raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2753

Orofaciodigital syndrome type 4

Synonyms: Baraitser-Burn syndrome · Mohr-Majewski syndrome · OFD4 · Oral-facial-digital syndrome type 4

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

A rare developmental disorder of the ciliopathy group characterized by postaxial polydactyly, mesomelic shortening of the legs (tibial hypoplasia), nonspecific orofacial features, and variable involvement of viscera (kidneys, liver) and the central nervous system.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enOrofaciodigital syndrome type 4Baraitser-Burn syndrome · Mohr-Majewski syndrome · OFD4 · Oral-facial-digital syndrome type 4
frSyndrome oro-facio-digital type 4OFD4 · Syndrome de Baraitser-Burn · Syndrome de Mohr-Majewski
deOro-fazio-digitales Syndrom Typ 4Baraitser-Burn-Syndrom · Mohr-Majewski-Syndrom · OFD4
esSíndrome orofaciodigital tipo 4OFD4 · Síndrome de Baraitser-Burn · Síndrome de Mohr-Majewski · Síndrome oro-facio-digital tipo 4
itSindrome orofaciodigitale, tipo 4OFD4 · Sindrome di Baraitser-Burn · Sindrome di Mohr-Majewski · Sindrome oro-facio-digitale, tipo 4
nlOrofaciodigitaal syndroom type 4OFD4 · Oraal-faciaal-digitaal syndroom type 4 · Syndroom van Baraitser-Burn · Syndroom van Mohr-Majewski
ptSíndrome oro-facio-digital tipo 4OFD4
plZespół ustno-twarzowo-palcowy typu 4Zespół ustno-twarzowo-palcowy typu 4 · OFD4 · Zespół Baraitsera i Burna
csOrofaciodigitální syndrom, typ 4OFD4 · Baraitserův-Burnův syndrom · Mohrův-Majewského syndrom · Baraitser-Burnův syndrom · Mohr-Majewského syndrom
ukОрофаціодигітальний синдром, тип 4Синдром Барайзера-Берна · Синдром Мор-Маєвського · OFD4 · Орально-лицево-пальцевий синдром, тип 4
zh口面指综合征4型Baraitser-Burn综合征
trOrofasiyodijital sendrom tip 4OFD4 · Mohr-Majewski sendromu · Baraitser-Burn sendromu · Oral-fasiyal-dijital sendromu tip 4

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM258860Evalidated
ICD-10Q87.0NTBTattributedvalidated
ICD-11LD25.00NTBTindexvalidated
MONDO0009794Evalidated
MeSHC537133Evalidated
UMLSC0406727Evalidated
GARD816Evalidated

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 (6):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TCTN3Disease-causing germline mutation(s) inAssessedHGNC:24519ENSG0000011997761384710q24.1tectonic family member 322883145[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families15 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

69 annotations · validated 2017-07-24
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001367Abnormal joint morphology
HP:0000190Abnormal oral frenulum morphology
HP:0011830Abnormal oral mucosa morphology
HP:0000496Abnormality of eye movement
HP:0000168Abnormality of the gingiva
HP:0000356Abnormality of the outer ear
HP:0000157Abnormality of the tongue
HP:0010469Absent testis
HP:0009118Aplasia/Hypoplasia of the mandible
HP:0005772Aplasia/Hypoplasia of the tibia
HP:0000453Choanal atresia
HP:0000405Conductive hearing impairment
HP:0008734Decreased testicular size
HP:0000457Depressed nasal ridge
HP:0006101Finger syndactyly
HP:0002970Genu varum
HP:0001263Global developmental delay
HP:0010566Hamartoma
HP:0000316Hypertelorism
HP:0001249Intellectual disability
HP:0001511Intrauterine growth retardation
HP:0001373Joint dislocation
HP:0001601Laryngomalacia
HP:0000369Low-set ears
HP:0000161Median cleft lip
HP:0000252Microcephaly
HP:0000347Micrognathia
HP:0002983Micromelia
HP:0011267Microtia, third degree
HP:0030868Monorchism
HP:0001562Oligohydramnios
HP:0010285Oral synechia
HP:0000202Orofacial cleft
HP:0001162Postaxial hand polydactyly
HP:0000358Posteriorly rotated ears
HP:0001177Preaxial hand polydactyly
HP:0002205Recurrent respiratory infections
HP:0000278Retrognathia
HP:0003510Severe short stature
HP:0003196Short nose
HP:0001328Specific learning disability
HP:0000445Wide nose
Frequent (79-30%)
HP:0000193Bifid uvula
HP:0100490Camptodactyly of finger
HP:0002120Cerebral cortical atrophy
HP:0100308Cerebral cortical hemiatrophy
HP:0000175Cleft palate
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0001510Growth delay
HP:0002705High, narrow palate
HP:0000520Proptosis
HP:0001171Split hand
HP:0012157Subcortical cerebral atrophy
HP:0000176Submucous cleft hard palate
Occasional (29-5%)
HP:0030680Abnormal cardiovascular system morphology
HP:0000598Abnormality of the ear
HP:0011255Absent crus of helix
HP:0002023Anal atresia
HP:0005944Bilateral lung agenesis
HP:0001800Hypoplastic toenails
HP:0004871Perineal fistula
HP:0008207Primary adrenal insufficiency
HP:0002089Pulmonary hypoplasia
HP:0025023Rectal atresia
HP:0000143Rectovaginal fistula
HP:0000104Renal agenesis
HP:0008678Renal hypoplasia/aplasia
HP:0000322Short philtrum

Run the differential on the 12 obligate / very frequent terms

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Sources for this card