raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:245

Nager syndrome

Synonyms: Mandibulofacial dysostosis with preaxial limb anomalies · NAFD · Nager acrofacial dysostosis · Preaxial acrodysostosis

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive, Not applicable
Age of onset
Antenatal, Neonatal
Status
active

A congenital malformation syndrome characterized by mandibulofacial dystosis (malar hypoplasia, micrognathia, external ear malformations) and variable preaxial limb defects.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enNager syndromeMandibulofacial dysostosis with preaxial limb anomalies · NAFD · Nager acrofacial dysostosis · Preaxial acrodysostosis
frSyndrome de NagerAcrodysostose préaxiale · Dysostose acrofaciale de Nager · Dysostose mandibulo-faciale avec anomalies préaxiales des extrémités · NAFD
deNager-SyndromAkrodysostose, präaxiale · Dysostose, akrofaziale, Typ Nager · Mandibulofaziale Dysostose mit präaxialen Gliedmaßenanomalien · NAFD
esSíndrome de NagerAcrodisostosis preaxial · Disostosis acrofacial de Nager · Disostosis mandibulofacial con anomalías de las extremidades preaxiales · NAFD
itSindrome di NagerAcrodisostosi preassiale · Disostosi acrofacciale di Nager · Disostosi mandibolofacciale con anomalie preassiali degli arti · NAFD
nlSyndroom van NagerAcrofaciale dysostose van Nager · Mandibulofaciale dysostose met preaxiale ledemaatanomalieën · NAFD · Preaxiale acrodysostose
ptSíndrome NagerDisostose acro-facial, tipo Nager
plZespół NageraDyzostoza kończynowo-twarzowa Nagera · Dyzostoza żuchwowo-twarzowa z przedosiowymi wadami kończyn · NAFD · Przedosiowa dyzostoza kończyn
csNagerův syndromNAFD · Nagerova akrofaciální dysostóza · Preaxiální akrodysostóza · Mandibulofaciální dysostóza s preaxiálními končetinovými anomáliemi
ukСиндром НагераМандибулофаціальний дизостоз з преаксіальними аномаліями кінцівок · NAFD · Акрофаціальний дизостоз Нагера · Преаксіальний акродизостоз
zh纳赫尔综合征下颌面骨发育不全伴轴前性肢体畸形
trNager sendromuNAFD · preaksiyel akrodizostoz · Nager akrofasiyal dizostoz · Preaksiyel ekstremite anomalileri ile seyreden mandibulofasiyal dizostoz

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM154400Evalidated
ICD-10Q75.4NTBTattributedvalidated
ICD-11LD25.2NTBTindexvalidated
MONDO0007943Evalidated
MeSHC538184Evalidated
UMLSC0265245Evalidated
GARD498Evalidated
MedDRA10084410Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SF3B4Disease-causing germline mutation(s) inAssessedHGNC:10771ENSG000001433686055931q21.2splicing factor 3b subunit 422541558[PMID]
5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Cases/families100 casesWorldwideCase(s)ValidatedISBN:1437725562[OTHER]
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET_ISBN:1437725562[OTHER]
Prevalence at birth1-9 / 1 000 0000.3 / 100 000FinlandValue and classValidated17119427[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

29 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0009601Aplasia/Hypoplasia of the thumb
HP:0000750Delayed speech and language development
HP:0000494Downslanted palpebral fissures
HP:0000365Hearing impairment
HP:0000327Hypoplasia of the maxilla
HP:0010669Hypoplasia of the zygomatic bone
HP:0000347Micrognathia
HP:0002652Skeletal dysplasia
Frequent (79-30%)
HP:0005105Abnormal nasal morphology
HP:0000174Abnormal palate morphology
HP:0100840Aplasia/Hypoplasia of the eyebrow
HP:0006501Aplasia/Hypoplasia of the radius
HP:0000413Atresia of the external auditory canal
HP:0000175Cleft palate
HP:0002984Hypoplasia of the radius
HP:0001387Joint stiffness
HP:0000652Lower eyelid coloboma
HP:0008551Microtia
HP:0000508Ptosis
HP:0002093Respiratory insufficiency
HP:0007776Sparse lower eyelashes
HP:0000154Wide mouth
Occasional (29-5%)
HP:0030680Abnormal cardiovascular system morphology
HP:0002814Abnormality of the lower limb
HP:0100335Non-midline cleft of the upper lip
HP:0009829Phocomelia
HP:0000358Posteriorly rotated ears
HP:0001199Triphalangeal thumb
HP:0000122Unilateral renal agenesis

Run the differential on the 8 obligate / very frequent terms

7

Sources for this card