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Orofaciodigital syndrome type 4
1 OMIM reference -
1 associated gene
1 connected disease
46 signs/symptoms
Disease Type of connection
Joubert syndrome with orofaciodigital defect
Synonym(s):
- Baraitser-Burn syndrome
- OFD4
- Oral-facial-digital syndrome type 4

Classification (Orphanet):
- Rare bone disease
- Rare developmental defect during embryogenesis
- Rare genetic disease
- Rare maxillo-facial surgical disease
- Rare neurologic disease
- Rare otorhinolaryngologic disease
- Rare respiratory disease

Classification (ICD10):
- Congenital malformations, deformations and chromosomal abnormalities -

Epidemiological data:
Class of prevalence: <1 / 1 000 000
Average age onset: neonatal/infancy
Average age of death: -
Type of inheritance: autosomal recessive
External references:
1 OMIM reference -
No MeSH references

Gene symbol UniProt reference OMIM reference
TCTN3 Q6NUS6613847
Very frequent
- Abnormal eye movements / oculomotor disorder
- Autosomal recessive inheritance
- Broad nose / nasal bridge
- Choanal atresia
- Cleft lip and palate
- Conductive deafness / hearing loss
- Flattened nose
- Genu varum
- Hamartoma / tumefaction of the tongue / gingivae / oral mucosa
- Hypertelorism
- Hypoplastic mandibula / partial absence of the mandibula
- Intellectual deficit / mental / psychomotor retardation / learning disability
- Intrauterine growth retardation
- Joint dislocation / subluxation
- Laryngomalacia
- Low set ears / posteriorly rotated ears
- Median cleft lip
- Mesomelic micromelia
- Microcephaly
- Micrognathia / retrognathia / micrognathism / retrognathism
- Microtia / cryptomicrotia / anotia / external auditory canal / pinnae aplasia / hypoplasia
- Oligoamnios
- Oral synechiae / abnormal frenulae
- Postaxial polydactyly (hand)
- Preaxial polydactyly (hand)
- Repeat respiratory infections
- Short stature / dwarfism / nanism
- Short / small nose
- Small / atrophic / hypoplastic testes / monorchism / microorchidism / anorchia
- Stillbirth / neonatal death
- Syndactyly of fingers / interdigital palm
- Tibia anomaly (excluding short) / absence / agenesis / hypoplasia / tibial ray anomaly

Frequent
- Cleft palate without cleft lip / submucosal cleft palate / bifid uvula
- Complete claw hand / camptodactyly of all fingers
- Cortical atrophy without hydrocephaly / cerebral hemiatrophy / subcortical atrophy
- Failure to thrive / difficulties for feeding in infancy / growth delay
- High vaulted / narrow palate
- Proptosis / exophthalmos

Occasional
- Agenesis / hypoplasia / aplasia of kidneys
- Congenital cardiac anomaly / malformation / cardiopathy
- Cortico-adrenal hypoplasia / insufficiency
- Helix / crux helix absent / abnormal / adherent / crux cymbae / posterior helix pits
- Hypoplastic lungs / pulmonary hypoplasia / agenesis
- Imperforate anus / rectum atresia / agenesis / recto-vaginal / vesical / perineal fistula
- Short philtrum
- Thin / hypoplastic toenails