Preferred Label : Neurofaciodigitorenal syndrome;
Type : Other, mainly phenotypes with suspected mendelian basis;
Alternative titles and symbols : Nfdr syndrome;
Description : Freire-Maia et al. (1982) described a 'new' syndrome in 2 brothers with nonconsanguineous
parents. Features were mental retardation, highly abnormal EEG without seizures, vertical
groove in tip of nose ('bifid' nose), prominent forehead, peculiarly shaped ears,
short stature, and triphalangeal thumbs. One of the brothers had unilateral renal
agenesis. Rump et al. (1997) reported a 39-year-old Dutch female with severe mental
retardation and unusual facies, including brachycephaly, telecanthus, a grooved nasal
tip, ptosis, and malformed ears; she also had broad halluces, congenital heart and
renal defects, and an abnormal EEG with petit mal seizures. Features not previously
seen in the NFDR syndrome included camptodactyly of the fourth fingers, dysplastic
phalanges, ankylosis of the tarsal and metatarsal bones, and dysplastic hips. Megarbane
(2001) reported 2 Lebanese sisters, whose parents were from the same small village,
who had upslanting palpebral fissures, hypertelorism, ptosis, a broad, bifid nasal
tip, high-arched palate, mental retardation, and abnormal EEG. The older sister also
had double maxillary canines and skeletal anomalies, with partial syndactyly of the
right third and fourth fingers, left thumb longer than the right, and genu valgum.
Megarbane (2001) noted that the sisters did not have some of the features seen in
the patients previously described by Freire-Maia et al. (1982) and Rump et al. (1997),
such as hypotonia, abnormal ears, hyperextensible joints, broad halluces, and renal
or heart defects, and suggested that this might represent a new autosomal recessive
disorder. *FIELD* RF 1. Freire-Maia, N.; Pinheiro, M.; Opitz, J. M.: The neurofaciodigitorenal
(NFDR) syndrome. Am. J. Med. Genet. 11: 329-336, 1982. 2. Megarbane, A.: A new familial
syndrome with facial abnormalities, abnormal EEG, and mental retardation. Clin. Dysmorph.
10: 129-133, 2001. 3. Rump, P.; Gruijters, M. Y. C.; van der Burgt, C. J. A. M.: A
female patient with neurological, facial, digital and renal abnormalities: another
case of the neurofaciodigitorenal (NFDR) syndrome? Clin. Dysmorph. 6: 337-340, 1997.
*FIELD* CS Neuro: Mental retardation; No seizures;;
Inheritance : Autosomal recessive;
Prefixed ID : 256690;
Origin ID : 256690;
UMLS CUI : C0796088;
Currated CISMeF NLP mapping
HPO term(s)
Not associated HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)