raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:371428

Multicentric osteolysis-nodulosis-arthropathy spectrum

Synonyms: MONA spectrum

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood, Infancy
Status
active

A rare systemic or rheumatologic disease characterized by peripheral osteolysis (especially carpal and tarsal bones), interphalangeal joint erosions, subcutaneous fibrocollagenous nodules, facial dysmorphism, and a wide range of associated manifestations.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMulticentric osteolysis-nodulosis-arthropathy spectrumMONA spectrum
frSpectre ostéolyse multicentrique-nodulose-arthropathieSpectre MONA
deMultizentrische Osteolyse-Nodulose-Arthropathie-SpektrumMONA-Spektrum
esEspectro osteólisis multicéntrica-nodulosis-artropatíaEspectro MONA
itSpettro osteolisi multicentrica-nodulosi-artropatiaSpettro MONA
nlMulticentrische osteolyse - nodulose - artropathie-spectrumMONA-spectrum
ptEspectro clínico de osteólise multicêntrica-nodulose-artropatia
plSpektrum osteoliza wieloogniskowa-guzkowatość-artropatiaSpektrum MONA
csMONA spektrumSpektrum zahrnující multicentrickou osteolýzu, nodulózu a artropatii
ukСпектр мультицентричного остеолізу-нодульозу-артропатіїСпектр MONA · Синдром NAO · Синдром нодулозу-артропатії-остеолізу · Торг-Вінчестерський синдром
zh多中心骨质溶解-结节-关节病谱系结节变性-关节病-骨溶解综合征
trÇok merkezli osteoliz-nodüloz-artropati spektrumuNAO sendromu · MONA spektrumu · Torg-Winchester sendromu · Nodüloz-artropati-osteoliz sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM259600BTNTvalidated
OMIM277950BTNTvalidated
ICD-10M89.5NTBTattributedvalidated
MONDO0018298Evalidated
UMLSC1850155Evalidated

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 (1):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MMP14Disease-causing germline mutation(s) inAssessedHGNC:7160ENSG0000015722760075414q11.2matrix metallopeptidase 1422922033[PMID]
MMP2Disease-causing germline mutation(s) inAssessedHGNC:7166ENSG0000008724512036016q12.2matrix metallopeptidase 222922033[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families50 casesWorldwideCase(s)Validated[EXPERT]
Point prevalenceUnknown—WorldwideClass onlyValidated[EXPERT]

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

39 annotations · validated 2019-10-31
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0005922Abnormal hand morphology
HP:0001369Arthritis
HP:0003040Arthropathy
HP:0001495Carpal osteolysis
HP:0001007Hirsutism
HP:0002797Osteolysis
HP:0009139Osteolysis involving bones of the lower limbs
HP:0045039Osteolysis involving bones of the upper limbs
HP:0006234Osteolysis involving tarsal bones
HP:0000938Osteopenia
HP:0000939Osteoporosis
Frequent (79-30%)
HP:0003312Abnormal form of the vertebral bodies
HP:0001626Abnormality of the cardiovascular system
HP:0000248Brachycephaly
HP:0000916Broad clavicles
HP:0001230Broad metacarpals
HP:0011355Localized skin lesion
HP:0005441Sclerotic cranial sutures
HP:0001482Subcutaneous nodule
Occasional (29-5%)
HP:0000315Abnormality of the orbital region
HP:0001631Atrial septal defect
HP:0001678Atrioventricular block
HP:0001647Bicuspid aortic valve
HP:0001680Coarctation of aorta
HP:0001719Double outlet right ventricle
HP:0000822Hypertension
HP:0002659Increased susceptibility to fractures
HP:0001249Intellectual disability
HP:0000612Iris coloboma
HP:0001634Mitral valve prolapse
HP:0005994Nodular goiter
HP:0001539Omphalocele
HP:0001085Papilledema
HP:0000147Polycystic ovaries
HP:0010314Premature thelarche
HP:0001059Pterygium
HP:0100651Type I diabetes mellitus
HP:0001629Ventricular septal defect

Run the differential on the 12 obligate / very frequent terms

Annotation source: 26601801[PMID]_27687687[PMID]_10861675[PMID]

7

Sources for this card