raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:93405

Syndactyly type 4

Synonyms: Polysyndactyly, Haas type

Type
Morphological anomaly
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Infancy, Neonatal
Status
active

A rare non-syndromic syndactyly characterized by complete bilateral cutaneous fusion of all fingers, frequently associated with polydactyly (usually involving six digits and six metacarpals). Phalanges may fuse as a conglomerate mass of bones. Feet are occasionally affected.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSyndactyly type 4Polysyndactyly, Haas type
frSyndactylie type 4Polysyndactylie type Haas
deSyndaktylie Typ 4Polysyndaktylie Typ Haas
esSindactilia tipo 4
itSindattilia, tipo 4Polisindattilia, tipo Hass
nlSyndactylie type 4Polysyndactylie, Haas-type
ptSindactilia tipo 4
plSyndaktylia typu 4Polisyndaktylia, typ Haasa
csSyndaktylie, typ 4Polysyndaktylie, Haasův typ
ukСиндактилія, тип 4Полісиндактилія, тип Хааса
zh并指(趾)畸形4型并指(趾)畸形,Haas型
trSindaktili tip 4Polisindaktili, Haas tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM186200Evalidated
ICD-10Q70.4NTBTattributedvalidated
ICD-11LB79.YNTBTindexvalidated
MONDO0008515Evalidated
MeSHC566092Evalidated
UMLSC1861355Evalidated
GARD4434Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
LMBR1Disease-causing germline mutation(s) inAssessedHGNC:13243ENSG000001059836055227q36.3limb development membrane protein 124456159[PMID]
SHHDisease-causing germline mutation(s) inAssessedHGNC:10848ENSG000001646906007257q36.3sonic hedgehog signaling molecule
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated22448207[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_22448207[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

9 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:00107081-5 finger syndactyly
HP:0100490Camptodactyly of finger
HP:0001161Hand polydactyly
Frequent (79-30%)
HP:00015016 metacarpals
HP:0001829Foot polydactyly
HP:0005736Short tibia
HP:0001770Toe syndactyly
Occasional (29-5%)
HP:0001376Limitation of joint mobility
HP:0001199Triphalangeal thumb

Run the differential on the 3 obligate / very frequent terms

Annotation source: 17476456[PMID]

7

Sources for this card