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Features include always present findings: Hepatic steatosis, Moderate intellectual disability, Dysmetria, and Shrinkage of the cerebellum (cerebellar atrophy) and others; and common findings: Achilles tendon contracture, Skeletal muscle fibrosis, Low muscle tone (hypotonia), and Enlarged liver (hepatomegaly) and others. 43 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 7 |
PTRH2 function has not been fully characterized.
Neurologic, endocrine, and pancreatic disease, multisystem, infantile-onset 1 is associated with mutations in the PTRH2 gene on chromosome 17.
Genetic testing for PTRH2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 24 always present features, 11 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for neurologic, endocrine, and pancreatic disease, multisystem, infantile-onset 1.
4 publications have been identified in PubMed for neurologic, endocrine, and pancreatic disease, multisystem, infantile-onset 1. Research spans Case Report / Case Series (50%), Other (25%), and Review / Meta-Analysis (25%).
Mammi A (2024). [PMID: 38874107](https://pubmed.ncbi.nlm.nih.gov/38874107/). *J Peripher Nerv Syst*. [Case Report / Case Series]
Berling E (2024). [PMID: 39176129](https://pubmed.ncbi.nlm.nih.gov/39176129/). *Neurol Genet*. [Case Report / Case Series]
Zampatti S (2024). [PMID: 39457452](https://pubmed.ncbi.nlm.nih.gov/39457452/). *Genes (Basel)*. [Other]
Sharkia R (2024). [PMID: 39766776](https://pubmed.ncbi.nlm.nih.gov/39766776/). *Genes (Basel)*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 5:41 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Muscles | 6 | Achilles tendon contracture, Skeletal muscle fibrosis, Shrinkage of the cerebellum (cerebellar atrophy) |
Digestive system | 5 | Hepatic steatosis, Liver scarring (fibrosis) (hepatic fibrosis), Enlarged liver (hepatomegaly) |
Growth and development | 3 | Short stature, Failure to thrive, Postnatal growth retardation |
Hormones | 3 | Diabetes mellitus, Hypothyroidism, Delayed puberty |
Arms and legs | 3 | Ulnar deviation of the 3rd finger, Ulnar deviation of the 2nd finger, Long fingers |
Head and neck | 3 | Thin upper lip vermilion, Progressive microcephaly, Secondary microcephaly |
Bones and joints | 1 | Skeletal muscle fibrosis |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |
Pregnancy and birth | 1 | Decreased fetal movement |
Age of onset: newborn period.