raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:63442

Angel-shaped phalango-epiphyseal dysplasia

Synonyms: ASPED

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
All ages
Status
active

A form of acromelic dysplasia characterized by the distinctive radiological sign of angel-shaped middle phalanges, a typical metacarpophalangeal pattern profile (mainly affecting first metacarpals and middle phalanges of second, third and fifth digits, which all appear short), epiphyseal changes in the hips and, in some, abnormal dentition and delayed bone age.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAngel-shaped phalango-epiphyseal dysplasiaASPED
frDysplasie phalango-épiphysaire en ailes d'anges
deDysplasie, engelförmige phalango-epiphysäreASPED (Angel-shaped phalango-epiphyseal dysplasia)
esDisplasia epifisiaria-falángica en forma de ángel= en
itDisplasia ad ali d'angelo delle epifisi falangeali
nlEngelvormige falango-epifysaire dysplasie= en
ptFalanges em forma de anjo - displasia epifisária= en
plDysplazja paliczków w kształcie aniołów i nasad kości= en
csFalangoepifyzární dysplázie tvaru anděla= en
ukЯнголоподібна фаланго-епіфізарна дисплазія= en
zh天使形指(趾)骨骨骺发育不良= en
trMelek şekilli falango-epifizyal displazisi= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM105835Evalidated
ICD-10Q78.8NTBTattributedvalidated
ICD-11LD24.8YNTBTindexvalidated
MONDO0007114Evalidated
MeSHC536361Evalidated
UMLSC1739384Evalidated
GARD671Evalidated
MedDRA10066017Evalidated

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.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GDF5Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:4220ENSG0000012596560114620q11.22growth differentiation factor 515173244[PMID]_22828428[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families20 casesWorldwideCase(s)Validated15173244[PMID]
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

11 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0005930Abnormality of epiphysis morphology
HP:0010034Short 1st metacarpal
HP:0005819Short middle phalanx of finger
HP:0004220Short middle phalanx of the 5th finger
Frequent (79-30%)
HP:0000684Delayed eruption of teeth
HP:0001385Hip dysplasia
HP:0008843Hip osteoarthritis
HP:0000668Hypodontia
HP:0004322Short stature
Occasional (29-5%)
HP:0002750Delayed skeletal maturation
HP:0001382Joint hypermobility

Run the differential on the 4 obligate / very frequent terms

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Sources for this card