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

Coffin-Lowry syndrome



Other Names:
Mental retardation with osteocartilaginous abnormalities; CLS; Coffin syndrome
Categories:

Coffin-Lowry syndrome is a genetic condition that affects many parts of the body. The signs and symptoms and severity vary from person to person; however, males are typically more severely affected than females. Signs and symptoms may include distinct facial findings, short stature, microcephaly, kyphoscoliosis, other skeletal abnormalities, stimulus-induced drop episodes, intellectual disability and delayed development. Mutations in the RPS6KA3 gene cause the syndrome. It is inherited in an X-linked dominant fashion. Treatment is symptomatic.[1]
Last updated: 7/23/2010

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.

Showing of 101 |
Medical Terms Other Names
Learn More:
HPO ID
80%-99% of people have these symptoms
Abnormal diaphysis morphology
Abnormal shape of shaft of long bone
Abnormality of shaft of long bone of the limbs
[ more ]
0000940
Abnormal form of the vertebral bodies 0003312
Abnormality of dental morphology
Abnormality of dental shape
Abnormally shaped teeth
Deformity of teeth
Dental deformity
Dental malformations
Malformed teeth
Misshapen teeth
Misshapened teeth
[ more ]
0006482
Anteverted nares
Nasal tip, upturned
Upturned nasal tip
Upturned nose
Upturned nostrils
[ more ]
0000463
Brachydactyly
Short fingers or toes
0001156
Broad finger
Broad fingers
Wide fingers
[ more ]
0001500
Coarse facial features
Coarse facial appearance
0000280
Craniofacial hyperostosis
Excessive bone growth of the skull and face
0004493
Delayed skeletal maturation
Delayed bone maturation
Delayed skeletal development
[ more ]
0002750
Depressed nasal bridge
Depressed bridge of nose
Flat bridge of nose
Flat nasal bridge
Flat, nasal bridge
Flattened nasal bridge
Low nasal bridge
Low nasal root
[ more ]
0005280
Downslanted palpebral fissures
Downward slanting of the opening between the eyelids
0000494
Epicanthus
Eye folds
Prominent eye folds
[ more ]
0000286
Everted lower lip vermilion
Drooping lower lip
Outward turned lower lip
[ more ]
0000232
Frontal bossing 0002007
Hypertelorism
Wide-set eyes
Widely spaced eyes
[ more ]
0000316
Hypodontia
Failure of development of between one and six teeth
0000668
Intellectual disability
Mental deficiency
Mental retardation
Mental retardation, nonspecific
Mental-retardation
[ more ]
0001249
Joint hyperflexibility
Joints move beyond expected range of motion
0005692
Kyphosis
Hunched back
Round back
[ more ]
0002808
Large hands
large hand
0001176
Muscular hypotonia
Low or weak muscle tone
0001252
Neurological speech impairment
Speech disorder
Speech impairment
Speech impediment
[ more ]
0002167
Open mouth
Gaped jawed appearance
Gaped mouthed appearance
Slack jawed appearance
[ more ]
0000194
Pectus carinatum
Pigeon chest
0000768
Pectus excavatum
Funnel chest
0000767
Scoliosis 0002650
Severe global developmental delay 0011344
Short stature
Decreased body height
Small stature
[ more ]
0004322
Tapered finger
Tapered fingertips
Tapering fingers
[ more ]
0001182
Thick lower lip vermilion
Increased volume of lower lip
Plump lower lip
Prominent lower lip
[ more ]
0000179
Thick nasal alae 0009928
Widely spaced teeth
Wide-spaced teeth
Widely-spaced teeth
[ more ]
0000687
30%-79% of people have these symptoms
Feeding difficulties in infancy 0008872
Gait disturbance
Abnormal gait
Abnormal walk
Impaired gait
[ more ]
0001288
High palate
Elevated palate
Increased palatal height
[ more ]
0000218
Hyperconvex fingernails 0001812
Hypoplasia of the maxilla
Decreased size of maxilla
Decreased size of upper jaw
Maxillary deficiency
Maxillary retrusion
Small maxilla
Small upper jaw
Small upper jaw bones
Upper jaw deficiency
Upper jaw retrusion
[ more ]
0000327
Hypoplastic fingernail
Small fingernail
Underdeveloped fingernail
[ more ]
0001804
Microcephaly
Abnormally small skull
Decreased circumference of cranium
Decreased size of skull
Reduced head circumference
Small head circumference
[ more ]
0000252
Narrow iliac wings 0002868
Narrow palate
Narrow roof of mouth
0000189
Pes planus
Flat feet
Flat foot
[ more ]
0001763
Progressive spasticity 0002191
Protruding ear
Prominent ear
Prominent ears
[ more ]
0000411
Pseudoepiphyses of the metacarpals 0009193
Redundant skin
Loose redundant skin
Redundant skin folds
Sagging, redundant skin
[ more ]
0001582
Short distal phalanx of finger
Short outermost finger bone
0009882
Short metacarpal
Shortened long bone of hand
0010049
Ventriculomegaly 0002119
Wide mouth
Broad mouth
Large mouth
[ more ]
0000154
Wide nose
Broad nose
Increased breadth of nose
Increased nasal breadth
Increased nasal width
Increased width of nose
[ more ]
0000445
5%-29% of people have these symptoms
Abnormal aortic valve morphology 0001646
Abnormal mitral valve morphology 0001633
Abnormal tricuspid valve morphology 0001702
Abnormality of neuronal migration 0002269
Abnormality of retinal pigmentation 0007703
Advanced eruption of teeth
Early eruption of teeth
0006288
Aplasia/Hypoplasia of the cerebellum
Absent/small cerebellum
Absent/underdeveloped cerebellum
[ more ]
0007360
Aplasia/Hypoplasia of the corpus callosum 0007370
Cataract
Clouding of the lens of the eye
Cloudy lens
[ more ]
0000518
Cerebral cortical atrophy
Decrease in size of the outer layer of the brain due to loss of brain cells
0002120
Death in early adulthood 0100613
Delayed eruption of teeth
Delayed eruption
Delayed teeth eruption
Delayed tooth eruption
Eruption, delayed
Late eruption of teeth
Late tooth eruption
[ more ]
0000684
Muscle weakness
Muscular weakness
0001324
Optic atrophy 0000648
Seizure 0001250
Self-injurious behavior
Self-injurious behaviour
0100716
Sensorineural hearing impairment 0000407
Skeletal muscle atrophy
Muscle degeneration
Muscle wasting
[ more ]
0003202
Sleep apnea
Pauses in breathing while sleeping
0010535
Strabismus
Cross-eyed
Squint
Squint eyes
[ more ]
0000486
Percent of people who have these symptoms is not available through HPO
Abnormal hair morphology
Abnormality of the hair
Hair abnormality
[ more ]
0001595
Abnormality of the nasal alae 0000429
Acrocyanosis
Persistent blue color of hands, feet, or parts of face
0001063
Bifid sternum 0010309
Broad palm
Broad hand
Broad hands
Wide palm
[ more ]
0001169
Coarse hair
Coarse hair texture
0002208
Coxa valga 0002673
Cutis laxa
Loose and inelastic skin
0000973
Cutis marmorata 0000965
Decreased body weight
Decreased weight
Low body weight
Low weight
Weight less than 3rd percentile
[ more ]
0004325
Delayed closure of the anterior fontanelle
Later than typical closing of soft spot of skull
0001476
Dental malocclusion
Bad bite
Malalignment of upper and lower dental arches
Misalignment of upper and lower dental arches
[ more ]
0000689
Drumstick terminal phalanges
Drumstick shaped digital bones
0006129
Generalized hypotonia
Decreased muscle tone
Low muscle tone
[ more ]
0001290
Highly arched eyebrow
Arched eyebrows
Broad, arched eyebrows
High, rounded eyebrows
High-arched eyebrows
Thick, flared eyebrows
[ more ]
0002553
Hyperextensibility of the finger joints
Finger joint hyperextensibility
Hyperextensible digits
Hyperextensible finger
[ more ]
0001187
Inguinal hernia 0000023
Lumbar kyphosis
Rounded lower back
0008454
Mandibular prognathia
Big lower jaw
Increased projection of lower jaw
Increased size of lower jaw
Large lower jaw
Prominent chin
Prominent lower jaw
[ more ]
0000303
Mitral regurgitation 0001653
Prominent supraorbital ridges
Prominent brow
0000336
Rectal prolapse
Rectum protrudes through anus
0002035
Single transverse palmar crease 0000954
Sporadic
No previous family history
0003745
Telecanthus
Corners of eye widely separated
0000506
Thick eyebrow
Bushy eyebrows
Dense eyebrow
Heavy eyebrows
Prominent eyebrows
Thick eyebrows
[ more ]
0000574
Thick nasal septum
Broad nasal septum
Broad septum of nose
Thick septum of nose
Wide nasal septum
Wide septum of nose
[ more ]
0009746
Thickened calvaria
Increased thickness of skull cap
Thickened skull cap
[ more ]
0002684
Uterine prolapse
Sagging uterus
0000139
X-linked dominant inheritance 0001423
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Last updated: 7/1/2020

Making a diagnosis for a genetic or rare disease can often be challenging. Healthcare professionals typically look at a person’s medical history, symptoms, physical exam, and laboratory test results in order to make a diagnosis. The following resources provide information relating to diagnosis and testing for this condition. If you have questions about getting a diagnosis, you should contact a healthcare professional.

Testing Resources

  • The Genetic Testing Registry (GTR) provides information about the genetic tests for this condition. The intended audience for the GTR is health care providers and researchers. Patients and consumers with specific questions about a genetic test should contact a health care provider or a genetics professional.

No specific treatment for Coffin-Lowry exist. Proper management of patients with CLS, includes surveillance by performing regular hearing, dental, and vision tests; annual heart examinations; and periodic monitoring for kyphoscoliosis. Medications such as valproate, clonzapam or selective serotonin uptake inhibitors might be prescribed for drop episodes. Surgery may be performed for skeletal deformities.[2]

A GeneReviews on Coffin-Lowry syndrome has been published and includes information regarding medical management and surveillance. Click on the link to learn more.
Last updated: 4/29/2010

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 diagnosis includes alpha-thalassemia-intellectual deficit, Borjeson-Forssman-Lehmann syndrome, FG syndrome, Williams syndrome, and Pitt-Hopkins syndrome (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.

Organizations Supporting this Disease


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.

Financial Resources


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

  • GeneReviews provides current, expert-authored, peer-reviewed, full-text articles describing the application of genetic testing to the diagnosis, management, and genetic counseling of patients with specific inherited conditions.
  • 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 Coffin-Lowry 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. Submit a new question

  • I have a 7-year-old son with Coffin-Lowry syndrome. Are there any foods or supplements that have been shown to benefit people with Coffin-Lowry syndrome? How might Coffin-Lowry be treated? Thanks for your help. See answer



  1. Coffin-Lowry syndrome. Genetics Home Reference. January 2008; http://ghr.nlm.nih.gov/condition=coffinlowrysyndrome. Accessed 4/28/2010.
  2. Pereira PM, Schneider A, Pannetier S, Heron D, Hanauer A. Coffin-Lowry syndrome. European Journal of Human Genetics. 2009;