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Síndrome Hallermann-Streiff
ORPHA:2108CID-10 · Q87.0CID-11 · LD2BOMIM 234100DOENÇA RARA

A síndrome de Hallermann-Streiff é uma síndrome genética rara caracterizada principalmente por anormalidades faciais e da cabeça, como fácies semelhante a um pássaro (com nariz em formato de bico e retrognatia), mandíbula hipoplásica, braquicefalia com protuberância frontal, anormalidades dentárias (por exemplo, ausência de dentes, dentes natais, dentes supranumerários, agenesia grave de dentes permanentes, hipoplasia do esmalte), hipotricose, vários distúrbios oftalmológicos (por exemplo, catarata congênita, microftalmia bilateral, ptose, nistagmo) e atrofia da pele (especialmente ao redor do centro da face e nariz), bem como telangiectasia e baixa estatura proporcional. A deficiência intelectual é relatada em alguns casos.

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Introdução

O que você precisa saber de cara

📋

A síndrome de Hallermann-Streiff é uma síndrome genética rara caracterizada principalmente por anormalidades faciais e da cabeça, como fácies semelhante a um pássaro (com nariz em formato de bico e retrognatia), mandíbula hipoplásica, braquicefalia com protuberância frontal, anormalidades dentárias (por exemplo, ausência de dentes, dentes natais, dentes supranumerários, agenesia grave de dentes permanentes, hipoplasia do esmalte), hipotricose, vários distúrbios oftalmológicos (por exemplo, catarata congênita, microftalmia bilateral, ptose, nistagmo) e atrofia da pele (especialmente ao redor do centro da face e nariz), bem como telangiectasia e baixa estatura proporcional. A deficiência intelectual é relatada em alguns casos.

Publicações científicas
175 artigos
Último publicado: 2026 Mar 25

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Casos conhecidos
150
pacientes catalogados
Início
Antenatal
+ infancy, neonatal
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q87.0
🇧🇷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
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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

🦴
Ossos e articulações
15 sintomas
👁️
Olhos
12 sintomas
😀
Face
11 sintomas
🧬
Pele e cabelo
7 sintomas
🫁
Pulmão
6 sintomas
🧠
Neurológico
5 sintomas

+ 28 sintomas em outras categorias

Características mais comuns

90%prev.
Densidade mineral óssea reduzida
Muito frequente (99-80%)
90%prev.
Braquicefalia
Muito frequente (99-80%)
90%prev.
Alopecia
Muito frequente (99-80%)
90%prev.
Catarata do desenvolvimento
Muito frequente (99-80%)
90%prev.
Atrofia dérmica
Muito frequente (99-80%)
90%prev.
Pelos corporais esparsos
Muito frequente (99-80%)
96sintomas
Muito frequente (14)
Frequente (16)
Ocasional (20)
Sem dados (46)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 96 características clínicas mais associadas, ordenadas por frequência.

Densidade mineral óssea reduzidaReduced bone mineral density
Muito frequente (99-80%)90%
BraquicefaliaBrachycephaly
Muito frequente (99-80%)90%
Alopecia
Muito frequente (99-80%)90%
Catarata do desenvolvimentoDevelopmental cataract
Muito frequente (99-80%)90%
Atrofia dérmicaDermal atrophy
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico175PubMed
Últimos 10 anos35publicações
Pico20187 papers
Linha do tempo
2026Hoje · 2026📈 2018Ano 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

1 gene identificado com associação a esta condição. Padrão de herança: Not applicable, Unknown.

CHD6ATP-dependent chromatin remodeler CHD6Disease-causing germline mutation(s) (loss of function) inAltamente restrito
FUNÇÃO

ATP-dependent chromatin-remodeling factor (PubMed:17027977, PubMed:28533432). Regulates transcription by disrupting nucleosomes in a largely non-sliding manner which strongly increases the accessibility of chromatin; nucleosome disruption requires ATP (PubMed:28533432). Activates transcription of specific genes in response to oxidative stress through interaction with NFE2L2 (Microbial infection) Acts as a transcriptional repressor of different viruses including influenza virus or papillomavirus.

LOCALIZAÇÃO

Nucleus, nucleoplasm

VIAS BIOLÓGICAS (1)
NFE2L2 regulating anti-oxidant/detoxification enzymes
INTERAÇÕES PROTEICAS (3)
OUTRAS DOENÇAS (1)
Hallermann-Streiff syndrome
HGNC:19057UniProt:Q8TD26

Variantes genéticas (ClinVar)

8 variantes patogênicas registradas no ClinVar.

🧬 CHD6: GRCh37/hg19 20q11.21-13.12(chr20:31010829-44560369)x1 ()
🧬 CHD6: NM_032221.5(CHD6):c.1436+97G>T ()
🧬 CHD6: NM_032221.5(CHD6):c.3864C>T (p.Gly1288=) ()
🧬 CHD6: Single allele ()
🧬 CHD6: GRCh37/hg19 20p13-q13.33(chr20:61569-62915555)x3 ()
Ver todas no ClinVar

Vias biológicas (Reactome)

1 via biológica associada aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Carregando informações de tratamento...

Onde tratar no SUS

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

🇧🇷 Atendimento SUS — Síndrome Hallermann-Streiff

🗺️

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

Pesquisa e ensaios clínicos

Nenhum ensaio clínico registrado para esta condição.

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Publicações mais relevantes

Timeline de publicações
35 papers (10 anos)
#1

A review of Hallermann-Streiff syndrome demonstrates clinical overlap with other conditions.

Orphanet journal of rare diseases2026 Feb 25
#2

Monozygotic Twins of Different Religions: Causes and Consequences/Twin Research Reviews: Language Development in Dizygotic Twins; MZ Twins with Hallermann-Streiff Syndrome; Digital Twins and Asthma Research; Zygosity Revealed/Human Interest: A Pen Turned Holocaust Children Into Twins; Identical Twin Jeopardy Winners; Twin Hostages Freed From Gaza; Loss of a Twin Son; Fraternal Twin Mountaineers; Twins in the Sydney to Hobart Yacht Race; Twin Patron Saints of Cobblers.

Twin research and human genetics : the official journal of the International Society for Twin Studies2026 Mar 25

Monozyotic (MZ) twins reared together are typically raised in the same religion, as are all children in a family. However, a young pair of MZ male twins, raised together, but with different religions, was identified and raises interesting issues that warrant consideration. This case, as well as those of reared-apart MZ twins who adopt different religions due to their family background or other circumstances, are summarized. A review of recent and current twin research follows. The studies included here concern language development in a pair of dizygotic (DZ) female twins, the second case of MZ twins with presumed Hallermann-Streiff syndrome, and the use of digital twins to advance asthma research. The final entry in the research section describes parents' responses to their twin children's misdiagnosed zygosity. Human interest stories involving twins - some entertaining, but all informative - include a pen that saved nontwin Holocaust children by assigning them as twins, identical twin Jeopardy winners, twin hostages freed from Gaza, loss of a twin son, fraternal twin mountaineers, twin sailors in the Sydney to Hobart Yacht Race, and the twin Patron Saints of Cobblers.

#3

Peri-implant Femoral Fracture: An Uncommon Presentation in a Patient with Hallermann-Streiff Syndrome - A Case Report and Review of the Literature.

Journal of orthopaedic case reports2026 Jan

Hallermann-Streiff syndrome (HSS) is a globally rare congenital condition of unknown etiology, with approximately 200 cases reported worldwide. Although its skeletal morphological abnormalities are well recognized, traumatic and periprosthetic fractures have not been documented. These anatomical variations pose significant challenges for determining the optimal therapeutic approach, particularly in acute trauma settings. We report the case of a 12-year-old male from Mexico who presented to the emergency department after a fall from standing height, sustaining direct trauma to the right hemibody. His medical history included a right femoral fracture 5 years earlier. Intraoperative findings revealed pronounced femoral shaft thinning, and open reduction and internal fixation (ORIF) with a low-profile plate was performed. The post-operative course was favorable, with satisfactory clinical and radiological progression at 6 months. This case illustrates the complex skeletal involvement associated with HSS and underscores the need for individualized surgical planning within a multidisciplinary framework. This case contributes valuable evidence to the limited literature on HSS by documenting a traumatic fracture requiring surgical management in a patient with this rare syndrome. Recognition of skeletal abnormalities and coordinated multidisciplinary care are essential for improving diagnosis, treatment, and follow-up in similar future presentations.

#4

Corrigendum: Long term NIV in an infant with Hallermann-Streiff syndrome: a case report and overview of respiratory morbidity.

Frontiers in pediatrics2024

[This corrects the article DOI: 10.3389/fped.2022.1039964.].

#5

Novel biallelic frameshift in TRPM7 gene causes Hallermann-Streiff syndrome in a consanguineous family: a case report.

Acta neurologica Belgica2024 Feb

Publicações recentes

Monozygotic Twins of Different Religions: Causes and Consequences/Twin Research Reviews: Language Development in Dizygotic Twins; MZ Twins with Hallermann-Streiff Syndrome; Digital Twins and Asthma Research; Zygosity Revealed/Human Interest: A Pen Turned Holocaust Children Into Twins; Identical Twin Jeopardy Winners; Twin Hostages Freed From Gaza; Loss of a Twin Son; Fraternal Twin Mountaineers; Twins in the Sydney to Hobart Yacht Race; Twin Patron Saints of Cobblers.

Twin Res Hum Genet2026 Mar 25

A review of Hallermann-Streiff syndrome demonstrates clinical overlap with other conditions.

Orphanet J Rare Dis2026 Feb 25

Peri-implant Femoral Fracture: An Uncommon Presentation in a Patient with Hallermann-Streiff Syndrome - A Case Report and Review of the Literature.

J Orthop Case Rep2026 Jan

Corrigendum: Long term NIV in an infant with Hallermann-Streiff syndrome: a case report and overview of respiratory morbidity.

Front Pediatr2024

Born Apart, but Raised Together: Twins Delivered in Different Countries/Twin Research Reviews: Hallermann-Streiff Syndrome in Monozygotic (MZ) Twins; Effects of Technology on Conjoined Twin Separation; Reciprocal DIEP Transplantation Between MZ Twins; Guidelines for Multifetal Management/Media Reports: Book by World's Oldest Auschwitz-Birkenau Twin Survivor; Passing of Ian Wilmut; Zhores Medvedev Was an Identical Twin; More Gay Fathers with Twin Sons; Twins and Siblings Admitted to Medical School; First and Fourth Records for Major League Baseball Twins.

Twin Res Hum Genet2023 Dec
Ver todas no PubMed

📚 EuropePMC152 artigos no totalmostrando 34

2026

Monozygotic Twins of Different Religions: Causes and Consequences/Twin Research Reviews: Language Development in Dizygotic Twins; MZ Twins with Hallermann-Streiff Syndrome; Digital Twins and Asthma Research; Zygosity Revealed/Human Interest: A Pen Turned Holocaust Children Into Twins; Identical Twin Jeopardy Winners; Twin Hostages Freed From Gaza; Loss of a Twin Son; Fraternal Twin Mountaineers; Twins in the Sydney to Hobart Yacht Race; Twin Patron Saints of Cobblers.

Twin research and human genetics : the official journal of the International Society for Twin Studies
2026

A review of Hallermann-Streiff syndrome demonstrates clinical overlap with other conditions.

Orphanet journal of rare diseases
2026

Peri-implant Femoral Fracture: An Uncommon Presentation in a Patient with Hallermann-Streiff Syndrome - A Case Report and Review of the Literature.

Journal of orthopaedic case reports
2024

Corrigendum: Long term NIV in an infant with Hallermann-Streiff syndrome: a case report and overview of respiratory morbidity.

Frontiers in pediatrics
2023

Born Apart, but Raised Together: Twins Delivered in Different Countries/Twin Research Reviews: Hallermann-Streiff Syndrome in Monozygotic (MZ) Twins; Effects of Technology on Conjoined Twin Separation; Reciprocal DIEP Transplantation Between MZ Twins; Guidelines for Multifetal Management/Media Reports: Book by World's Oldest Auschwitz-Birkenau Twin Survivor; Passing of Ian Wilmut; Zhores Medvedev Was an Identical Twin; More Gay Fathers with Twin Sons; Twins and Siblings Admitted to Medical School; First and Fourth Records for Major League Baseball Twins.

Twin research and human genetics : the official journal of the International Society for Twin Studies
2024

Novel biallelic frameshift in TRPM7 gene causes Hallermann-Streiff syndrome in a consanguineous family: a case report.

Acta neurologica Belgica
2023

Hallermann-Streiff Syndrome in Concordant Monozygotic Twins With Congenital Cataracts, Exudative Retinal Detachments, and One Case of Corneal Perforation Requiring Keratoplasty.

Cornea
2022

Hallermann-Streiff Syndrome and Lower Limb Lymphedema with Nasal Obstruction.

Case reports in medicine
2022

Long term NIV in an infant with Hallermann-Streiff syndrome: A case report and overview of respiratory morbidity.

Frontiers in pediatrics
2022

Endotracheal intubation in an adult patient of Hallermann-Streiff syndrome-Case report and review of literature.

Journal of anaesthesiology, clinical pharmacology
2022

Hallermann-Streiff syndrome diagnosed in the seventh decade of life.

American journal of ophthalmology case reports
2022

Hallermann-Streiff Syndrome and Psychosis: A Case Report.

HCA healthcare journal of medicine
2022

Bilateral retinal detachment in Hallermann-Streiff syndrome: Case report.

Journal francais d'ophtalmologie
2022

Hallermann Streiff syndrome: Cranio-facial manifestations systematic review and report of two cases.

Journal of stomatology, oral and maxillofacial surgery
2021

Diagnosis, Early Care, and Treatment of Hallermann-Streiff Syndrome: A Review of the Literature.

Pediatric annals
2021

Overarching control of autophagy and DNA damage response by CHD6 revealed by modeling a rare human pathology.

Nature communications
2021

Fifty years of recognizable patterns of human malformation: Insights and opportunities.

American journal of medical genetics. Part A
2021

Prevalence of Hallermann-Streiff syndrome in a Japanese pediatric population.

Pediatrics international : official journal of the Japan Pediatric Society
2020

[Dental complications of the mandibular distraction osteogenesis].

Stomatologiia
2021

Implant-Supported Maxillary and Mandibular Rehabilitation in a Patient With Hallermann-Streiff Syndrome.

The Journal of craniofacial surgery
2019

Hallermann-Streiff syndrome with uncommon ocular features, ultrasound biomicroscopy and optical coherence tomography findings: A case report.

Medicine
2018

Unsolved recognizable patterns of human malformation: Challenges and opportunities.

American journal of medical genetics. Part C, Seminars in medical genetics
2018

Hallermann-Streiff syndrome: A missing molecular link for a highly recognizable syndrome.

American journal of medical genetics. Part C, Seminars in medical genetics
2018

Hallermann-Streiff Syndrome: Difficulty in airway increases with increasing age.

Journal of clinical anesthesia
2018

Hallermann Streiff syndrome: 'Bird faced' but not 'bird brained'.

Medical journal, Armed Forces India
2018

Diagnosis and Innovative Multidisciplinary Management of Hallermann-Streiff Syndrome: 20-Year Follow-Up of a Patient.

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association
2018

Congenital Abnormalities of the Temporomandibular Joint.

Oral and maxillofacial surgery clinics of North America
2017

Hallermann-Streiff syndrome with bilateral microphthalmia, pupillary membranes and cataract absorption.

International journal of ophthalmology
2018

EXUDATIVE RETINAL DETACHMENT CAUSED BY A CHOROIDAL NEOVASCULAR MEMBRANE IN HALLERMANN-STREIFF SYNDROME.

Retinal cases &amp; brief reports
2016

Syndromes with supernumerary teeth.

American journal of medical genetics. Part A
2016

Complex Cases in Pediatric Cataract.

Developments in ophthalmology
2016

Brown-McLean Syndrome in a Patient with Hallermann-Streiff Syndrome.

Korean journal of ophthalmology : KJO
2015

Treatment of the nasal abnormalities of Hallermann-Streiff syndrome by lipofilling.

International journal of oral and maxillofacial surgery
2015

Comprehensive dental management in a Hallermann-Streiff syndrome patient with unusual radiographic appearance of teeth.

Nigerian journal of clinical practice
Ver todos os 152 no EuropePMC

Associações

Organizações que acompanham esta doença — pra ter apoio e orientação

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Comunidades

Grupos ativos de quem convive com esta doença aqui no Raras

Ainda não existe comunidade no Raras para Síndrome Hallermann-Streiff

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Perguntas, dicas e experiências compartilhadas aqui na página

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Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

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. A review of Hallermann-Streiff syndrome demonstrates clinical overlap with other conditions.
    Orphanet journal of rare diseases· 2026· PMID 41742277mais citado
  2. Monozygotic Twins of Different Religions: Causes and Consequences/Twin Research Reviews: Language Development in Dizygotic Twins; MZ Twins with Hallermann-Streiff Syndrome; Digital Twins and Asthma Research; Zygosity Revealed/Human Interest: A Pen Turned Holocaust Children Into Twins; Identical Twin Jeopardy Winners; Twin Hostages Freed From Gaza; Loss of a Twin Son; Fraternal Twin Mountaineers; Twins in the Sydney to Hobart Yacht Race; Twin Patron Saints of Cobblers.
    Twin research and human genetics : the official journal of the International Society for Twin Studies· 2026· PMID 41878832mais citado
  3. Peri-implant Femoral Fracture: An Uncommon Presentation in a Patient with Hallermann-Streiff Syndrome - A Case Report and Review of the Literature.
    Journal of orthopaedic case reports· 2026· PMID 41541448mais citado
  4. Corrigendum: Long term NIV in an infant with Hallermann-Streiff syndrome: a case report and overview of respiratory morbidity.
    Frontiers in pediatrics· 2024· PMID 39703948mais citado
  5. Novel biallelic frameshift in TRPM7 gene causes Hallermann-Streiff syndrome in a consanguineous family: a case report.
    Acta neurologica Belgica· 2024· PMID 37380819mais citado
  6. Born Apart, but Raised Together: Twins Delivered in Different Countries/Twin Research Reviews: Hallermann-Streiff Syndrome in Monozygotic (MZ) Twins; Effects of Technology on Conjoined Twin Separation; Reciprocal DIEP Transplantation Between MZ Twins; Guidelines for Multifetal Management/Media Reports: Book by World's Oldest Auschwitz-Birkenau Twin Survivor; Passing of Ian Wilmut; Zhores Medvedev Was an Identical Twin; More Gay Fathers with Twin Sons; Twins and Siblings Admitted to Medical School; First and Fourth Records for Major League Baseball Twins.
    Twin Res Hum Genet· 2023· PMID 37965686recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:2108(Orphanet)
  2. OMIM OMIM:234100(OMIM)
  3. MONDO:0009318(MONDO)
  4. GARD:288(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q1459851(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 Hallermann-Streiff
Compêndio · Raras BR

Síndrome Hallermann-Streiff

ORPHA:2108 · MONDO:0009318
Prevalência
Unknown
Casos
150 casos conhecidos
Herança
Not applicable, Unknown
CID-10
Q87.0 · Síndromes com malformações congênitas afetando predominantemente o aspecto da face
CID-11
Início
Antenatal, Infancy, Neonatal
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0018522
EuropePMC
Wikidata
Papers 10a
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