raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2363

Lacrimoauriculodentodigital syndrome

Synonyms: LADD syndrome · LARD syndrome · Lacrimoauriculoradiodental syndrome · Levy-Hollister syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Antenatal, Neonatal
Status
active

A rare, genetic, multiple congenital anomalies/dysmorphic syndrome characterized by hypoplasia, aplasia or atresia of the lacrimal system, anomalies of the ears with sensorineural or mixed hearing loss, hypoplasia, aplasia or atresia of the salivary glands, dental anomalies, and digital malformations. Patients present obstruction of the nasal lacrimal ducts that can lead to epiphora, and chronic conjunctivitis due to alacrimia. Aplasia or hypoplasia of the salivary glands lead to dry mouth and early onset of severe dental caries. Dental features include late tooth eruption, small and peg-shaped lateral maxillary incisors and mild enamel dysplasia. The digital features are variable and include fifth finger clinodactyly, duplication of the distal phalanx of the thumb, triphalangeal thumb, and/or syndactyly. Unilateral radial aplasia and radial-ulnar synostosis have also been reported in association.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLacrimoauriculodentodigital syndromeLADD syndrome · LARD syndrome · Lacrimoauriculoradiodental syndrome · Levy-Hollister syndrome
frSyndrome lacrymo-auriculo-dento-digitalSyndrome LADD · Syndrome LARD · Syndrome de Levy-Hollister · Syndrome lacrymo-auriculo-radio-dental
deLakrimo-aurikulo-dento-digitales SyndromLADD-Syndrom · LARD-Syndrom · Lakrimo-aurikulo-radio-dentales Syndrom · Levy-Hollister-Syndrom
esSíndrome lácrimo-aurículo-dento-digitalSíndrome LADD · Síndrome LARD · Síndrome de Levy Hollister · Síndrome lácrimo-aurículo-radio-dental
itSindrome lacrimo-auriculo-dento-digitaleSindrome di Levy-Hollister · Sindrome lacrimo-auriculo-radio-dentale · Sindrome LADD · Sindrome LARD
nlLacrimo-auriculo-dento-digitaal syndroomLADD-syndroom · LARD-syndroom · Lacrimo-auriculo-radio-dentaal syndroom · Levy-Hollistersyndroom
ptSíndrome lacrimo-auriculo-dento-digitalSíndrome LADD · Síndrome LARD · Síndrome Levy-Hollister
plZespół łzowo-uszno-zębowo-palcowyZespół LADD · Zespół LARD · Zespół Levy'ego i Hollistera · Zespół łzowo-uszno-promieniowo-zębowy
csLakrimoaurikulodentodigitální syndromLADD syndrom · LARD syndrom · Lakrimoaurikuloradiodentální syndrom · Levyho-Hollisterův syndrom · Levy-Hollisterův syndrom
ukЛакримоаурикулодентодигітальний синдромЛакримоаурикулорадіодентальний синдром · Синдром LADD · LARD-синдром · Синдром Леві-Голлістера
zh泪管-耳-齿-指综合征泪管-耳-齿-指综合征
trLacrimoauriculodentodigital sendromuLADD sendromu · LARD sendromu · Levy-Hollister sendromu · Lakrimoaurikuloradiyodental sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM149730BTNTvalidated
OMIM620192BTNTvalidated
OMIM620193BTNTvalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-11LD27.0YNTBTindexvalidated
MONDO0007872Evalidated
MeSHC538132Evalidated
UMLSC0265269Evalidated
GARD6848Evalidated
MedDRA10085252Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (8):

No children.

4

Genes

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
FGF10Disease-causing germline mutation(s) inAssessedHGNC:3666ENSG000000701936021155p12fibroblast growth factor 1016630169[PMID]
FGFR2Disease-causing germline mutation(s) inAssessedHGNC:3689ENSG0000006646817694310q26.13fibroblast growth factor receptor 216501574[PMID]
FGFR3Disease-causing germline mutation(s) inAssessedHGNC:3690ENSG000000680781349344p16.3fibroblast growth factor receptor 316501574[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families100 casesWorldwideCase(s)Validated23010692[PMID]_Pr MANOUVRIER-HANU Sylvie[EXPERT]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_23010692[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

63 annotations · validated 2021-03-25
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000164Abnormality of the dentition
Frequent (79-30%)
HP:0011297Abnormal digit morphology
HP:0011481Abnormal lacrimal duct morphology
HP:0011482Abnormal lacrimal gland morphology
HP:0000377Abnormal pinna morphology
HP:0010286Abnormal salivary gland morphology
HP:0000682Abnormality of dental enamel
HP:0000478Abnormality of the eye
HP:0000670Carious teeth
HP:0009926Epiphora
HP:0001097Keratoconjunctivitis sicca
HP:0000217Xerostomia
Occasional (29-5%)
HP:0001999Abnormal facial shape
HP:0001172Abnormal thumb morphology
HP:0001092Absent lacrimal punctum
HP:0009777Absent thumb
HP:0030084Clinodactyly
HP:0000405Conductive hearing impairment
HP:0011496Corneal neovascularization
HP:0012804Corneal ulceration
HP:0000378Cupped ear
HP:0012155Decreased corneal sensation
HP:0009942Duplication of thumb phalanx
HP:0006297Enamel hypoplasia
HP:0006101Finger syndactyly
HP:0000668Hypodontia
HP:0007892Hypoplasia of the lacrimal punctum
HP:0002984Hypoplasia of the radius
HP:0001096Keratoconjunctivitis
HP:0007925Lacrimal duct aplasia
HP:0007656Lacrimal gland aplasia
HP:0032107Limbal stem cell deficiency
HP:0000369Low-set ears
HP:0000691Microdontia
HP:0000410Mixed hearing impairment
HP:0000508Ptosis
HP:0000495Recurrent corneal erosions
HP:0000407Sensorineural hearing impairment
HP:0009778Short thumb
HP:0001159Syndactyly
HP:0001770Toe syndactyly
Very rare (<4-1%)
HP:0000458Anosmia
HP:0001369Arthritis
HP:0000813Bicornuate uterus
HP:0000193Bifid uvula
HP:0000453Choanal atresia
HP:0000028Cryptorchidism
HP:0002015Dysphagia
HP:0000577Exotropia
HP:0001263Global developmental delay
HP:0000126Hydronephrosis
HP:0005349Hypoplasia of the epiglottis
HP:0011487Increased corneal thickness
HP:0000347Micrognathia
HP:0008551Microtia
HP:0002164Nail dysplasia
HP:0012108Open angle glaucoma
HP:0000202Orofacial cleft
HP:0001643Patent ductus arteriosus
HP:0000089Renal hypoplasia
HP:0002650Scoliosis
HP:0001250Seizure
HP:0000076Vesicoureteral reflux

Run the differential on the 1 obligate / very frequent terms

Annotation source: 32715658[PMID]_28483234[PMID]_28400699[PMID]_28043400[PMID]

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Sources for this card