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

Vici syndrome



Other Names:
Immunodeficiency with cleft lip/palate, cataract, hypopigmentation and absent corpus callosum; Absent corpus callosum cataract immunodeficiency; Dionisi Vici Sabetta Gambarara syndrome
Categories:

Vici syndrome is a multisystem disorder characterized by agenesis (failure to develop) of the corpus callosum, cataracts , hypopigmentation of the eyes and hair, cardiomyopathy, and combined immunodeficiency. Hearing loss, seizures, and delayed motor development have also been reported. Swallowing and feeding difficulties early on may result in a failure to thrive. Recurrent infections of the respiratory, gastrointestinal, and urinary tracts are common. Vici syndrome is caused by mutations in the EPG5 gene and is inherited in an autosomal recessive manner. Treatment is mainly supportive.[1]
Last updated: 5/18/2015

This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. Use the HPO ID to access more in-depth information about a symptom.

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Medical Terms Other Names
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HPO ID
80%-99% of people have these symptoms
Abnormality of retinal pigmentation 0007703
Agenesis of corpus callosum 0001274
Cardiomyopathy
Disease of the heart muscle
0001638
Cellular immunodeficiency 0005374
Death in infancy
Infantile death
Lethal in infancy
[ more ]
0001522
EEG abnormality 0002353
Global developmental delay 0001263
Hypopigmentation of the skin
Patchy lightened skin
0001010
Intellectual disability
Mental deficiency
Mental retardation
Mental retardation, nonspecific
Mental-retardation
[ more ]
0001249
Muscular hypotonia
Low or weak muscle tone
0001252
Recurrent respiratory infections
Frequent respiratory infections
Multiple respiratory infections
respiratory infections, recurrent
Susceptibility to respiratory infections
[ more ]
0002205
Short stature
Decreased body height
Small stature
[ more ]
0004322
Ureteral atresia 0005999
30%-79% of people have these symptoms
Cataract
Clouding of the lens of the eye
Cloudy lens
[ more ]
0000518
Cerebellar hypoplasia
Small cerebellum
Underdeveloped cerebellum
[ more ]
0001321
Depressed nasal tip
Caved in nasal tip
Depressed tip of nose
Flat nasal tip
Flat tip of nose
Flattened nasal tip
Nasal tip, depressed
[ more ]
0000437
Gray matter heterotopia 0002282
High palate
Elevated palate
Increased palatal height
[ more ]
0000218
Hypoplasia of the pons 0012110
Nystagmus
Involuntary, rapid, rhythmic eye movements
0000639
Optic atrophy 0000648
Renal tubular acidosis
Accumulation of acid in body due to kidney problem
0001947
Seizure 0001250
5%-29% of people have these symptoms
Abnormal macular morphology 0001103
Cerebral cortical atrophy
Decrease in size of the outer layer of the brain due to loss of brain cells
0002120
Decreased circulating IgG2 level 0008348
Feeding difficulties in infancy 0008872
Hypertelorism
Wide-set eyes
Widely spaced eyes
[ more ]
0000316
Hypotelorism
Abnormally close eyes
Closely spaced eyes
[ more ]
0000601
Joint stiffness
Stiff joint
Stiff joints
[ more ]
0001387
Sensorineural hearing impairment 0000407
Sleep disturbance
Difficulty sleeping
Trouble sleeping
[ more ]
0002360
Percent of people who have these symptoms is not available through HPO
Abnormal posturing 0002533
Abnormality of the thymus 0000777
Acidosis 0001941
Albinism 0001022
Autosomal recessive inheritance 0000007
Cerebellar vermis hypoplasia 0001320
Chronic mucocutaneous candidiasis 0002728
Cleft palate
Cleft roof of mouth
0000175
Cleft upper lip
Harelip
0000204
Congenital onset
Symptoms present at birth
0003577
Congestive heart failure
Cardiac failure
Cardiac failures
Heart failure
[ more ]
0001635
Cutaneous anergy 0002965
Decreased circulating IgG level 0004315
Decreased proportion of CD4-positive helper T cells 0005407
Decreased T cell activation 0005419
Developmental cataract
Clouding of the lens of the eye at birth
0000519
Dilated cardiomyopathy
Stretched and thinned heart muscle
0001644
Failure to thrive
Faltering weight
Weight faltering
[ more ]
0001508
Generalized hypotonia
Decreased muscle tone
Low muscle tone
[ more ]
0001290
Growth delay
Delayed growth
Growth deficiency
Growth failure
Growth retardation
Poor growth
Retarded growth
[ more ]
0001510
Hypopigmentation of hair
Loss of hair color
0005599
Hypopigmentation of the fundus 0007894
Immunodeficiency
Decreased immune function
0002721
Left ventricular hypertrophy 0001712
Low-set ears
Low set ears
Lowset ears
[ more ]
0000369
Microcephaly
Abnormally small skull
Decreased circumference of cranium
Decreased size of skull
Reduced head circumference
Small head circumference
[ more ]
0000252
Micrognathia
Little lower jaw
Small jaw
Small lower jaw
[ more ]
0000347
Motor delay 0001270
Myopathy
Muscle tissue disease
0003198
Ocular albinism
Absent pigmentation in the eye
0001107
Penile hypospadias 0003244
Psychomotor retardation 0025356
Recurrent bacterial infections
Bacterial infections, recurrent
Frequent bacterial infections
Increased susceptibility to bacterial infections
Recurrent major bacterial infections
[ more ]
0002718
Recurrent fungal infections 0002841
Recurrent viral infections 0004429
Schizencephaly 0010636
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Last updated: 7/1/2020

If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. You may find these specialists through advocacy organizations, clinical trials, or articles published in medical journals. You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments.

If you can’t find a specialist in your local area, try contacting national or international specialists. They may be able to refer you to someone they know through conferences or research efforts. Some specialists may be willing to consult with you or your local doctors over the phone or by email if you can't travel to them for care.

You can find more tips in our guide, How to Find a Disease Specialist. We also encourage you to explore the rest of this page to find resources that can help you find specialists.

Healthcare Resources


Related diseases are conditions that have similar signs and symptoms. A health care provider may consider these conditions in the table below when making a diagnosis. Please note that the table may not include all the possible conditions related to this disease.

Conditions with similar signs and symptoms from Orphanet
Differential diagnoses include Marinesco-Sjogren syndrome, Chédiak-Higashi syndrome, Griscelli syndrome, DiGeorge syndrome or ataxia-telegiectasia (see these terms).
Visit the Orphanet disease page for more information.

Support and advocacy groups can help you connect with other patients and families, and they can provide valuable services. Many develop patient-centered information and are the driving force behind research for better treatments and possible cures. They can direct you to research, resources, and services. Many organizations also have experts who serve as medical advisors or provide lists of doctors/clinics. Visit the group’s website or contact them to learn about the services they offer. Inclusion on this list is not an endorsement by GARD.

Social Networking Websites


Living with a genetic or rare disease can impact the daily lives of patients and families. These resources can help families navigate various aspects of living with a rare disease.

Parent and Caregiver Resources

  • In this NCATS Video Profile, Michael and Rachel Harris discuss their son’s life with Vici syndrome.

These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.

Where to Start

In-Depth Information

  • The Monarch Initiative brings together data about this condition from humans and other species to help physicians and biomedical researchers. Monarch’s tools are designed to make it easier to compare the signs and symptoms (phenotypes) of different diseases and discover common features. This initiative is a collaboration between several academic institutions across the world and is funded by the National Institutes of Health. Visit the website to explore the biology of this condition.
  • Online Mendelian Inheritance in Man (OMIM) is a catalog of human genes and genetic disorders. Each entry has a summary of related medical articles. It is meant for health care professionals and researchers. OMIM is maintained by Johns Hopkins University School of Medicine. 
  • Orphanet is a European reference portal for information on rare diseases and orphan drugs. Access to this database is free of charge.
  • PubMed is a searchable database of medical literature and lists journal articles that discuss Vici syndrome. Click on the link to view a sample search on this topic.

Questions sent to GARD may be posted here if the information could be helpful to others. We remove all identifying information when posting a question to protect your privacy. If you do not want your question posted, please let us know.


  1. Heinz Jungbluth. Vici Syndrome. Orphanet. May, 2014; http://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&Expert=1493. Accessed 5/18/2015.