National Center for Advancing and Translational Sciences Genetic and Rare Diseases Information Center, a program of the National Center for Advancing and Translational Sciences

Pitt-Hopkins syndrome



What is the prognosis for Pitt-Hopkins syndrome?

The following information may help to address your question:


What is Pitt-Hopkins syndrome?

Pitt-Hopkins syndrome (PTHS) is a genetic syndrome that causes developmental delays, moderate to severe intellectual disability, behavioral differences, distinctive facial features, and breathing problems such as episodes of rapid breathing (hyperventilation) and breath-holding. Other features may include symptoms of autism spectrum disorder, sleep disturbances, seizures, constipation, nearsightedness, and minor skeletal abnormalities.[1][2]

PTHS is caused by a mutation in the TCF4 gene, or by a loss (deletion) of the part of chromosome 18 that contains the TCF4 gene. Inheritance is autosomal dominant, but PTHS typically is not inherited from a parent, occurring sporadically due to a new mutation in people with no family history of PTHS. The diagnosis may be suspected based on signs and symptoms and can be confirmed with genetic testing.[1]

There is no cure for PTHS, but there are ways to manage or improve many of the signs and symptoms. Management may include early intervention services for infants and young children, an individualized education plan for school-aged children, behavioral therapy, and routine treatment of seizures, nearsightedness, constipation, and skeletal abnormalities.[1]
Last updated: 6/11/2018

What is the prognosis for individuals with Pitt-Hopkins syndrome?

Pitt-Hopkins syndrome is a non-progressive course.[3] To learn more about how individuals with Pitt-Hopkins syndrome have fared, you can join a community message board or online support group where you can interact with other families affected by this condition. Four such groups are listed below.

The NORD Rare Disease Support Community has a message board for Pitt-Hopkins syndrome at the following link: 
http://www.inspire.com/groups/rare-disease-and-genetic-conditions/discussion/pitt-hopkins-syndrome/

MakingContact.org, a group which links families with disabled children, has a page for individuals with Pitt-Hopkins syndrome at the following link:
http://www.makingcontact.org/index.php?ci=1280

RareShare, a social hub for patients, families, and healthcare professonals affected by rare diseases, has a page for Pitt-Hopkins syndrome at the following link:
http://www.rareshare.org/communities/pitt-hopkins-syndrome

Pitt-Hopkins Support Group has been created to bring together the ideas, thoughts, and hopes of people caring for loved ones with Pitt Hopkins Syndrome. You can access their web page at the following link:
https://groups.google.com/forum/#!forum/pitt-hopkins
Last updated: 1/4/2016

We hope this information is helpful. We strongly recommend you discuss this information with your doctor. If you still have questions, please contact us.

Warm regards,
GARD Information Specialist

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  1. Sweetser DA, Elsharkawi I, Yonker L, Steeves M, Parkin K, Thibert R. Pitt-Hopkins Syndrome. GeneReviews. April 12, 2018; http://www.ncbi.nlm.nih.gov/books/NBK100240/.
  2. Pitt-Hopkins syndrome. Genetics Home Reference (GHR). February, 2015; http://ghr.nlm.nih.gov/condition/pitt-hopkins-syndrome.
  3. Amiel J. Pitt-Hopkins syndrome. Orphanet. May 2010; http://www.orpha.net/consor/cgi-bin/Disease_Search.php?lng=EN&data_id=2624. Accessed 1/4/2016.