raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:88630

Terminal osseous dysplasia-pigmentary defects syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
X-linked dominant
Age of onset
Infancy, Neonatal
Status
active

A rare acromelic dysplasia characterized by abnormal and/or delayed ossification of bones primarily in the hands and feet (that may lead to brachydactyly, camptodactyly, and clinodactyly), severe limb deformities, joint contractures, pigmentary skin lesions on the face and scalp and digital fibromatosis of the fingers and toes which appear a few months after birth. While the skeletal manifestations primarily affect the hands and feet, more generalized bone involvement including mesomelic bowing and/or shortening of the arms and legs have also been reported. Some patients may also present with craniofacial dysmorphism including midface hypoplasia, hypertelorism, ptosis, coloboma of the iris and eyelids, low-set ears, depressed nasal bridge, and multiple hypertrophic frenula. Additional clinical features may include short stature, short broad thorax, scoliosis, atrial septal defect and ventricular septal hypertrophy, pulmonary artery stenosis and anal stenosis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTerminal osseous dysplasia-pigmentary defects syndrome
frSyndrome de dysplasie osseuse terminale-défauts de pigmentation
deTerminale Knochendysplasie-Pigmentstörung-Syndrom
esSíndrome de displasia ósea terminal-defectos pigmentarios
itDisplasia ossea terminale - difetti della pigmentazione
nlTerminale botdysplasie - pigmentdefecten-syndroom
ptSíndrome de displasia óssea termina-defeitos pigmentares
plTerminalna dysplazja kostna - zaburzenia barwnikowe
csSyndrom zahrnující terminální kostní dysplázii a pigmentové defekty
ukСиндром термінальної кісткової дисплазії-пігментних дефектів
zh远端骨发育不良-色素缺陷综合征
trTerminal kemik displazi-pigment defektleri sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300244Evalidated
ICD-10Q87.2NTBTattributedvalidated
ICD-11LD24.8YNTBTindexvalidated
MONDO0010279Evalidated
UMLSC4509953Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
FLNADisease-causing germline mutation(s) inAssessedHGNC:3754ENSG00000196924300017Xq28filamin A20598277[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26059211[PMID]

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

23 annotations · validated 2022-11-25
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0025473Hyperpigmented papule
HP:0025197Inclusion body fibromatosis
Frequent (79-30%)
HP:0000191Accessory oral frenulum
HP:0001596Alopecia
HP:0001156Brachydactyly
HP:0030084Clinodactyly
HP:0001371Flexion contracture
Occasional (29-5%)
HP:0012385Camptodactyly
HP:0000437Depressed nasal tip
HP:0000286Epicanthus
HP:0000316Hypertelorism
HP:0000685Hypoplasia of teeth
HP:0000612Iris coloboma
HP:0009139Osteolysis involving bones of the lower limbs
HP:0045039Osteolysis involving bones of the upper limbs
HP:0001655Patent foramen ovale
HP:0004467Preauricular pit
HP:0002650Scoliosis
HP:0004322Short stature
HP:0010306Short thorax
HP:0001159Syndactyly
Very rare (<4-1%)
HP:0001653Mitral regurgitation
HP:0001723Restrictive cardiomyopathy

Run the differential on the 2 obligate / very frequent terms

Annotation source: 10982966[PMID]_26059211[PMID]_20598277[PMID]_20583181[PMID]_34254723[PMID]_25614868[PMID]_26061098[PMID]_30561107[PMID]_17152064[PMID]_31919883[PMID]_12738953[PMID]

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Sources for this card