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    <!-- http://purl.obolibrary.org/obo/RO_0004003 -->

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        <rdf:type rdf:resource="http://www.w3.org/2002/07/owl#TransitiveProperty"/>
        <rdfs:label>has material basis in germline mutation in</rdfs:label>
    </ObjectProperty>
    


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    <!-- http://identifiers.org/hgnc/9588 -->

    <Class rdf:about="http://identifiers.org/hgnc/9588">
        <rdfs:label>PTEN</rdfs:label>
    </Class>
    


    <!-- http://purl.obolibrary.org/obo/MONDO_0000508 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/MONDO_0000508">
        <rdfs:label>syndromic intellectual disability</rdfs:label>
    </Class>
    


    <!-- http://purl.obolibrary.org/obo/MONDO_0005385 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/MONDO_0005385">
        <rdfs:label>vascular disorder</rdfs:label>
    </Class>
    


    <!-- http://purl.obolibrary.org/obo/MONDO_0007924 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/MONDO_0007924">
        <rdfs:label>Bannayan-Riley-Ruvalcaba syndrome</rdfs:label>
        <rdfs:subClassOf rdf:resource="http://purl.obolibrary.org/obo/MONDO_0005385"/>
        <rdfs:subClassOf rdf:resource="http://purl.obolibrary.org/obo/MONDO_0015159"/>
        <rdfs:subClassOf rdf:resource="http://purl.obolibrary.org/obo/MONDO_0015185"/>
        <rdfs:subClassOf rdf:resource="http://purl.obolibrary.org/obo/MONDO_0017623"/>
        <rdfs:subClassOf rdf:resource="http://purl.obolibrary.org/obo/MONDO_0019716"/>
        <rdfs:subClassOf>
            <Restriction>
                <onProperty rdf:resource="http://purl.obolibrary.org/obo/RO_0004003"/>
                <someValuesFrom rdf:resource="http://identifiers.org/hgnc/9588"/>
            </Restriction>
        </rdfs:subClassOf>
        <ns5:IAO_0000233 rdf:datatype="http://www.w3.org/2001/XMLSchema#anyURI">https://github.com/monarch-initiative/mondo/issues/5588</ns5:IAO_0000233>
        <ns5:IAO_0000233 rdf:datatype="http://www.w3.org/2001/XMLSchema#anyURI">https://github.com/monarch-initiative/mondo/issues/6740</ns5:IAO_0000233>
        <ns5:IAO_0000233 rdf:datatype="http://www.w3.org/2001/XMLSchema#anyURI">https://github.com/monarch-initiative/mondo/issues/6743</ns5:IAO_0000233>
        <ns5:IAO_0000233 rdf:datatype="http://www.w3.org/2001/XMLSchema#anyURI">https://github.com/monarch-initiative/mondo/issues/9097</ns5:IAO_0000233>
        <ns5:IAO_0000233 rdf:datatype="http://www.w3.org/2001/XMLSchema#anyURI">https://github.com/monarch-initiative/mondo/issues/9602</ns5:IAO_0000233>
        <rdfs:seeAlso rdf:datatype="http://www.w3.org/2001/XMLSchema#anyURI">https://rarediseases.info.nih.gov/diseases/5887/bannayan-riley-ruvalcaba-syndrome</rdfs:seeAlso>
        <ns3:curated_content_resource rdf:datatype="http://www.w3.org/2001/XMLSchema#anyURI">https://www.malacards.org/card/cowden_syndrome_1</ns3:curated_content_resource>
        <oboInOwl:hasExactSynonym>Bannayan-Zonana syndrome</oboInOwl:hasExactSynonym>
        <oboInOwl:hasRelatedSynonym>Ruvalcaba -Myhre-Smith syndrome</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasRelatedSynonym>macrocephaly, multiple lipomas, and hemangiomata</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasDbXref>NORD:1684</oboInOwl:hasDbXref>
        <oboInOwl:id>MONDO:0007924</oboInOwl:id>
        <oboInOwl:hasDbXref>SCTID:21984008</oboInOwl:hasDbXref>
        <oboInOwl:hasRelatedSynonym>macrocephaly multiple lipomas and hemangiomata</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasRelatedSynonym>RMSS</oboInOwl:hasRelatedSynonym>
        <ns5:IAO_0000115>Bannayan-Riley-Ruvalcaba syndrome (BRRS) is a rare congenital disorder characterized by hamartomatous intestinal polyposis, lipomas, macrocephaly and genital lentiginosis.</ns5:IAO_0000115>
        <oboInOwl:hasDbXref>icd11.foundation:357383447</oboInOwl:hasDbXref>
        <oboInOwl:hasExactSynonym>BRRS</oboInOwl:hasExactSynonym>
        <oboInOwl:hasExactSynonym>Ruvalcaba-MYHRE-SMITH syndrome</oboInOwl:hasExactSynonym>
        <oboInOwl:hasExactSynonym>macrocephaly with multiple lipomas and hemangiomas</oboInOwl:hasExactSynonym>
        <oboInOwl:hasDbXref>DOID:0050657</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>GARD:0005887</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>ICD9:759.6</oboInOwl:hasDbXref>
        <oboInOwl:hasExactSynonym>RILEY-SMITH syndrome</oboInOwl:hasExactSynonym>
        <oboInOwl:hasDbXref>Orphanet:109</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>NCIT:C3939</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>MEDGEN:78554</oboInOwl:hasDbXref>
        <rdfs:comment>This term&#39;s classification was reviewed in the context of the Strategic Refinement project (2023) and was determined to be excluded from the &#39;digestive system disorder&#39; (MONDO:0004335) ontology branch (https://orcid.org/0000-0001-9310-0163)</rdfs:comment>
        <oboInOwl:hasRelatedSynonym>macrocephaly pseudopapilledema and multiple hemangiomas</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasRelatedSynonym>BZS</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasExactSynonym>Bannayan-Riley-Ruvalcaba syndrome</oboInOwl:hasExactSynonym>
        <oboInOwl:hasRelatedSynonym>Riley-Smith syndrome</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasExactSynonym>Bannayan syndrome</oboInOwl:hasExactSynonym>
        <oboInOwl:hasRelatedSynonym>Ruvalcaba-Myhre-Smith syndrome</oboInOwl:hasRelatedSynonym>
        <oboInOwl:hasDbXref>OMIM:153480</oboInOwl:hasDbXref>
        <oboInOwl:hasExactSynonym>Myhre-Riley-Smith syndrome</oboInOwl:hasExactSynonym>
        <oboInOwl:hasDbXref>UMLS:C0265326</oboInOwl:hasDbXref>
        <oboInOwl:hasDbXref>ICD10CM:E71.440</oboInOwl:hasDbXref>
        <oboInOwl:hasRelatedSynonym>macrocephaly, pseudopapilledema, and multiple hemangiomata</oboInOwl:hasRelatedSynonym>
        <skos:exactMatch rdf:resource="http://id.who.int/icd/entity/357383447"/>
        <skos:exactMatch rdf:resource="http://identifiers.org/medgen/78554"/>
        <skos:exactMatch rdf:resource="http://identifiers.org/snomedct/21984008"/>
        <skos:exactMatch rdf:resource="http://linkedlifedata.com/resource/umls/id/C0265326"/>
        <skos:exactMatch rdf:resource="http://purl.bioontology.org/ontology/ICD10CM/E71.440"/>
        <skos:exactMatch rdf:resource="http://purl.obolibrary.org/obo/DOID_0050657"/>
        <ns3:excluded_subClassOf rdf:resource="http://purl.obolibrary.org/obo/MONDO_0000508"/>
        <skos:exactMatch rdf:resource="http://purl.obolibrary.org/obo/NCIT_C3939"/>
        <oboInOwl:inSubset rdf:resource="http://purl.obolibrary.org/obo/mondo#doid_rare"/>
        <oboInOwl:inSubset rdf:resource="http://purl.obolibrary.org/obo/mondo#gard_rare"/>
        <oboInOwl:inSubset rdf:resource="http://purl.obolibrary.org/obo/mondo#nord_rare"/>
        <oboInOwl:inSubset rdf:resource="http://purl.obolibrary.org/obo/mondo#ordo_malformation_syndrome"/>
        <oboInOwl:inSubset rdf:resource="http://purl.obolibrary.org/obo/mondo#ordo_subtype_of_a_disorder"/>
        <oboInOwl:inSubset rdf:resource="http://purl.obolibrary.org/obo/mondo#otar"/>
        <oboInOwl:inSubset rdf:resource="http://purl.obolibrary.org/obo/mondo#rare"/>
        <skos:exactMatch rdf:resource="http://www.orpha.net/ORDO/Orphanet_109"/>
    </Class>
    


    <!-- http://purl.obolibrary.org/obo/MONDO_0015159 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/MONDO_0015159">
        <rdfs:label>multiple congenital anomalies/dysmorphic syndrome-intellectual disability</rdfs:label>
    </Class>
    


    <!-- http://purl.obolibrary.org/obo/MONDO_0015185 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/MONDO_0015185">
        <rdfs:label>intestinal polyposis syndrome</rdfs:label>
    </Class>
    


    <!-- http://purl.obolibrary.org/obo/MONDO_0017623 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/MONDO_0017623">
        <rdfs:label>PTEN hamartoma tumor syndrome</rdfs:label>
    </Class>
    


    <!-- http://purl.obolibrary.org/obo/MONDO_0019716 -->

    <Class rdf:about="http://purl.obolibrary.org/obo/MONDO_0019716">
        <rdfs:label>overgrowth syndrome</rdfs:label>
    </Class>
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