raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2457

Mandibuloacral dysplasia

Synonyms: MAD

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

Mandibuloacral dysplasia (MAD) is a rare genetic bone disorder characterized by growth delay, postnatal development of craniofacial anomalies including mandibular hypoplasia, progressive acral osteolysis, mottled or patchy pigmentation, skin atrophy, and partial or generalized lipodystrophy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMandibuloacral dysplasiaMAD
frDysplasie mandibulo-acrale
deDysplasie, mandibulo-akrale= en
esDisplasia acromandibular= en
itDisplasia mandiboloacrale= en
nlMandibuloacrale dysplasie= en
ptDisplasia mandíbulo-acral= en
plDysplazja żuchowo-obojczykowa= en
csMandibuloakrální dysplázie= en
ukМандибулоакральна дисплазія= en
zh下颌骨肢端发育异常= en
trMandibuloakral displazi= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM248370BTNTvalidated
OMIM608612BTNTvalidated
ICD-10Q87.5NTBTattributedvalidated
ICD-11LD27.6ZNTBTindexvalidated
MONDO0016584Evalidated
UMLSC0432291Evalidated
GARD11893Evalidated

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):

Children (2):

4

Genes

0 direct · 2 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
LMNAORPHA:90153Mandibuloacral dysplasia with type A lipodystrophyDisease-causing germline mutation(s) inAssessedHGNC:6636ENSG000001607891503301q22lamin A/C12075506[PMID]
ZMPSTE24ORPHA:90154Mandibuloacral dysplasia with type B lipodystrophyDisease-causing germline mutation(s) inAssessedHGNC:12877ENSG000000840736064801p34.2zinc metallopeptidase STE2412913070[PMID]_18435794[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families40 casesWorldwideCase(s)Validated24123119[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24123119[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

34 annotations · validated 2017-05-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001000Abnormality of skin pigmentationDiagnostic criterion
HP:0005781Contractures of the large jointsDiagnostic criterion
HP:0000293Full cheeks
HP:0000218High palate
HP:0000842Hyperinsulinemia
HP:0000468Increased adipose tissue around the neck
HP:0000855Insulin resistance
HP:0100578LipoatrophyDiagnostic criterion
HP:0003635Loss of subcutaneous adipose tissue in limbs
HP:0000347MicrognathiaDiagnostic criterion
HP:0000460Narrow nose
HP:0000963Thin skin
Frequent (79-30%)
HP:0030809Abnormal tongue morphology
HP:0001090Abnormally large globe
HP:0000956Acanthosis nigricans
HP:0001870Acroosteolysis of distal phalanges (feet)Diagnostic criterion
HP:0001596Alopecia
HP:0000270Delayed cranial suture closureDiagnostic criterion
HP:0000678Dental crowding
HP:0011334Facial shape deformation
HP:0001952Glucose intolerance
HP:0003124Hypercholesterolemia
HP:0002155Hypertriglyceridemia
HP:0000685Hypoplasia of teeth
HP:0001804Hypoplastic fingernail
HP:0030781Increased circulating free fatty acid level
HP:0008993Increased intraabdominal fat
HP:0009003Increased subcutaneous truncal adipose tissue
HP:0000831Insulin-resistant diabetes mellitus
HP:0003809Nearly complete absence of metabolically active adipose tissue (subcutaneous, intraabdominal, intrathoracic)
HP:0009839Osteolytic defects of the distal phalanges of the handDiagnostic criterion
HP:0008897Postnatal growth retardation
HP:0000894Short claviclesDiagnostic criterion
HP:0008070Sparse hair

Run the differential on the 12 obligate / very frequent terms

Annotation source: 27710244[PMID]_12788894[PMID]_1951457[PMID]_1939519[PMID]_25629449[PMID]_12913070[PMID]_18796515[PMID]_11836320[PMID]_1939519[PMID]

7

Sources for this card