raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:66518

Short fifth metacarpals-insulin resistance syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adolescent
Status
active

A rare genetic disease characterized by the association of unilateral or bilateral short fifth metacarpals (defined as a gap of 2 mm or more between the distal end of the fifth metacarpal bone and a tangential line connecting the distal ends of the third and fourth metacarpals), insulin resistance, and spherocytosis. Familial short stature has not been reported as part of the syndrome.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enShort fifth metacarpals-insulin resistance syndrome
frSyndrome de résistance à l'insuline-cinquièmes métacarpiens courts
deKurzer fünfter Mittelhandknochen-Insulinresistenz-Syndrom
esSíndrome de quintos metacarpianos cortos-resistencia a la insulina
itSindrome quinto metacarpo corto-resistenza all'insulina
nlKorte vijfde metacarpalen - insulineresistentie-syndroom
ptResistência à insulina - quintos metacarpianos curtos
plSkrócone piąte kości śródręcza - insulinooporność
csSyndrom zahrnující zkrácený pátý metakarp a inzulinovou rezistenci
ukСиндром коротких пятих пясткових кісток-інсулінорезистентності
zh胰岛素抵抗综合征伴第五掌骨短小
trKısa beşinci metakarpal-insülin direnci sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10E14.9NTBTattributedvalidated
ICD-115A44NTBTindexvalidated
MONDO0019017Evalidated
UMLSC4303621Evalidated

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

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families6 casesWorldwideCase(s)Validated16132981[PMID]_12786688[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

6 annotations · validated 2016-04-20
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000842Hyperinsulinemia
HP:0001742Nasal congestion
HP:0010047Short 5th metacarpal
HP:0004322Short stature
HP:0004444Spherocytosis
HP:0001744Splenomegaly

Run the differential on the 6 obligate / very frequent terms

Annotation source: 16132981[PMID]

7

Sources for this card