Raras
Buscar doenças, sintomas, genes...
Síndrome Costello
ORPHA:3071CID-10 · Q87.8CID-11 · LD2F.1YOMIM 218040DOENÇA RARA

A Síndrome de Costello (SC) é uma doença rara que afeta vários sistemas do corpo. Ela é caracterizada por dificuldade em crescer e ganhar peso, baixa estatura, atraso no desenvolvimento ou deficiência intelectual, articulações mais frouxas, pele macia e traços faciais distintos. É comum haver problemas no coração e no sistema nervoso, e há um risco maior de desenvolver certos tipos de tumores ao longo da vida.

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Introdução

O que você precisa saber de cara

📋

A Síndrome de Costello (SC) é uma doença rara que afeta vários sistemas do corpo. Ela é caracterizada por dificuldade em crescer e ganhar peso, baixa estatura, atraso no desenvolvimento ou deficiência intelectual, articulações mais frouxas, pele macia e traços faciais distintos. É comum haver problemas no coração e no sistema nervoso, e há um risco maior de desenvolver certos tipos de tumores ao longo da vida.

Pesquisas ativas
6 ensaios
8 total registrados no ClinicalTrials.gov
Publicações científicas
773 artigos
Último publicado: 2026 Jan-Dec

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
<1 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.08
Japan
Casos conhecidos
300
pacientes catalogados
Início
Antenatal
+ neonatal
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q87.8
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
Você se identifica com essa condição?
O Raras está aqui pra te apoiar — com ou sem diagnóstico

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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧬
Pele e cabelo
18 sintomas
😀
Face
11 sintomas
🦴
Ossos e articulações
9 sintomas
🧠
Neurológico
7 sintomas
❤️
Coração
6 sintomas
🫁
Pulmão
6 sintomas

+ 29 sintomas em outras categorias

Características mais comuns

90%prev.
Ausência de elasticidade da pele
Muito frequente (99-80%)
90%prev.
Ptose
Muito frequente (99-80%)
90%prev.
Dificuldades alimentares na infância
Muito frequente (99-80%)
90%prev.
Defeito do septo ventricular
Muito frequente (99-80%)
90%prev.
Déficit de crescimento na infância
Muito frequente (99-80%)
90%prev.
Acantose nigricans
Muito frequente (99-80%)
107sintomas
Muito frequente (20)
Frequente (26)
Ocasional (10)
Sem dados (51)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 107 características clínicas mais associadas, ordenadas por frequência.

Ausência de elasticidade da peleLack of skin elasticity
Muito frequente (99-80%)90%
PtosePtosis
Muito frequente (99-80%)90%
Dificuldades alimentares na infânciaFeeding difficulties in infancy
Muito frequente (99-80%)90%
Defeito do septo ventricularVentricular septal defect
Muito frequente (99-80%)90%
Déficit de crescimento na infânciaFailure to thrive in infancy
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico773PubMed
Últimos 10 anos200publicações
Pico202241 papers
Linha do tempo
2026Hoje · 2026🧪 2015Primeiro ensaio clínico📈 2022Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

2 genes identificados com associação a esta condição. Padrão de herança: Autosomal dominant, Not applicable.

HRASGTPase HRasDisease-causing germline mutation(s) (gain of function) inTolerante
FUNÇÃO

Involved in the activation of Ras protein signal transduction (PubMed:22821884). Ras proteins bind GDP/GTP and possess intrinsic GTPase activity (PubMed:12740440, PubMed:14500341, PubMed:9020151)

LOCALIZAÇÃO

Cell membraneGolgi apparatusGolgi apparatus membraneNucleusCytoplasmCytoplasm, perinuclear region

VIAS BIOLÓGICAS (2)
Signaling by moderate kinase activity BRAF mutantsEPHB-mediated forward signaling
MECANISMO DE DOENÇA

Costello syndrome

A rare condition characterized by prenatally increased growth, postnatal growth deficiency, intellectual disability, distinctive facial appearance, cardiovascular abnormalities (typically pulmonic stenosis, hypertrophic cardiomyopathy and/or atrial tachycardia), tumor predisposition, skin and musculoskeletal abnormalities.

EXPRESSÃO TECIDUAL(Ubíquo)
Skin Not Sun Exposed Suprapubic
107.7 TPM
Skin Sun Exposed Lower leg
104.9 TPM
Esôfago - Mucosa
81.3 TPM
Cérebro - Hemisfério cerebelar
77.6 TPM
Brain Caudate basal ganglia
77.6 TPM
OUTRAS DOENÇAS (10)
nevus, epidermalthyroid cancer, nonmedullary, 2Costello syndromelinear nevus sebaceous syndrome
HGNC:5173UniProt:P01112
LRRC56Leucine-rich repeat-containing protein 56Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Required for the assembly of dynein arms

LOCALIZAÇÃO

Cell projection, cilium

MECANISMO DE DOENÇA

Ciliary dyskinesia, primary, 39

A form of primary ciliary dyskinesia, a disorder characterized by abnormalities of motile cilia. Respiratory infections leading to chronic inflammation and bronchiectasis are recurrent, due to defects in the respiratory cilia. Some patients exhibit randomization of left-right body asymmetry and situs inversus. Primary ciliary dyskinesia associated with situs inversus is referred to as Kartagener syndrome. CILD39 inheritance is autosomal recessive.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
62.5 TPM
Pituitária
28.0 TPM
Brain Nucleus accumbens basal ganglia
12.2 TPM
Cerebelo
11.0 TPM
Cérebro - Hemisfério cerebelar
9.2 TPM
OUTRAS DOENÇAS (4)
ciliary dyskinesia, primary, 39Costello syndromeNoonan syndromeprimary ciliary dyskinesia
HGNC:25430UniProt:Q8IYG6

Variantes genéticas (ClinVar)

335 variantes patogênicas registradas no ClinVar.

🧬 HRAS: GRCh38/hg38 11p15.5-15.4(chr11:198510-3400939)x3 ()
🧬 HRAS: NM_005343.4(HRAS):c.269T>G (p.Phe90Cys) ()
🧬 HRAS: NM_005343.4(HRAS):c.217_218insCGGCCAGCGCCATGCGGGACCAGTACATGC (p.Met72_Arg73insProAlaSerAlaMetArgAspGlnTyrMet) ()
🧬 HRAS: NM_005343.4(HRAS):c.174_179delinsATCTGGATACAT (p.Ala59_Gly60delinsSerGlyTyrIle) ()
🧬 HRAS: NM_005343.4(HRAS):c.204_218dup (p.Arg73_Thr74insAspGlnTyrMetArg) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 597 variantes classificadas pelo ClinVar.

30
239
328
Patogênica (5.0%)
VUS (40.0%)
Benigna (54.9%)
VARIANTES MAIS SIGNIFICATIVAS
HRAS: NM_005343.4(HRAS):c.204_218dup (p.Arg73_Thr74insAspGlnTyrMetArg) [Likely pathogenic]
HRAS: NM_005343.4(HRAS):c.537del (p.Gly180fs) [Uncertain significance]
HRAS: NM_005343.4(HRAS):c.423C>A (p.Tyr141Ter) [Uncertain significance]
HRAS: NM_005343.4(HRAS):c.23T>G (p.Val8Gly) [Uncertain significance]
HRAS: NM_005343.4(HRAS):c.97G>T (p.Asp33Tyr) [Uncertain significance]

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
·Pré-clínico8
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 8 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome Costello

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

5 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

8 ensaios clínicos encontrados, 6 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
255 papers (10 anos)
#1

Current opinions on Noonan syndrome and RASopathies.

Current opinion in pediatrics2026 Feb 01

Noonan syndrome and related disorders (RASopathies) affect ~1 in 2000 individuals and are associated with a wide range of phenotypic manifestations. It is highly likely that pediatricians and other pediatric subspecialists will encounter multiple patients with these diagnoses in their clinical practice. It is important that pediatric providers recognize common diagnostic features and are informed regarding recent advances in diagnosis and emerging treatment options for patients with these conditions. Major themes of research articles published about RASopathies in the past 18 months include the utilization of pathway targeted drugs such as trametinib for treatment-refractory cardiac and lymphatic manifestations, emerging genotype-phenotype correlations, and detailed characterization of neurologic manifestations. The potential for pathway targeted therapy, with increasing reported use of trametinib for severe cardiac and lymphatic manifestations of RASopathies, exemplifies the importance of recognizing RASopathy diagnoses and of clearly defining natural history and treatment endpoints. Further refinement of genotype-phenotype correlations and the phenotypic spectrum, particularly the delineation of neurologic manifestations clinically and radiographically, are likely to be areas of significant knowledge growth in upcoming years.

#2

Patient and caregiver perspectives on neurodevelopmental and mental health care for RASopathies.

Therapeutic advances in rare disease2026

Clinical studies have begun to evaluate therapeutic approaches to address the widespread neurodevelopmental and mental health challenges associated with a group of genetic syndromes known as "RASopathies." However, the perspectives of patients and families regarding the relevance and accessibility of such treatment approaches have not been studied. To assess the mental healthcare needs and treatment experiences encountered by individuals with RASopathies and caregivers. Directed content analysis of focus group and interview transcripts. We qualitatively analyzed data from four virtual focus groups comprised of caregivers (n = 21) of youth with RASopathies and a series of individual interviews with young adults (n = 11) with RASopathies. Perspectives on primary neurodevelopmental and mental health concerns, treatment history, and care accessibility were explored using a directed content analysis framework. Consistent with prior research, participants reported that attention/executive functioning, mood, and social concerns were common; anxiety was a particularly frequent comorbidity. Mental health concerns varied across settings and frequently interfaced with physical health symptoms. Barriers to care included poor accessibility of services, adverse medication effects, and a lack of provider experience or knowledge. Addressing neurodevelopmental and mental health symptoms effectively often necessitates family resilience and advocacy on the part of patients and their caregivers. Emergent themes uncovered needs for provider training pertaining to rare diseases, trauma-informed care, and improved community awareness regarding RASopathies. This study identified a set of actionable items to inform research, care delivery, and advocacy that reflect the expressed needs and lived experiences of participants representing both caregivers and patients with RASopathies. A qualitative study to understand perspectives of caregivers and people with RASopathies on their mental health care needs and treatment experiences New treatments are being developed and tested to address neurodevelopmental and mental health challenges of people with RASopathies, yet there is a lack of research exploring the patient experience when accessing existing treatments and perceived barriers to care. Our team conducted and analyzed a series of focus groups and interviews with caregivers and young adults with RASopathies. We asked about mental health concerns, treatment history, care accessibility, and ideas for treatment approaches to better meet their needs. Results identified a wide variety of mental health conditions and treatment strategies, with anxiety being a particularly frequent area of concern. Mental health conditions frequently interfaced with physical symptoms. Caregivers and individuals with RASopathies frequently struggled to access care, had adverse medication effects, or encountered providers with a lack of experience or knowledge of RASopathies. Advocacy from patients and their families was often needed to successfully address neurodevelopmental and mental health symptoms. Several themes emerged from these conversations, including needs for provider training in rare diseases, trauma-informed care, and improved community awareness regarding RASopathies. This study identified a set of actionable items to inform research, care delivery and advocacy that was informed by the perspectives of both caregivers and patients with RASopathies.

#3

Genotype-Phenotype Analysis and New Clinical Findings in a Series of 24 Patients Presenting with Noonan Syndrome and Related Disorders.

Molecular syndromology2026 Feb

RASopathies are a heterogeneous group of conditions of the RAS/mitogen-activated protein kinase pathway presenting with overlapping features such as growth deficiency, neurodevelopmental disorders, cardiac defects, craniofacial dysmorphisms, cutaneous and ocular abnormalities, and increased cancer risk. This retrospective study analyzed the medical records regarding clinical and molecular data from 2018 to 2024 in a single center for rare diseases of individuals diagnosed with Noonan syndrome and related disorders previously submitted to diagnostic molecular analysis through next-generation sequencing techniques. Twenty-four patients were enrolled with an even sex ratio distribution and ages ranging from 1 month to 16 years at first evaluation. The main reason for referral was diagnostic assessment due to a combination of dysmorphic features (24/24; 100%), growth deficiency (18/24; 75%), neurodevelopmental disorders (15/24; 62.5%), and/or heart disease (13/24; 54.1%). Final diagnoses included 15 individuals with Noonan syndrome (nine with variants in PTPN11, two in SOS1, and one each in LZTR1, A2ML1, and MRAS, besides one with variants in both LZTR1 and SOS1), two with Noonan syndrome with multiple lentigines (both with variants in PTPN11), two with Neurofibromatosis-Noonan (NF1), two with cardiofaciocutaneous syndrome (BRAF), and one each with Noonan syndrome-like with loose anagen hair (PPP1CB), Noonan syndrome-like (CBL), and Costello syndrome (HRAS); one individual presented with a double diagnosis of Noonan and Klinefelter syndromes. Three pairs of unrelated patients presented recurrent variants in the PTPN11 gene, partially concordant in phenotypic correlation among the pairs but not fully concordant compared to previously described cases in the literature. Undescribed features in this group included myopathy and megacolon in a patient with Noonan syndrome-like, hypogonadotropic hypogonadism, and azoospermia in a patient with Noonan syndrome-like with loose anagen hair, and schizophrenia in a patient with Costello syndrome. One patient with Noonan syndrome had a novel variant of the A2ML1 gene (c.1829G>A), but the variant was strictly of uncertain significance, while c.2033G>A in the LZTR1 gene and c.1A>G in the NF1 gene are variants for the first time associated with features of Noonan syndrome.

#4

Wide Ranging Neurobehavioral Phenotype in Individuals With Costello Syndrome.

American journal of medical genetics. Part A2026 Jan 24

Costello syndrome (CS) is a rare RASopathy that is typically associated with mild to moderate cognitive impairment. Based on detailed neuropsychological testing, this case series describes variability in the neurobehavioral presentations of three unrelated individuals with different pathogenic HRAS variants that cause CS. Results demonstrate a wide range of functioning among people with CS (extremely low to superior ranges) and describe the first cognitive testing results for an individual with HRAS c.179G>A, p.Gly60Asp. Patient-reported social, emotional, and quality of life outcomes also are discussed. These cases highlight the potential for above average cognitive functioning, the importance of flexible neurobehavioral assessment methods, and key quality of life and mental health domains to evaluate in individuals with CS.

#5

Langerhans Cell Histiocytosis in Cardiofaciocutaneous Syndrome.

American journal of medical genetics. Part A2026 Mar

The Ras/mitogen-activated protein kinase (RAS/MAPK) pathway regulates cell proliferation, and dysregulation of this pathway has been linked to the increased risk of malignancy in a subset of disorders known as RASopathies (e.g., NF1, Costello syndrome, Noonan syndrome). However, reports of malignancy are rare in cardiofaciocutaneous (CFC) syndrome, which is caused by heterozygous pathogenic variants in BRAF, MAP2K1, MAP2K2, and KRAS. Somatic pathogenic variants in BRAF are one of the most common drivers of Langerhans cell histiocytosis (LCH), a neoplastic disorder that can present with lesions in a variety of locations. However, despite the association of somatic BRAF variants and LCH, individuals with CFC syndrome are not thought to have higher rates of LCH. Here, we report two individuals with CFC syndrome and LCH and review the literature examining this potential association.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC321 artigos no totalmostrando 197

2026

Patient and caregiver perspectives on neurodevelopmental and mental health care for RASopathies.

Therapeutic advances in rare disease
2026

Genotype-Phenotype Analysis and New Clinical Findings in a Series of 24 Patients Presenting with Noonan Syndrome and Related Disorders.

Molecular syndromology
2026

Wide Ranging Neurobehavioral Phenotype in Individuals With Costello Syndrome.

American journal of medical genetics. Part A
2026

Current opinions on Noonan syndrome and RASopathies.

Current opinion in pediatrics
2025

Orbital Rhabdomyosarcoma in a Pediatric Patient With Costello Syndrome.

Ophthalmic plastic and reconstructive surgery
2026

Langerhans Cell Histiocytosis in Cardiofaciocutaneous Syndrome.

American journal of medical genetics. Part A
2026

The HRAS Variant c.175G>A (p.Ala59Thr) Causes a Predominantly Ectodermal Phenotype Lacking Classic Costello Syndrome Features.

American journal of medical genetics. Part A
2025

Advancing edge-based clustering and graph embedding for biological network analysis: a case study in RASopathies.

Briefings in bioinformatics
2025

Role of Histopathology of Skin Lesions in Diagnosing MAP2K1-Positive Cardiofaciocutaneous Syndrome.

The American Journal of dermatopathology
2025

RASopathies. Part II: Cutaneous and extracutaneous manifestations.

Journal of the American Academy of Dermatology
2025

RASopathies. Part I: Genetics and therapeutic considerations.

Journal of the American Academy of Dermatology
2025

Targeting cardiomyopathies associated with RASopathies: the role of mitogen-activated protein kinase inhibitors and therapeutic challenges.

Pharmacogenetics and genomics
2025

Quantitative T1 Mapping Indicates Elevated White Matter Myelin in Children With RASopathies.

Biological psychiatry
2025

Pericapsular hip chemical denervation with phenol: A case report suggesting the interest of this new tool in rehabilitation medicine.

Annals of physical and rehabilitation medicine
2025

Costello Syndrome and Ophthalmologic Issues: Unveiling the Unseen.

American journal of medical genetics. Part A
2025

Costello Syndrome Complicated by Midventricular Obstruction With an Apical Aneurysm.

Circulation reports
2025

An Unusual Presentation of Costello Syndrome in a Boy with Precocious Puberty and Chiari I Malformation: A Case Report.

Cureus
2025

Impaired MC3T3-E1 osteoblast differentiation triggered by oncogenic HRAS is rescued by the farnesyltransferase inhibitor Tipifarnib.

Scientific reports
2025

A Drosophila model for Costello Syndrome caused by Ras mutation K117R.

bioRxiv : the preprint server for biology
2025

Germline Variants in Pediatric Cancer : Based on Oncogenic Pathways.

Journal of Korean Neurosurgical Society
2024

Antenatal diagnosis of lethal Costello syndrome: how fetal exome sequencing using NHS England's R21 pathway accelerated the diagnosis of non-immune hydrops and improved patient experience.

BMJ case reports
2024

Genomic ascertainment to quantify prevalence and cancer risk in adults with pathogenic and likely pathogenic germline variants in RASopathy genes.

medRxiv : the preprint server for health sciences
2024

Novel use of trametinib for treatment of atrial arrhythmia in absence of cardiomyopathy in a patient with Costello syndrome.

Cardiology in the young
2024

Clinical features and molecular genetics of patients with RASopathies: expanding the phenotype with rare genes and novel variants.

European journal of pediatrics
2024

[Diagnostic and therapeutic perspectives in RASopathies].

Magyar onkologia
2025

RASopathies in Cardiac Disease.

Annual review of medicine
2024

Case report: MEK inhibitor as treatment for multi-lineage mosaic KRAS G12D-associated epidermal nevus syndrome in a pediatric patient.

Frontiers in neurology
2024

Facial and anogenital papillomas in Costello syndrome - human papilloma virus or just hyperproliferation?

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
2024

Biomarker Landscape in RASopathies.

International journal of molecular sciences
2024

Update on Pediatric Cancer Surveillance Recommendations for Patients with Neurofibromatosis Type 1, Noonan Syndrome, CBL Syndrome, Costello Syndrome, and Related RASopathies.

Clinical cancer research : an official journal of the American Association for Cancer Research
2024

Somatic HRAS p.G12S mutation causes mosaic Costello syndrome with special cutaneous manifestations.

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
2024

Dysplastic Mitral Valve in Costello Syndrome.

JACC. Case reports
2024

The Surgical Management of Severe Scoliosis in Immature Patient with a Very Rare Disease Costello Syndrome-Clinical Example and Brief Literature Review.

Life (Basel, Switzerland)
2024

Dermoscopic Features of Melanocytic Nevi in Cardiofaciocutaneous and Costello Syndromes.

JAMA dermatology
2024

Human Genetics of Semilunar Valve and Aortic Arch Anomalies.

Advances in experimental medicine and biology
2024

Human Genetics of Ventricular Septal Defect.

Advances in experimental medicine and biology
2024

Adult syndromology: challenges, opportunities and perspectives: Illustrated by the description of four adults with Costello syndrome.

Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V
2024

RASopathies - what they reveal about RAS/MAPK signaling in skeletal muscle development.

Disease models &amp; mechanisms
2024

Concurrent rhabdomyosarcoma and neuroblastoma in an infant with Costello syndrome.

Pediatric blood &amp; cancer
2024

RASopathies for Radiologists.

Radiographics : a review publication of the Radiological Society of North America, Inc
2024

Dermatological manifestations in Costello syndrome: A prospective multicentric study of 31 HRAS-positive variant patients.

Journal of the European Academy of Dermatology and Venereology : JEADV
2024

Autism spectrum disorder profiles in RASopathies: A systematic review.

Molecular genetics &amp; genomic medicine
2024

MEK Inhibition for RASopathy-Associated Hypertrophic Cardiomyopathy: Clinical Application of a Basic Concept.

The Canadian journal of cardiology
2024

HRAS-Mutant Cardiomyocyte Model of Multifocal Atrial Tachycardia.

Circulation. Arrhythmia and electrophysiology
2024

Natural history and outcomes in paediatric RASopathy-associated hypertrophic cardiomyopathy.

ESC heart failure
2023

The Cardiofaciocutaneous Syndrome: From Genetics to Prognostic-Therapeutic Implications.

Genes
2023

Artificial Intelligence Procedure for the Screening of Genetic Syndromes Based on Voice Characteristics.

Bioengineering (Basel, Switzerland)
2024

Torpedo maculopathy in Costello syndrome.

Journal francais d'ophtalmologie
2024

The 8th International RASopathies Symposium: Expanding research and care practice through global collaboration and advocacy.

American journal of medical genetics. Part A
2023

RASopathies and spinal deformities for screening of scoliosis.

Pediatrics international : official journal of the Japan Pediatric Society
2023

Diagnosis, treatment planning, and comprehensive restoration of a patient with Costello syndrome: rationale and application of indirect composite resin onlays.

General dentistry
2023

Genotypic Findings in Noonan and Non-Noonan RASopathies and Patient Eligibility for Growth Hormone Treatment.

Journal of clinical medicine
2023

RASopathies and cardiac manifestations.

Frontiers in cardiovascular medicine
2023

Concurrent Presentation of Euryblepharon and Moyamoya Syndrome in Costello Syndrome: A Rare Clinical Case.

Cureus
2023

Fatal leukodystrophy in Costello syndrome: a case report.

BMC pediatrics
2023

A very mild phenotype in six individuals of a three-generation family with the novel HRAS variant c.176C > G p.(Ala59Gly): Emergence of a new HRAS-related RASopathy distinct from Costello syndrome.

American journal of medical genetics. Part A
2023

Syndromic forms of congenital hyperinsulinism.

Frontiers in endocrinology
2023

Papillomas of Costello syndrome are not associated with human papillomavirus infection in a small case series.

Journal of the American Academy of Dermatology
2023

MEK Inhibition Improves Cardiomyopathy in Costello Syndrome.

Journal of the American College of Cardiology
2023

Cancer in Costello syndrome: a systematic review and meta-analysis.

British journal of cancer
2023

An Unusual Presentation of Cardiofaciocutaneous Syndrome Diagnosed Through Whole Genome Sequencing: A Case Report.

Cureus
2023

Diverse Clinical Manifestations of Cardiofaciocutaneous Syndrome Type 3 in Two Patients from South East Asia.

Molecular syndromology
2023

How common are ear, nose and throat disorders in children with Noonan syndrome and other RASopathies?

International journal of pediatric otorhinolaryngology
2022

Dermatological manifestations, management, and care in RASopathies.

American journal of medical genetics. Part C, Seminars in medical genetics
2022

Cancer incidence and surveillance strategies in individuals with RASopathies.

American journal of medical genetics. Part C, Seminars in medical genetics
2022

New prospectives on treatment opportunities in RASopathies.

American journal of medical genetics. Part C, Seminars in medical genetics
2022

Vascular malformation rupture in a patient affected by Costello syndrome.

BMJ case reports
2022

Management of nutritional and gastrointestinal issues in RASopathies: A narrative review.

American journal of medical genetics. Part C, Seminars in medical genetics
2022

Bone health in RASopathies.

American journal of medical genetics. Part C, Seminars in medical genetics
2022

Central nervous system involvement in individuals with RASopathies.

American journal of medical genetics. Part C, Seminars in medical genetics
2022

Clinical overview on RASopathies.

American journal of medical genetics. Part C, Seminars in medical genetics
2022

The heart in RASopathies.

American journal of medical genetics. Part C, Seminars in medical genetics
2022

Increased osteoclastogenesis contributes to bone loss in the Costello syndrome Hras G12V mouse model.

Frontiers in cell and developmental biology
2022

RASopathy Cohort of Patients Enrolled in a Brazilian Reference Center for Rare Diseases: A Novel Familial LZTR1 Variant and Recurrent Mutations.

The application of clinical genetics
2023

Costello syndrome-associated orthopaedic manifestations focussed on kyphoscoliosis: a case series describing the natural course.

Journal of pediatric orthopedics. Part B
2023

Cutaneous manifestations in Costello syndrome: HRAS p.Gly12Ser affects RIN1-mediated integrin trafficking in immortalized epidermal keratinocytes.

Human molecular genetics
2022

Prevalence of gastrointestinal disorders in individuals with RASopathies: May RAS/MAP/ERK pathway dysfunctions be a model of neuropathic pain and visceral hypersensitivity?

American journal of medical genetics. Part A
2022

Refining nosology by modelling variation among facial phenotypes: the RASopathies.

Journal of medical genetics
2022

A novel HRAS c.466C>T p.(Phe156Leu) variant in two patients with attenuated features of Costello syndrome.

European journal of human genetics : EJHG
2022

Rapid Weight Loss and Severe Failure to Thrive Mimicking Lipodystrophy Syndrome in a 1-Year-Old Taiwanese Girl with Costello Syndrome.

Children (Basel, Switzerland)
2022

Surgical techniques for infectious endocarditis of the mitral valve with hypertrophic cardiomyopathy in Costello syndrome.

Journal of cardiology cases
2022

Multidisciplinary Management of Costello Syndrome: Current Perspectives.

Journal of multidisciplinary healthcare
2023

The Clinical Landscape of NRAS- mutated Juvenile Myelomonocytic Leukemia-like Myeloproliferation Includes Children With Costello Syndrome.

Journal of pediatric hematology/oncology
2022

Mitochondria and the future of RASopathies: the emergence of bioenergetics.

The Journal of clinical investigation
2022

Diagnostic yield using whole-genome sequencing and in-silico panel of 281 genes associated with non-immune hydrops fetalis in clinical setting.

Ultrasound in obstetrics &amp; gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
2022

The seventh international RASopathies symposium: Pathways to a cure-expanding knowledge, enhancing research, and therapeutic discovery.

American journal of medical genetics. Part A
2022

A case of Costello syndrome diagnosed by trio whole exome sequencing.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
2022

HRAS germline mutations impair LKB1/AMPK signaling and mitochondrial homeostasis in Costello syndrome models.

The Journal of clinical investigation
2022

Lymphatic Abnormalities in Noonan Syndrome Spectrum Disorders: A Systematic Review.

Molecular syndromology
2022

Severe hyponatremia in a neonate with Costello syndrome and CoA during PGE1 infusion.

Pediatrics international : official journal of the Japan Pediatric Society
2022

The RASopathies: from pathogenetics to therapeutics.

Disease models &amp; mechanisms
2023

An Assessment of the Therapeutic Landscape for the Treatment of Heart Disease in the RASopathies.

Cardiovascular drugs and therapy
2022

RASopathies: Dermatologists' viewpoints.

Indian journal of dermatology, venereology and leprology
2022

Metabolic profiling of Costello syndrome: Insights from a single-center cohort.

European journal of medical genetics
2022

The RASopathies: Biology, genetics and therapeutic options.

Advances in cancer research
2022

[A case of Costello syndrome diagnosed by extremely rapid whole genome sequencing].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2022

Prevalence of bladder cancer in Costello syndrome: New insights to drive clinical decision-making.

Clinical genetics
2022

Social behavior in RASopathies and idiopathic autism.

Journal of neurodevelopmental disorders
2022

Craniosynostosis is a feature of Costello syndrome.

American journal of medical genetics. Part A
2022

Eyelash trichomegaly: a systematic review of acquired and congenital aetiologies of lengthened lashes.

Journal of the European Academy of Dermatology and Venereology : JEADV
2022

Bone tissue homeostasis and risk of fractures in Costello syndrome: A 4-year follow-up study.

American journal of medical genetics. Part A
2022

Clinical and molecular characterization of Costello syndrome in unrelated Mexican patients.

Clinical dysmorphology
2022

Idiopathic polyhydramnios and foetal macrosomia in the absence of maternal diabetes: clinical vigilance for costello syndrome.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
2022

Duplications in the G3 domain or switch II region in HRAS identified in patients with Costello syndrome.

Human mutation
2022

Ophthalmic manifestations in Costello syndrome caused by Ras pathway dysregulation during development.

Ophthalmic genetics
2022

Woolly hair nevus caused by somatic mutation and Costello syndrome caused by germline mutation in HRAS: Consider parental mosaicism in prenatal counseling.

The Journal of dermatology
2022

MEK-inhibitor-mediated rescue of skeletal myopathy caused by activating Hras mutation in a Costello syndrome mouse model.

Disease models &amp; mechanisms
2022

Hyperactive HRAS dysregulates energetic metabolism in fibroblasts from patients with Costello syndrome via enhanced production of reactive oxidizing species.

Human molecular genetics
2021

Molecules linked to Ras signaling as therapeutic targets in cardiac pathologies.

Biological research
2021

Dysregulated ECM remodeling proteins lead to aberrant osteogenesis of Costello syndrome iPSCs.

Stem cell reports
2021

Expanding the clinical phenotype of RASopathies in 38 Turkish patients, including the rare LZTR1, RAF1, RIT1 variants, and large deletion in NF1.

American journal of medical genetics. Part A
2021

RASopathies: The musculoskeletal consequences and their etiology and pathogenesis.

Bone
2021

Anterior lenticular opacities in Costello Syndrome.

American journal of ophthalmology case reports
2021

Studying Metabolic Abnormalities in the Costello Syndrome HRAS G12V Mouse Model: Isolation of Mouse Embryonic Fibroblasts and Their In Vitro Adipocyte Differentiation.

Methods in molecular biology (Clifton, N.J.)
2021

Costello syndrome with special cutaneous manifestations and HRAS G12D mutation: A case report and literature review.

Molecular genetics &amp; genomic medicine
2021

A Patient with Noonan Syndrome with a KRAS Mutation Who Presented Severe Nerve Root Hypertrophy.

Case reports in neurology
2021

Myriad of pigmented lesions in a patient with Costello syndrome.

Journal of the European Academy of Dermatology and Venereology : JEADV
2021

Musculo-skeletal phenotype of Costello syndrome and cardio-facio-cutaneous syndrome: insights on the functional assessment status.

Orphanet journal of rare diseases
2021

Germline Cancer Predisposition Variants in Pediatric Rhabdomyosarcoma: A Report From the Children's Oncology Group.

Journal of the National Cancer Institute
2021

Senescence in RASopathies, a possible novel contributor to a complex pathophenoype.

Mechanisms of ageing and development
2020

Hyperinsulinemic Hypoglycemia in a Patient with Costello Syndrome: An Etiology to Consider in Hypoglycemia.

Molecular syndromology
2020

Germline predisposition to genitourinary rhabdomyosarcoma.

Translational andrology and urology
2021

RASopathies: A significant cause of polyhydramnios?

Prenatal diagnosis
2020

Recombinant GH treatment in a case of Costello syndrome with a 5-year follow-up.

Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology
2020

Impact of Costello syndrome on growth patterns.

American journal of medical genetics. Part A
2020

Costello syndrome model mice with a HrasG12S/+ mutation are susceptible to develop house dust mite-induced atopic dermatitis.

Cell death &amp; disease
2020

Stress and Coping in Caregivers of Children with RASopathies: Assessment of the Impact of Caregiver Conferences.

Journal of pediatric genetics
2020

Development of Noonan syndrome by deregulation of allosteric SOS autoactivation.

The Journal of biological chemistry
2021

De novo HRAS gene mutation associated with Costello syndrome identified by non-invasive cell-free fetal DNA screening.

Prenatal diagnosis
2020

Treatment of Dystonia Using Trihexyphenidyl in Costello Syndrome.

Brain sciences
2020

The novel duplication HRAS c.186_206dup p.(Glu62_Arg68dup): clinical and functional aspects.

European journal of human genetics : EJHG
2020

[Noonan syndrome: genetic and clinical update and treatment options].

Anales de pediatria
2021

Syndromes with gingival fibromatosis: A systematic review.

Oral diseases
2020

Germline and sporadic cancers driven by the RAS pathway: parallels and contrasts.

Annals of oncology : official journal of the European Society for Medical Oncology
2020

RAS pathway influences the number of melanocytic nevi in cardiofaciocutaneous and Costello syndromes.

Journal of the American Academy of Dermatology
2020

Advancing RAS/RASopathy therapies: An NCI-sponsored intramural and extramural collaboration for the study of RASopathies.

American journal of medical genetics. Part A
2020

Cardiac manifestations and gene mutations of patients with RASopathies in Taiwan.

American journal of medical genetics. Part A
2020

The sixth international RASopathies symposium: Precision medicine-From promise to practice.

American journal of medical genetics. Part A
2019

miRNA Genetic Variants Alter Their Secondary Structure and Expression in Patients With RASopathies Syndromes.

Frontiers in genetics
2019

[A pathogenic variation of HRAS gene causing Costello syndrome: a Ras/MAPK pathway syndrome].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2019

The impact of RASopathy-associated mutations on CNS development in mice and humans.

Molecular brain
2020

Comparison of hair manifestations in cardio-facio-cutaneous and Costello syndromes highlights the influence of the RAS pathway on hair growth.

Journal of the European Academy of Dermatology and Venereology : JEADV
2020

NRAS associated RASopathy and embryonal rhabdomyosarcoma.

American journal of medical genetics. Part A
2020

Medically actionable comorbidities in adults with Costello syndrome.

American journal of medical genetics. Part A
2019

Precocious puberty and Chiari I malformation with syrinx: a case report of an unusual presentation of Costello syndrome.

International journal of pediatric endocrinology
2019

Clinical and molecular characterization of children with Noonan syndrome and other RASopathies in Argentina.

Archivos argentinos de pediatria
2019

Phenotypic and Genetic Characteristics of Five Korean Patients with Costello Syndrome.

Cytogenetic and genome research
2019

Antenatal diagnosis of cardio-facio-cutaneous syndrome: Prenatal characteristics and contribution of fetal facial dysmorphic signs in utero. About a case and review of literature.

European journal of obstetrics, gynecology, and reproductive biology
2019

Neurodevelopmental Aspects of RASopathies.

Molecules and cells
2019

Costello syndrome: Clinical phenotype, genotype, and management guidelines.

American journal of medical genetics. Part A
2019

RASopathy in Patients With Isolated Sagittal Synostosis.

Global pediatric health
2019

Severe Noonan syndrome phenotype associated with a germline Q71R MRAS variant: a recurrent substitution in RAS homologs in various cancers.

American journal of medical genetics. Part A
2019

Pathogenesis of Growth Failure in Rasopathies.

Pediatric endocrinology reviews : PER
2019

Clinical Manifestations of Noonan Syndrome and Related Disorders.

Pediatric endocrinology reviews : PER
2019

Functional robustness of adult spermatogonial stem cells after induction of hyperactive Hras.

PLoS genetics
2019

Melorheostosis and Osteopoikilosis: A Review of Clinical Features and Pathogenesis.

Calcified tissue international
2020

Fetal Costello syndrome: description of phenotype of HRAS exon 1 mutations.

Ultrasound in obstetrics &amp; gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
2019

First International Conference on RASopathies and Neurofibromatoses in Asia: Identification and advances of new therapeutics.

American journal of medical genetics. Part A
2019

Genetic landscape of RASopathies in Chinese: Three decades' experience in Hong Kong.

American journal of medical genetics. Part C, Seminars in medical genetics
2019

Use of whole exome sequencing in the NICU: Case of an extremely low birth weight infant with syndromic features.

Molecular and cellular probes
2019

Pain in individuals with RASopathies: Prevalence and clinical characterization in a sample of 80 affected patients.

American journal of medical genetics. Part A
2019

Anesthetic Management in an Adult Patient With Costello Syndrome: A Case Report.

A&amp;A practice
2019

Fetal edema, not overgrowth, is associated with neonatal lethal Costello syndrome due to the HRAS p.Gly12Val mutation.

Clinical dysmorphology
2018

[New insight of craniofacial and oral findings of the RASopathies].

Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology
2019

Delineation of LZTR1 mutation-positive patients with Noonan syndrome and identification of LZTR1 binding to RAF1-PPP1CB complexes.

Human genetics
2018

Assessing the gene-disease association of 19 genes with the RASopathies using the ClinGen gene curation framework.

Human mutation
2018

Proceedings of the fifth international RASopathies symposium: When development and cancer intersect.

American journal of medical genetics. Part A
2019

Dermatological manifestations in cardiofaciocutaneous syndrome: a prospective multicentric study of 45 mutation-positive patients.

The British journal of dermatology
2018

Nonreentrant atrial tachycardia occurs independently of hypertrophic cardiomyopathy in RASopathy patients.

American journal of medical genetics. Part A
2018

Concurrent somatic KRAS mutation and germline 10q22.3-q23.2 deletion in a patient with juvenile myelomonocytic leukemia, developmental delay, and multiple malformations: a case report.

BMC medical genomics
2018

Deep Palmar and Plantar Creases in Costello Syndrome.

The Journal of pediatrics
2018

The RASopathy Family: Consequences of Germline Activation of the RAS/MAPK Pathway.

Endocrine reviews
2018

When and why is surgical revascularization indicated for the treatment of moyamoya syndrome in patients with RASopathies? A systematic review of the literature and a single institute experience.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
2018

RAS signalling in energy metabolism and rare human diseases.

Biochimica et biophysica acta. Bioenergetics
2018

Encephalocraniocutaneous Lipomatosis.

Journal of pediatric hematology/oncology
2018

RASopathies are associated with a distinct personality profile.

American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics
2018

Age and ASD symptoms in Costello syndrome.

American journal of medical genetics. Part A
2018

Data on cardiac defects, morbidity and mortality in patients affected by RASopathies. CARNET study results.

Data in brief
2018

Clinical Presentation and Natural History of Hypertrophic Cardiomyopathy in RASopathies.

Heart failure clinics
2018

Integrating Functional Analysis in the Next-Generation Sequencing Diagnostic Pipeline of RASopathies.

Scientific reports
2018

Mice with an Oncogenic HRAS Mutation are Resistant to High-Fat Diet-Induced Obesity and Exhibit Impaired Hepatic Energy Homeostasis.

EBioMedicine
2018

Costello Syndrome: The Challenge of Hypoglycemia and Failure to Thrive.

EBioMedicine
2017

FOXI2: a possible gene contributing to ectodermal dysplasia.

European journal of dermatology : EJD
2017

Oligodendrocyte RasG12V expressed in its endogenous locus disrupts myelin structure through increased MAPK, nitric oxide, and notch signaling.

Glia
2017

Craniosynostosis in patients with RASopathies: Accumulating clinical evidence for expanding the phenotype.

American journal of medical genetics. Part A
2017

A review of craniofacial and dental findings of the RASopathies.

Orthodontics &amp; craniofacial research
2017

Recommendations for Cancer Surveillance in Individuals with RASopathies and Other Rare Genetic Conditions with Increased Cancer Risk.

Clinical cancer research : an official journal of the American Association for Cancer Research
2017

Genotype and phenotype spectrum of NRAS germline variants.

European journal of human genetics : EJHG
2017

[Update on the treatment of RASopathies].

Revista de neurologia
2017

A comparison of the functional health of children with Costello syndrome in 1999 and in 2015.

American journal of medical genetics. Part A
2017

Mechanisms underlying cognitive deficits in a mouse model for Costello Syndrome are distinct from other RASopathy mouse models.

Scientific reports
2017

Fetal costello syndrome with neuromuscular spindles excess and p.Gly12Val HRAS mutation.

European journal of medical genetics
2017

Cytotoxicity of Zardaverine in Embryonal Rhabdomyosarcoma from a Costello Syndrome Patient.

Frontiers in oncology
2017

A case of splenomegaly in CBL syndrome.

European journal of medical genetics
2017

Aberrant HRAS transcript processing underlies a distinctive phenotype within the RASopathy clinical spectrum.

Human mutation
2017

Age-related differences in prevalence of autism spectrum disorder symptoms in children and adolescents with Costello syndrome.

American journal of medical genetics. Part A
2017

Phenotypic spectrum of Costello syndrome individuals harboring the rare HRAS mutation p.Gly13Asp.

American journal of medical genetics. Part A
Ver todos os 321 no EuropePMC

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Doenças relacionadas

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Ordenadas pelo número de sintomas em comum.

Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Current opinions on Noonan syndrome and RASopathies.
    Current opinion in pediatrics· 2026· PMID 41230721mais citado
  2. Patient and caregiver perspectives on neurodevelopmental and mental health care for RASopathies.
    Therapeutic advances in rare disease· 2026· PMID 41804372mais citado
  3. Genotype-Phenotype Analysis and New Clinical Findings in a Series of 24 Patients Presenting with Noonan Syndrome and Related Disorders.
    Molecular syndromology· 2026· PMID 41675685mais citado
  4. Wide Ranging Neurobehavioral Phenotype in Individuals With Costello Syndrome.
    American journal of medical genetics. Part A· 2026· PMID 41578731mais citado
  5. Langerhans Cell Histiocytosis in Cardiofaciocutaneous Syndrome.
    American journal of medical genetics. Part A· 2026· PMID 41174928mais citado
  6. Beyond falsifiability: Evolutionary psychology's many theoretical strengths-Reply to Geary (2026) and Moore (2026).
    Am Psychol· 2026· PMID 41609604recente
  7. Components of evolutionary psychology are falsifiable, but does that make it a good theory? Commentary on Costello et al. (2026).
    Am Psychol· 2026· PMID 41609603recente
  8. Biological and cultural influences on the expression of sex differences: Commentary on Costello et al. (2026).
    Am Psychol· 2026· PMID 41609602recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:3071(Orphanet)
  2. OMIM OMIM:218040(OMIM)
  3. MONDO:0009026(MONDO)
  4. GARD:1550(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q1136492(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome Costello
Compêndio · Raras BR

Síndrome Costello

ORPHA:3071 · MONDO:0009026
Prevalência
<1 / 1 000 000
Casos
300 casos conhecidos
Herança
Autosomal dominant, Not applicable
CID-10
Q87.8 · Outras síndromes com malformações congênitas especificadas, não classificadas em outra parte
CID-11
Ensaios
6 ativos
Início
Antenatal, Neonatal
Prevalência
0.08 (Japan)
MedGen
UMLS
C0587248
EuropePMC
Wikidata
Papers 10a
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