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Nager syndrome, also called Nager acrofacial dysostosis (NAFD) is a congenital malformation syndrome characterized by mandibulofacial dystosis (malar hypoplasia, micrognathia, external ear malformations) and variable preaxial limb defects.
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 11:55 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Nager acrofacial dysostosis
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 8 | Toe syndactyly, Foot oligodactyly, Overlapping toe |
Head and neck | 8 | Cleft palate, Microcephaly, Cleft upper lip |
Bones and joints | 5 | Sideways curvature of the spine (scoliosis), Temporomandibular joint ankylosis, Skeletal dysplasia |
Brain and nerves | 4 | Hydrocephalus, Intellectual disability, Global developmental delay |
Ears | 2 | Hearing loss (hearing impairment), Conductive hearing impairment |
Eyes | 2 | Strabismus, Ptosis |
Skin | 2 | Urticaria, Preauricular skin tag |
Heart and blood vessels | 2 | Ventricular septal defect, Mitral valve prolapse |
Growth and development | 1 | Short stature |
Kidneys and urinary system | 1 | Unilateral renal agenesis |
Digestive system | 1 | Gastroschisis |
Pregnancy and birth | 1 | Congenital diaphragmatic hernia |
Lungs and breathing | 1 | Difficulty breathing (respiratory insufficiency) |
SF3B4 function has not been fully characterized.
Nager acrofacial dysostosis is associated with mutations in the SF3B4 gene on chromosome 1.
Genetic testing for SF3B4 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 19 always present features, 9 very common features, 18 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for Nager acrofacial dysostosis.
12 publications have been identified in PubMed for Nager acrofacial dysostosis. Research spans Basic Science / Preclinical (50%), Case Report / Case Series (25%), and Review / Meta-Analysis (17%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 6 | 50% |
Patient case studies | 3 | 25% |
Research summaries | 2 | 17% |
Disease patterns and progression | 1 | 8% |
Qin J (2026). [PMID: 41667381](https://pubmed.ncbi.nlm.nih.gov/41667381/). *WIREs Mech Dis*. [Review / Meta-Analysis]
van Roey VL (2025). [PMID: 40694792](https://pubmed.ncbi.nlm.nih.gov/40694792/). *J Craniofac Surg*. [Epidemiology / Natural History]
Aglamis Senel O (2025). [PMID: 41378235](https://pubmed.ncbi.nlm.nih.gov/41378235/). *Mol Syndromol*. [Case Report / Case Series]
Griffin C (2025). [PMID: 40047147](https://pubmed.ncbi.nlm.nih.gov/40047147/). *Dev Dyn*. [Basic Science / Preclinical]
Qin J (2025). [PMID: 40681060](https://pubmed.ncbi.nlm.nih.gov/40681060/). *Free Radic Biol Med*. [Basic Science / Preclinical]
Griffin C (2025). [PMID: 40126363](https://pubmed.ncbi.nlm.nih.gov/40126363/). *Dis Model Mech*. [Basic Science / Preclinical]
Gonzalez JA (2025). [PMID: 40820387](https://pubmed.ncbi.nlm.nih.gov/40820387/). *Birth Defects Res*. [Basic Science / Preclinical]
Müller S (2025). [PMID: 41394743](https://pubmed.ncbi.nlm.nih.gov/41394743/). *bioRxiv*. [Basic Science / Preclinical]
van Roey VL (2025). [PMID: 40387849](https://pubmed.ncbi.nlm.nih.gov/40387849/). *J Craniofac Surg*. [Review / Meta-Analysis]
Wenger TL (2025). [PMID: 40280475](https://pubmed.ncbi.nlm.nih.gov/40280475/). *J Pediatr*. [Case Report / Case Series]