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

Cousin syndrome



Other Names:
Craniofacial dysmorphism, hypoplasia of scapula and pelvis and short stature; Pelviscapular dysplasia
Categories:

Cousin syndrome is a rare syndrome characterized mainly by short stature at birth, unusual facial appearance and skeletal abnormalities involving the shoulder blades and hips. Intelligence may vary from normal to moderately delayed.[1] Mutations in the TBX15 gene inherited in an autosomal recessive pattern have been suggested as the cause of this condition.[2]
Last updated: 10/18/2013

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
Learn More:
HPO ID
100% of people have these symptoms
Abnormality of the joint spaces of the elbow 0003943
Brachydactyly
Short fingers or toes
0001156
Congenital hip dislocation
Dislocated hip since birth
0001374
Elbow flexion contracture
Contractures of elbows
Elbow contracture
Elbow contractures
[ more ]
0002987
Humeroradial synostosis
Fusion of upper and lower arm bones
0003041
Hypoplastic ilia 0000946
Hypoplastic scapulae
Small shoulder blade
0000882
Macrocephaly
Increased size of skull
Large head
Large head circumference
[ more ]
0000256
Mesomelic leg shortening 0004987
Short femur
Short thighbone
0003097
Short neck
Decreased length of neck
0000470
80%-99% of people have these symptoms
Abnormality of the skull base 0002693
Low-set ears
Low set ears
Lowset ears
[ more ]
0000369
Short stature
Decreased body height
Small stature
[ more ]
0004322
30%-79% of people have these symptoms
Abnormality of the pinna
Abnormally shaped ears
Auricular malformation
Deformed ears
Malformed ears
[ more ]
0000377
Blepharophimosis
Narrow opening between the eyelids
0000581
Deeply set eye
Deep set eye
Deep-set eyes
Sunken eye
[ more ]
0000490
Frontal bossing 0002007
Hearing impairment
Deafness
Hearing defect
[ more ]
0000365
Hypertelorism
Wide-set eyes
Widely spaced eyes
[ more ]
0000316
Low posterior hairline
Low hairline at back of neck
0002162
Redundant neck skin
Excess neck skin
Excess skin over the neck
Redundant skin folds of neck
Redundant skin over the neck
[ more ]
0005989
Stenosis of the external auditory canal
Narrowing of passageway from outer ear to middle ear
0000402
Strabismus
Cross-eyed
Squint
Squint eyes
[ more ]
0000486
Percent of people who have these symptoms is not available through HPO
2-3 toe syndactyly
Webbed 2nd and 3rd toes
0004691
4-5 toe syndactyly
Webbed 4th-5th toes
0004692
Abnormal facial shape
Unusual facial appearance
0001999
Absent proximal finger flexion creases 0006077
Alveolar ridge overgrowth
Overgrowth of gum ridge
0009085
Ambiguous genitalia, female
Atypical appearance of female genitals
0000061
Ambiguous genitalia, male
Ambiguous genitalia in males
0000033
Anterior rounding of vertebral bodies 0008488
Autosomal recessive inheritance 0000007
Bell-shaped thorax 0001591
Camptodactyly
Permanent flexion of the finger or toe
0012385
Cleft palate
Cleft roof of mouth
0000175
Clinodactyly of the 5th finger
Permanent curving of the pinkie finger
0004209
Dislocated radial head 0003083
Facial hirsutism 0009937
Fibular aplasia
Absent calf bone
0002990
Hydranencephaly 0002324
Hydrocephalus
Too much cerebrospinal fluid in the brain
0000238
Hydronephrosis 0000126
Hypoplastic iliac wing 0002866
Hypoplastic ischia 0003175
Hypoplastic pubic bone 0003173
Joint contracture of the hand 0009473
Long clavicles
Long collarbone
0000890
Mesomelia
Disproportionately short middle portion of limb
0003027
Microcornea
Cornea of eye less than 10mm in diameter
0000482
Microglossia
Abnormally small tongue
Underdevelopment of the tongue
[ more ]
0000171
Micrognathia
Little lower jaw
Small jaw
Small lower jaw
[ more ]
0000347
Microphthalmia
Abnormally small eyeball
0000568
Microtia, first degree 0011266
Prominent protruding coccyx
Prominent protruding tailbone
0008472
Rhizomelia
Disproportionately short upper portion of limb
0008905
Short palpebral fissure
Short opening between the eyelids
0012745
Talipes equinovarus
Club feet
Club foot
Clubfeet
Clubfoot
[ more ]
0001762
Toe syndactyly
Fused toes
Webbed toes
[ more ]
0001770
Wrist flexion contracture 0001239
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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.

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


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.

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 Cousin 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 would like information on Cousin syndrome so that I may have an understanding what it is and how to help my friend when needed as I haven't found any helpful information on the internet for this condition.
    See answer



  1. Pr Raoul Hennekam. Pelviscapular dysplasia. Orphanet. December 2008; http://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=en&Expert=93333. Accessed 10/10/2013.
  2. Lausch, et al. Am J Hum Genet. November 17, 2008; 83:649-655. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2668032/. Accessed 10/10/2013.