gabriele-de Vries syndrome.
The clinical spectrum of Gabriele-de Vries syndrome is variable. Gabriele-de Vries syndrome should be considered in individuals presenting with the following clinical findings.
Clinical findings
Source: GeneReviews — "Gabriele-de Vries Syndrome"
No approved treatments are currently available for Gabriele de Vries syndrome. The disease remains an area of unmet medical need.
Evaluations and Referrals Following Initial Diagnosis Evaluation by a multidisciplinary team can be beneficial. To establish the extent of disease and needs in an individual diagnosed with Gabriele-de Vries syndrome, the evaluations summarized (if not performed as part of the evaluation that led to the diagnosis) are recommended. Note: Some evaluations are age dependent and may not be relevant at the time of initial diagnosis. Table 2. Recommended Evaluations Following Initial Diagnosis of Gabriele-de Vries Syndrome
A developmental pediatrician or a geneticist should coordinate the follow up of a child with Gabriele-de Vries syndrome. Surveillance of gastrointestinal, craniofacial, cardiac, renal, genital, skeletal, and endocrine abnormalities should be tailored to the affected individual according to the specific problems identified at diagnosis. Long-term follow up by other specialists is also recommended and includes the following. Table 4. Recommended Surveillance for Individuals with Gabriele-de Vries Syndrome
No clinical trials have been registered for Gabriele de Vries syndrome.
7 publications have been identified in PubMed for Gabriele de Vries syndrome. Research spans Case Report / Case Series (57%), Basic Science / Preclinical (29%), and Epidemiology / Natural History (14%).
Grozdanić N (2026). [PMID: 41554999](https://pubmed.ncbi.nlm.nih.gov/41554999/). *Acta neurologica Belgica*. [Case Report / Case Series]
Hollingsworth EW (2026). [PMID: 42083052](https://pubmed.ncbi.nlm.nih.gov/42083052/). *Am J Med Genet A*. [Case Report / Case Series]
Huang H (2025). [PMID: 40655401](https://pubmed.ncbi.nlm.nih.gov/40655401/). *Frontiers in endocrinology*. [Case Report / Case Series]
Pereira MF (2025). [PMID: 39987231](https://pubmed.ncbi.nlm.nih.gov/39987231/). *Molecular psychiatry*. [Basic Science / Preclinical]
Mudassir BU (2025). [PMID: 39775551](https://pubmed.ncbi.nlm.nih.gov/39775551/). *PloS one*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 3:06 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Gabriele de Vries syndrome
Head and neck |
4 |
Facial hypotonia, Facial asymmetry, High palate |
Muscles | 3 | Low muscle tone (hypotonia), Facial hypotonia, Distal arthrogryposis |
Arms and legs | 3 | Long fingers, Finger joint hypermobility, Tip-toe gait |
Eyes | 2 | Strabismus, Ptosis |
Digestive system | 1 | Feeding difficulties |
Bones and joints | 1 | Finger joint hypermobility |
Blood and immune system | 1 | Recurrent infections |
Growth and development | 1 | Intrauterine growth retardation |
To date, ten individuals with a de novo pathogenic YY1 variant have been described with an overlapping phenotype . De novo YY1 variants result in syndromic ID with a wide spectrum of functional and morphologic abnormalities, in particular intrauterine growth restriction or low birth weight, feeding difficulties, congenital anomalies, nonspecific craniofacial dysmorphism, and neurologic and behavioral abnormalities. Developmental delay (DD) and intellectual disability (ID). All individuals with a YY1 intragenic pathogenic variant had DD/ID, which was usually mild (IQ 50-70) to moderate (IQ 35-49). One individual with a de novo YY1 pathogenic variant manifested severe ID.
Gross motor skills. The majority of individuals with a de novo
Source: GeneReviews — "Gabriele-de Vries Syndrome"
The phenotypic features associated with Gabriele-de Vries syndrome are not sufficient to diagnose this condition clinically; therefore, all disorders with intellectual disability and congenital anomalies should be considered in the differential diagnosis. See OMIM Autosomal Dominant, Autosomal Recessive, and Syndromic X-Linked Intellectual Developmental Disorder Phenotypic Series.
Source: GeneReviews — "Gabriele-de Vries Syndrome"
Genetic testing for YY1 is available. Testing is considered confirmatory for diagnosis.
System/Concern | Evaluation | Comment |
|---|---|---|
Neurodevelopmental | Developmental assessment | To incl eval of motor, speech/language, general cognitive, vocational skills |
Craniofacial | Clinical eval for cleft palate /or micrognathia | Refer to multidisciplinary craniofacial team if cleft palate /or micrognathia present.1 Clinical assessment for craniosynostosis |
Constitutional | Assessment of growth parameters to identify children w/low birth weight /or short stature | Consider endocrinologic eval, incl thyroid function tests growth hormone assessment. |
Gastrointestinal | Assessment of feeding difficulties | Refer to occupational or speech therapist for feeding therapy.; Consider referral to gastroenterologist, if severe, to assess need for gastrostomy tube. Assessment for gastroesophageal reflux disease constipation |
Neurologic | Neurologic eval2 | W/consideration of EEG /or brain MRI; Consider referral to pediatric neurologist. Behavioral/ |
Psychiatric | Consider neuropsychiatric eval. | Screen persons age 12 mos for behavior concerns incl sleep disturbances, ADHD, anxiety, /or traits suggestive of ASD. |
Ophthalmologic | Consider referral to ophthalmologist. | For eval of strabismus /or refraction errors |
Cardiac | Consider echocardiography to evaluate for congenital heart defects. | Refer to pediatric cardiologist. |
Renal | Consider baseline renal ultrasound. | To assess for renal anomalies |
Genital | Clinical eval of cryptorchidism or other penile or scrotal anomalies in boys | Consider referral to pediatric urologist if cryptorchidism present. |
Musculoskeletal | Clinical eval for skeletal abnormalities | Consider referral to an orthopedist if abnormalities present. |
Miscellaneous/Other | Consultation w/clinical geneticist /or genetic counselor | ADHD = attention-deficit/hyperactivity disorder; ASD = autism spectrum disorder Including plastic surgeons, neurosurgeons, speech pathologists, geneticists, pediatricians, orthodontists, and other craniofacial specialists 2. |
Treatment of Manifestations in Individuals with Gabriele-de Vries Syndrome Manifestation/Concern | Treatment | Considerations/Other |
Cleft palate | Surgical repair | Per multidisciplinary craniofacial team1 |
Craniosynostosis | Surgical repair, as needed | Per a multidisciplinary craniofacial team1 |
Feeding difficulties | Feeding therapy /or dietary measures | Gastrostomy tube placement may be required for persistent feeding problems. |
Gastroesophageal reflux disease /or constipation | Standard mgmt treatment(s) | Consider referral to a gastroenterologist, if severe. |
Seizures | Standardized treatment w/ASMs by experienced neurologist2 | Many ASMs may be effective; none has been demonstrated effective specifically for this disorder. |
Behavioral/psychiatric abnormalities | Appropriate behavior mgmt strategies /or psychotropic medications, per psychiatrist | — |
Strabismus /or refraction abnormalities | Routine mgmt for ophthalmologic problems | — |
Congenital heart defects | Routine treatment for cardiac abnormalities | — |
Renal structural anomalies | Routine mgmt for renal abnormalities | — |
Cryptorchidism | Routine mgmt for cryptorchidism | — |
Skeletal anomalies | Standard treatment as recommended by orthopedist | ASM = anti-seizure medication 1. Including plastic surgeons, pediatricians, orthodontists, and other craniofacial specialists 2. Education of parents regarding common seizure presentations is appropriate. |
Source: GeneReviews — "Gabriele-de Vries Syndrome"
View trials for Gabriele de Vries syndrome
System/Concern | Evaluation | Frequency |
|---|---|---|
Constitutional | Measurement of growth parameters | At each visit until adulthood |
At each visit beginning in childhood | Monitor those w/seizures | As clinically indicated Assessment of neurologic disease progression |
Ophthalmologic | Ophthalmologic evaluation | As needed based on symptoms Miscellaneous/ |
Other | Monitor developmental progress educational needs | At each visit |
Source: GeneReviews — "Gabriele-de Vries Syndrome"
Phenotype severity distribution: 4 always present features, 3 very common features, 9 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
Pal P (2025). [PMID: 39945639](https://pubmed.ncbi.nlm.nih.gov/39945639/). *Clinical dysmorphology*. [Case Report / Case Series]
AI-curated news mentioning Gabriele de Vries syndrome
Updated May 4, 2026
A recent case report and literature review detail the defining features of Gabriele-de Vries syndrome in adults, contributing to the understanding of this rare condition. This research highlights the clinical manifestations and potential implications for diagnosis and management.