raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:246

Postaxial acrofacial dysostosis

Synonyms: Acrofacial dysostosis, Genee-Wiedemann type · Mandibulofacial dysostosis with postaxial limb anomalies · Miller syndrome · POADS · Postaxial acrodysostosis

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

A rare acrofacial dysostosis that is characterized by mandibular and malar hypoplasia, small and cup-shaped ears, lower lid ectropion, and symmetrical postaxial limb deficiencies with absence of the fifth digital rays and ulnar hypoplasia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPostaxial acrofacial dysostosisAcrofacial dysostosis, Genee-Wiedemann type · Mandibulofacial dysostosis with postaxial limb anomalies · Miller syndrome · POADS · Postaxial acrodysostosis
frDysostose acrofaciale post-axialeAcrodysostose postaxiale · Dysostose acrofaciale type Genee-Wiedemann · Dysostose mandibulo-faciale avec anomalies post-axiales des extrémités · POADS · Syndrome de Miller
deDysostose, akrofaziale postaxialeAkrodysostose, postaxiale · Dysostose, akrofaziale, Typ Genee-Wiedemann · Mandibulofaziale Dysostose mit postaxialen Gliedmaßenanomalien · Miller-Syndrom · POADS
esDisostosis acrofacial postaxialAcrodisostosis postaxial · Disostosis acrofacial tipo Genee-Wiedemann · Disostosis mandibulofacial con anomalías de las extremidades postaxiales · Síndrome de Miller
itDisostosi acrofacciale postassialeAcrodisostosi postassiale · Disostosi acrofacciale, tipo Genee-Wiedmann · Disostosi manibolofacciale con anomalie postassiali degli arti · POADS · Sindrome di Miller
nlPostaxiale acrofaciale dysostoseAcrofaciale dysostose, Genee-Wiedemann-type · Mandibulofaciale dysostose met postaxiale ledemaatanomalieën · POADS · Postaxiale acrodysostose · Syndroom van Miller
ptDisostose acrofacial pós-axialAcrodisostose pós-axial · Síndrome Miller
plPozaosiowa dyzostoza kończynowo-twarzowaDyzostoza kończynowo-twarzowa typu Genee i Wiedmanna · Dyzostoza żuchwowo-twarzowa z pozaosiowymi wadami kończyn · Pozaosiowa dyzostoza kończynowa · Zespół Millera
csPostaxiální akrofaciální dysostózaPOADS · Postaxiální akrodysostóza · Akrofaciální dysostóza, Geneeův-Wiedmannův typ · Mandibulofaciální dysostóza s postaxiálními anomáliemi končetin · Millerův syndrom · Akrofaciální dysostóza, Genee-Wiedmannův typ
ukПостаксіальний акрофаціальний дизостозАкрофаціальний дизостоз, тип Гені-Відеманна · Мандибулофаціальний дизостоз з постаксіальними аномаліями кінцівок · Синдром Міллера · POADS · Постаксіальний акродизостоз
zh轴后面骨发育不全颌面部发育不全伴轴后肢体异常
trPostaksiyel akrofasiyal disostozPOADS · Miller sendromu · Postaksiyal akrodizostoz · Akrofasiyal dizostoz, Genee-Wiedmann tipi · Postaksiyal ekstremite anomalisi ile seyreden mandibulfasiyal dizostoz

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM263750Evalidated
ICD-10Q75.4NTBTattributedvalidated
ICD-11LD25.2NTBTindexvalidated
MONDO0009903Evalidated
MeSHC537680Evalidated
UMLSC0265257Evalidated
GARD8410Evalidated

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 (9):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
DHODHDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:2867ENSG0000010296712606416q22.2dihydroorotate dehydrogenase (quinone)19915526[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families30 casesWorldwideCase(s)ValidatedORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

20 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007477Abnormal dermatoglyphics
HP:0000378Cupped ear
HP:0000494Downslanted palpebral fissures
HP:0007651Ectropion of lower eyelids
HP:0000625Eyelid coloboma
HP:0002984Hypoplasia of the radius
HP:0003022Hypoplasia of the ulna
HP:0000272Malar flattening
HP:0000347Micrognathia
HP:0008551Microtia
HP:0000358Posteriorly rotated ears
HP:0002558Supernumerary nipple
Frequent (79-30%)
HP:0030680Abnormal cardiovascular system morphology
HP:0000370Abnormality of the middle ear
HP:0100490Camptodactyly of finger
HP:0000175Cleft palate
HP:0000405Conductive hearing impairment
HP:0006101Finger syndactyly
HP:0100335Non-midline cleft of the upper lip
Occasional (29-5%)
HP:0000486Strabismus

Run the differential on the 12 obligate / very frequent terms

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Sources for this card