Short answer · Medically reviewed summary · Last updated: 2026-05-08

Coffin-Siris syndrome (CSS) is a rare genetic disorder characterized by intellectual disability, developmental delay, and hypoplasia of the fifth digit or nail. While formally known as Coffin-Siris syndrome in medical literature, it is sometimes referred to as "Fifth digit syndrome" in older texts, though this term is now considered imprecise and is rarely used in modern clinical practice. Why does Coffin-Siris syndrome have multiple names? Medical nomenclature for Coffin-Siris syndrome has evolved significantly since its first description by Grange S.

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Coffin Siris Syndrome synonyms

Other names for Coffin Siris Syndrome: synonyms, acronyms and related terms used by doctors and patients.

Coffin Siris Syndrome is also known as...

Coffin-Siris syndrome (CSS) is a rare genetic disorder characterized by intellectual disability, developmental delay, and hypoplasia of the fifth digit or nail. While formally known as Coffin-Siris syndrome in medical literature, it is sometimes referred to as "Fifth digit syndrome" in older texts, though this term is now considered imprecise and is rarely used in modern clinical practice.



Why does Coffin-Siris syndrome have multiple names?


Medical nomenclature for Coffin-Siris syndrome has evolved significantly since its first description by Grange S. Coffin and Evelyn Siris in 1970. Historically, the condition was sometimes categorized under broader umbrella terms due to its overlapping clinical features with other developmental disorders. Today, the medical community favors the eponymous name Coffin-Siris syndrome to ensure consistency in international clinical records and genetic research.



What are the common synonyms for Coffin-Siris syndrome?


While Coffin-Siris syndrome is the standard medical term, you may encounter the following identifiers in older literature or specific genetic databases:



  • Fifth-digit syndrome (historical/descriptive)

  • CSS (standard clinical abbreviation)

  • Intellectual disability-hypoplastic fifth finger/nail syndrome (descriptive classification)



How is the condition classified in medical databases?


Standardized classification systems help clinicians track Coffin-Siris syndrome globally. These systems provide the most reliable coding for medical records and insurance purposes:



  1. Orphanet: ORPHA1993

  2. OMIM (Online Mendelian Inheritance in Man): #135900 (and associated subtypes)

  3. ICD-10/11: Often coded under "Other specified congenital malformation syndromes" due to the high genetic heterogeneity of the condition.



Why is precise terminology important for patients?


Using the correct name, Coffin-Siris syndrome, is essential when communicating with specialists, as the condition is now understood to be caused by mutations in multiple genes involved in the BAF chromatin remodeling complex. Precise terminology ensures that your medical team is referencing the most current diagnostic criteria and genetic testing protocols.



Next steps



  • Consult with a clinical geneticist to confirm your specific molecular diagnosis within the Coffin-Siris syndrome spectrum.

  • Connect with the 212 members of the DiseaseMaps.org community to share experiences and find peer support.

  • Visit the NIH GARD website to access the most recent clinical updates on management and care.



Medical disclaimer: This information is for educational purposes only and does not replace professional medical advice, diagnosis, or treatment.



References



  • Orphanet: Coffin-Siris syndrome (ORPHA1993)

  • NIH Genetic and Rare Diseases Information Center (GARD): Coffin-Siris syndrome

  • OMIM: Coffin-Siris Syndrome 1 (#135900)

  • Coffin-Siris Syndrome Foundation: Patient-focused clinical resources

Author: DiseaseMaps Editorial Team
Reviewed against authoritative medical sources (NIH GARD, Orphanet, OMIM)
Last updated: 2026-05-08
Medical disclaimer: This information does not substitute professional medical advice. Always consult your doctor before making health decisions.
Source: DiseaseMaps.org
2 answers
It use to be called The fifth digit syndrome.

Posted Mar 16, 2019 by SBB 600

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My 6 year old son has just been diagnosed with Coffin Sirus syndrome after a looooong journey of getting to the bottom of his diagnosis. Finally we have an answer. I am his mother.
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Declan was diagnosed with CSS in 2018. He also has a diagnosis of ADHD. Early in his life we were told that he may never walk/talk or be independent. He is now (nearly) 10. He goes to a regular school in a special needs class but also spends a lot o...
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My name is Naomi, I am 20 years old and I have coffin-siris syndrome. My affected gene is smarca4 but there are 10 known genes that can be affected to cause css. I am part of a Facebook group with over 1000 members so please come find us for help and...
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Alice was always a little slower at developing, mainly with speech. After a genetic test the results were given Dec 2019. She mainly suffers from non-verbal, she is now 6.5yrs (Jan 2021) and although she is very expensive and makes similar sounds t...
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Leo our son who is 2 years old got his diagnosis at the beginning of August 2019. He has arid 1b coffin Siris

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