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A syndrome characterized by the association of the features of Waardenburg-Shah syndrome (WSS) (sensorineural hearing loss, pigmentary abnormalities and Hirschsprung disease) with neurological features, namely, neonatal hypotonia, intellectual deficit (of variable severity), nystagmus, progressive spasticity, ataxia and epilepsy.
Features include always present findings: Nystagmus, Intellectual disability, Global developmental delay, and Inner ear hearing loss (sensorineural hearing impairment) and others; and very common findings: Ataxia. 52 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 14 | Seizure, Ataxia, Intellectual disability |
SOX10 function has not been fully characterized.
PCWH syndrome is associated with mutations in the SOX10 gene on chromosome 22.
Genetic testing for SOX10 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 6 always present features, 1 very common feature, 21 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for PCWH syndrome.
4 publications have been identified in PubMed for PCWH syndrome. Research spans Basic Science / Preclinical (50%), Review / Meta-Analysis (25%), and Case Report / Case Series (25%).
Gentile F (2026). [PMID: 41887743](https://pubmed.ncbi.nlm.nih.gov/41887743/). *AJNR Am J Neuroradiol*. [Basic Science / Preclinical]
McManus RJ (2026). [PMID: 41812004](https://pubmed.ncbi.nlm.nih.gov/41812004/). *Unknown Journal*. [Review / Meta-Analysis]
Ersson B (2025). [PMID: 40364458](https://pubmed.ncbi.nlm.nih.gov/40364458/). *Neurogastroenterol Motil*. [Case Report / Case Series]
Tan J (2025). [PMID: 39868048](https://pubmed.ncbi.nlm.nih.gov/39868048/). *iScience*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 18, 2026, 11:53 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about PCWH syndrome
Muscles |
5 |
Low muscle tone (hypotonia), Distal muscle weakness, Brain shrinkage (cerebral atrophy) |
Ears | 2 | Hearing loss (hearing impairment), Inner ear hearing loss (sensorineural hearing impairment) |
Skin | 2 | Hypopigmented skin patches, Decreased sweating (hypohidrosis) |
Pregnancy and birth | 2 | Decreased fetal movement, Neonatal hypotonia |
Eyes | 1 | Nystagmus |
Heart and blood vessels | 1 | Portal hypertension |
Growth and development | 1 | Growth delay |
Digestive system | 1 | Hepatosplenomegaly |