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Any van Maldergem syndrome in which the cause of the disease is a mutation in the FAT4 gene.
Features include always present findings: Epicanthus, Hearing loss (hearing impairment), Renal hypoplasia, and Low muscle tone (hypotonia) and others; and common findings: Periventricular nodular heterotopia. 63 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Bones and joints | 4 | Joint hypermobility, Mild bone density loss (osteopenia), Skeletal dysplasia |
FAT4 encodes FAT atypical cadherin 4 (4,981 aa). Cadherins are calcium-dependent cell adhesion proteins. Highest expression in Cells Cultured fibroblasts (21.5 TPM) and Artery Tibial (16.6 TPM).
Van Maldergem syndrome 2 is associated with mutations in the FAT4 gene on chromosome 4.
FAT4 is classified as a druggable target (Druggable Genome category) with score 0.0.
Genetic testing for FAT4 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 27 always present features, 1 common feature.
No clinical trials have been registered for van Maldergem syndrome 2.
3 publications have been identified in PubMed for van Maldergem syndrome 2. Kisho has analyzed 2 by research type. Research spans Case Report / Case Series (50%) and Basic Science / Preclinical (50%).
Byerly K (2026). [PMID: 41972678](https://pubmed.ncbi.nlm.nih.gov/41972678/). *Cells*. [Basic Science / Preclinical]
Wang Y (2025). [PMID: 40797481](https://pubmed.ncbi.nlm.nih.gov/40797481/). *Medicine (Baltimore)*. [Case Report / Case Series]
Data assembled from 5 of 12 sources · Last updated Sep 18, 2026, 1:30 PM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
Head and neck |
3 |
Tented upper lip vermilion, Hypoplasia of the maxilla, High palate |
Ears | 3 | Hearing loss (hearing impairment), Inner ear hearing loss (sensorineural hearing impairment), Conductive hearing impairment |
Brain and nerves | 3 | Intellectual disability, Global developmental delay, Depressed nasal bridge |
Arms and legs | 3 | Cutaneous finger syndactyly, Cutaneous syndactyly of toes, Ulnar deviation of the hand |
Kidneys and urinary system | 1 | Renal hypoplasia |
Muscles | 1 | Low muscle tone (hypotonia) |
Digestive system | 1 | Feeding difficulties |
Eyes | 1 | Ptosis |
Growth and development | 1 | Growth delay |