Catel-Manzke Syndrome (CATMANS)

Categories: Bone diseases, Fetal diseases, Genetic diseases, Neuronal diseases, Oral diseases, Rare diseases

Aliases & Classifications for Catel-Manzke Syndrome

MalaCards integrated aliases for Catel-Manzke Syndrome:

Name: Catel-Manzke Syndrome 58 77 60 76 38 13 41
Hyperphalangy-Clinodactyly of Index Finger with Pierre Robin Syndrome 58 54 60 76
Catel Manzke Syndrome 54 30 6 74
Pierre Robin Syndrome with Hyperphalangy and Clinodactyly 58 54 76
Index Finger Anomaly with Pierre Robin Syndrome 58 54 76
Palatodigital Syndrome, Catel-Manzke Type 58 60 76
Micrognathia Digital Syndrome 58 60 76
Catmans 58 76
Pierre Robin Sequence-Hyperphalangy-Clinodactyly Syndrome 60
Pierre Robin Syndrome-Hyperphalangy-Clinodactyly Syndrome 60
Index Finger Anomaly-Pierre Robin Syndrome 60
Palatodigital Syndrome Catel-Manzke Type 54


Orphanet epidemiological data:

catel-manzke syndrome
Inheritance: Autosomal recessive; Prevalence: <1/1000000 (Worldwide); Age of onset: Neonatal; Age of death: normal life expectancy;


autosomal recessive

majority of cases are sporadic
majority of cases are male


catel-manzke syndrome:
Inheritance autosomal recessive inheritance


Summaries for Catel-Manzke Syndrome

NIH Rare Diseases : 54 The following summary is from Orphanet, a European reference portal for information on rare diseases and orphan drugs.Orpha Number: 1388Disease definitionCatel-Manzke syndrome is a rare bone disease characterized by bilateral hyperphalangy and clinodactyly of the index finger typically in association with Pierre Robin sequence (see this term) comprising micrognathia, cleft palate and glossoptosis.EpidemiologyCatel-Manzke syndrome has been described in more than 33 patients.Clinical descriptionThe key feature of Catel-Manzke syndrome is a bilateral hyperphalangy of the index finger in which there is an accessory ossification center at the metacarpophalangeal joint, resulting in radial deviation of the index finger. In 80% of cases, the digital abnormality is associated with Pierre Robin sequence which combines micrognathia, glossoptosis and cleft palate. Additional frequently reported congenital malformations include cardiac defects such as ventricular septal defect and interatrial communication (see these terms). Less frequent findings include iris coloboma, mild facial dysmorphism (hypertelorism, short palpebral fissures, full cheeks, low-set or posteriorly rotated ears), pectus excavatum, pectus carinatum, scoliosis, bilateral brachydactyly, bilateral fifth finger clinodactyly, knee dislocation, talipes, short halluces, failure to thrive and an intellectual disability, ranging from mild to severe.EtiologyHomozygous and compound heterozygousmutations in TGDS (13q32.1) have been implicated as causal in Catel-Manzke syndrome.Diagnostic methodsThe disease is diagnosed at birth due to the manifestions linked with Pierre Robin sequence and the abnormal index finger. Radiological findings confirm digital abnormalities including a supernumerary deltoid or trapezoid bone located ulnarwards between the slightly shortened second metacarpal and the significantly shortened corresponding proximal phalanx. On its ulnar side, or more unusually on its radial side, the accessory bone has a pin-shaped bone, possibly an epiphysis causing a broadening of the index finger at the level of the metacarpophalangeal joint. The supernumerary bone fuses with the first phalanx in later life which may cause subluxation at the metacarpo-phalangeal joint.Differential diagnosisDifferential diagnoses related to the bone abnormalities may include Desbuquois syndrome, Temtamy preaxial brachydactyly syndrome and brachydactyly type C (see these terms).Genetic counselingTransmission is autosomal recessive. Genetic counseling is recommended.Management and treatmentTreatment for airway distress and/or feeding complications involves prone positioning for breathing and/or feeding and is effective for most neonates. The cleft palate is usually corrected by surgical intervention before the age of nine months. Long-term orthodontic care is required. However, follow-up by a multidisciplinary team (pediatrician, craniofacial surgeon, cardiologist, ear, nose and throat specialist and speech therapist) is recommended. The infant continues to need feeding and speech assessments and breathing capacity needs to be monitored.PrognosisPrognosis is good with appropriate early treatment and successful management of clinical manifestations during the first year of life.Visit the Orphanet disease page for more resources.

MalaCards based summary : Catel-Manzke Syndrome, also known as hyperphalangy-clinodactyly of index finger with pierre robin syndrome, is related to hyperphalangy and cleft palate, isolated, and has symptoms including seizures An important gene associated with Catel-Manzke Syndrome is TGDS (TDP-Glucose 4,6-Dehydratase). Affiliated tissues include bone, tongue and heart, and related phenotypes are malar flattening and abnormality of epiphysis morphology

OMIM : 58 Catel-Manzke syndrome is characterized by the Pierre Robin anomaly, which comprises cleft palate, glossoptosis, and micrognathia, and a unique form of bilateral hyperphalangy in which there is an accessory bone inserted between the second metacarpal and its corresponding proximal phalanx, resulting in radial deviation of the index finger (summary by Manzke et al., 2008). (616145)

UniProtKB/Swiss-Prot : 76 Catel-Manzke syndrome: A syndrome characterized by Pierre Robin sequence and a unique form of bilateral hyperphalangy causing a clinodactyly of the index finger. Pierre Robin sequence includes an opening in the roof of the mouth (a cleft palate), a large tongue (macroglossia), and a small lower jaw (micrognathia).

Wikipedia : 77 Catel–Manzke syndrome is a rare genetic disorder characterized by distinctive abnormalities of the index... more...

Related Diseases for Catel-Manzke Syndrome

Diseases related to Catel-Manzke Syndrome via text searches within MalaCards or GeneCards Suite gene sharing:

# Related Disease Score Top Affiliating Genes
1 hyperphalangy 10.6
2 cleft palate, isolated 10.4
3 pierre robin syndrome 10.4
4 chondrodysplasia with joint dislocations, gpapp type 10.4
5 cystic lymphangioma 10.4
6 isolated pierre robin sequence 10.4

Graphical network of the top 20 diseases related to Catel-Manzke Syndrome:

Diseases related to Catel-Manzke Syndrome

Symptoms & Phenotypes for Catel-Manzke Syndrome

Human phenotypes related to Catel-Manzke Syndrome:

60 33 (show all 49)
# Description HPO Frequency Orphanet Frequency HPO Source Accession
1 malar flattening 60 33 hallmark (90%) Very frequent (99-80%) HP:0000272
2 abnormality of epiphysis morphology 60 33 hallmark (90%) Very frequent (99-80%) HP:0005930
3 failure to thrive 60 33 hallmark (90%) Very frequent (99-80%) HP:0001508
4 glossoptosis 60 33 hallmark (90%) Very frequent (99-80%) HP:0000162
5 cleft palate 60 33 hallmark (90%) Very frequent (99-80%) HP:0000175
6 micrognathia 60 33 hallmark (90%) Very frequent (99-80%) HP:0000347
7 clinodactyly of the 5th finger 60 33 hallmark (90%) Very frequent (99-80%) HP:0004209
8 scoliosis 60 33 frequent (33%) Frequent (79-30%) HP:0002650
9 chronic otitis media 60 33 frequent (33%) Frequent (79-30%) HP:0000389
10 joint stiffness 60 33 frequent (33%) Frequent (79-30%) HP:0001387
11 short stature 60 33 frequent (33%) Frequent (79-30%) HP:0004322
12 full cheeks 60 33 frequent (33%) Frequent (79-30%) HP:0000293
13 low-set, posteriorly rotated ears 60 33 frequent (33%) Frequent (79-30%) HP:0000368
14 ventricular septal defect 60 33 frequent (33%) Frequent (79-30%) HP:0001629
15 highly arched eyebrow 60 33 frequent (33%) Frequent (79-30%) HP:0002553
16 hypertelorism 60 33 occasional (7.5%) Occasional (29-5%) HP:0000316
17 pectus excavatum 60 33 occasional (7.5%) Occasional (29-5%) HP:0000767
18 joint hyperflexibility 60 33 occasional (7.5%) Occasional (29-5%) HP:0005692
19 atrial septal defect 60 33 occasional (7.5%) Occasional (29-5%) HP:0001631
20 ventriculomegaly 60 33 occasional (7.5%) Occasional (29-5%) HP:0002119
21 camptodactyly of finger 60 33 occasional (7.5%) Occasional (29-5%) HP:0100490
22 metatarsus valgus 60 33 occasional (7.5%) Occasional (29-5%) HP:0010508
23 oral synechia 60 33 occasional (7.5%) Occasional (29-5%) HP:0010285
24 radial deviation of the 2nd finger 60 33 occasional (7.5%) Occasional (29-5%) HP:0009467
25 low-set ears 33 HP:0000369
26 short neck 33 HP:0000470
27 joint dislocation 33 HP:0001373
28 high palate 33 HP:0000218
29 seizures 33 HP:0001250
30 inguinal hernia 33 HP:0000023
31 global developmental delay 33 HP:0001263
32 pectus carinatum 33 HP:0000768
33 umbilical hernia 33 HP:0001537
34 malformation of the heart and great vessels 60 Frequent (79-30%)
35 cryptorchidism 33 HP:0000028
36 intrauterine growth retardation 33 HP:0001511
37 postnatal growth retardation 33 HP:0008897
38 cystic hygroma 33 HP:0000476
39 coarctation of aorta 33 HP:0001680
40 abnormality of the pinna 33 HP:0000377
41 joint laxity 33 HP:0001388
42 talipes equinovarus 33 HP:0001762
43 overriding aorta 33 HP:0002623
44 cleft upper lip 33 HP:0000204
45 dextrocardia 33 HP:0001651
46 single transverse palmar crease 33 HP:0000954
47 camptodactyly 33 HP:0012385
48 ulnar deviation of the 2nd finger 33 HP:0009464
49 hyperphalangy of the 2nd finger 33 HP:0030368

Symptoms via clinical synopsis from OMIM:

Head And Neck Ears:
low-set ears
malformed ears

Chest Ribs Sternum Clavicles And Scapulae:
pectus excavatum
pectus carinatum

Genitourinary External Genitalia Male:
inguinal hernia

Head And Neck Mouth:
cleft palate
cleft lip
high-arched palate
robin anomaly

Genitourinary Internal Genitalia Male:

Skeletal Feet:
talipes equinovarus

Skeletal Hands:
single transverse palmar crease
fifth finger clinodactyly
ulnar angulation of the index finger
hyperphalangy of index finger (accessory bone between 2nd-3rd proximal phalanges)

Growth Other:
prenatal growth deficiency
postnatal growth deficiency

Head And Neck Neck:
short neck
cystic hygroma

Neurologic Central Nervous System:
developmental delay
normal intelligence (majority)

Abdomen External Features:
umbilical hernia

Head And Neck Face:

Skeletal Limbs:
joint laxity
joint dislocations

Cardiovascular Heart:
ventricular septal defect
overriding aorta
aortic coarctation

Skin Nails Hair Skin:
single transverse palmar crease

Clinical features from OMIM:


UMLS symptoms related to Catel-Manzke Syndrome:


Drugs & Therapeutics for Catel-Manzke Syndrome

Search Clinical Trials , NIH Clinical Center for Catel-Manzke Syndrome

Genetic Tests for Catel-Manzke Syndrome

Genetic tests related to Catel-Manzke Syndrome:

# Genetic test Affiliating Genes
1 Catel Manzke Syndrome 30 TGDS

Anatomical Context for Catel-Manzke Syndrome

MalaCards organs/tissues related to Catel-Manzke Syndrome:

Bone, Tongue, Heart

Publications for Catel-Manzke Syndrome

Articles related to Catel-Manzke Syndrome:

(show all 16)
# Title Authors Year
Mutations in TGDS associated with additional malformations of the middle fingers and halluces: Atypical Catel-Manzke syndrome in a fetus. ( 28422407 )
Catel-Manzke Syndrome: Further Delineation of the Phenotype Associated with Pathogenic Variants in TGDS. ( 26366375 )
Homozygous and compound-heterozygous mutations in TGDS cause Catel-Manzke syndrome. ( 25480037 )
A patient with hyperphalangism: the milder phenotype of Catel-Manzke syndrome. ( 24326962 )
IMPAD1 mutations in two Catel-Manzke like patients. ( 22887726 )
Cystic hygroma and hirsutism in a child with Catel-Manzke syndrome. ( 21383555 )
Catel-Manzke syndrome: a clinical report suggesting autosomal recessive inheritance. ( 21834032 )
Catel-Manzke syndrome: two new patients and a critical review of the literature. ( 18501694 )
Catel-Manzke syndrome: a case report of a female with severely malformed hands and feet. An extension of the phenotype or a new syndrome? ( 15365460 )
Catel-Manzke syndrome without cleft palate: a case report. ( 14564220 )
The Catel-Manzke syndrome in a female infant. ( 9777339 )
Index finger hyperphalangy and multiple anomalies: Catel-Manzke syndrome? ( 8484405 )
A male infant with the Catel-Manzke syndrome and dislocatable knees. ( 3723561 )
Pierre Robin anomaly with an accessory metacarpal of the index fingers. The Catel-Manzke syndrome. ( 3955870 )
Pierre Robin sequence and hyperphalangy--a genetic entity (Catel-Manzke syndrome). ( 6540680 )
Hyperphalangy and clinodactyly of the index finger with Pierre Robin anomaly: Catel-Manzke syndrome. A case report and review of the literature. ( 7127881 )

Variations for Catel-Manzke Syndrome

UniProtKB/Swiss-Prot genetic disease variations for Catel-Manzke Syndrome:

# Symbol AA change Variation ID SNP ID
1 TGDS p.Glu90Gly VAR_072682 rs724160004
2 TGDS p.Phe98Leu VAR_072683 rs727502808
3 TGDS p.Ala100Ser VAR_072684 rs140430952
4 TGDS p.Tyr234His VAR_072685 rs544436734
5 TGDS p.Asn298Asp VAR_072686 rs724160005

ClinVar genetic disease variations for Catel-Manzke Syndrome:

6 (show all 12)
# Gene Variation Type Significance SNP ID Assembly Location
1 TGDS NM_014305.3(TGDS): c.298G> T (p.Ala100Ser) single nucleotide variant Pathogenic rs140430952 GRCh37 Chromosome 13, 95243122: 95243122
2 TGDS NM_014305.3(TGDS): c.298G> T (p.Ala100Ser) single nucleotide variant Pathogenic rs140430952 GRCh38 Chromosome 13, 94590868: 94590868
3 TGDS NM_014305.4(TGDS): c.700T> C (p.Tyr234His) single nucleotide variant Pathogenic rs544436734 GRCh37 Chromosome 13, 95230384: 95230384
4 TGDS NM_014305.4(TGDS): c.700T> C (p.Tyr234His) single nucleotide variant Pathogenic rs544436734 GRCh38 Chromosome 13, 94578130: 94578130
5 TGDS NM_014305.4(TGDS): c.269A> G (p.Glu90Gly) single nucleotide variant Pathogenic rs724160004 GRCh37 Chromosome 13, 95243151: 95243151
6 TGDS NM_014305.4(TGDS): c.269A> G (p.Glu90Gly) single nucleotide variant Pathogenic rs724160004 GRCh38 Chromosome 13, 94590897: 94590897
7 TGDS NM_014305.3(TGDS): c.294T> G (p.Phe98Leu) single nucleotide variant Pathogenic rs727502808 GRCh38 Chromosome 13, 94590872: 94590872
8 TGDS NM_014305.3(TGDS): c.294T> G (p.Phe98Leu) single nucleotide variant Pathogenic rs727502808 GRCh37 Chromosome 13, 95243126: 95243126
9 TGDS NM_014305.3(TGDS): c.270_271del (p.Lys91Asnfs) deletion Pathogenic rs727502809 GRCh37 Chromosome 13, 95243149: 95243150
10 TGDS NM_014305.3(TGDS): c.270_271del (p.Lys91Asnfs) deletion Pathogenic rs727502809 GRCh38 Chromosome 13, 94590895: 94590896
11 TGDS NM_014305.4(TGDS): c.892A> G (p.Asn298Asp) single nucleotide variant Pathogenic rs724160005 GRCh37 Chromosome 13, 95228658: 95228658
12 TGDS NM_014305.4(TGDS): c.892A> G (p.Asn298Asp) single nucleotide variant Pathogenic rs724160005 GRCh38 Chromosome 13, 94576404: 94576404

Expression for Catel-Manzke Syndrome

Search GEO for disease gene expression data for Catel-Manzke Syndrome.

Pathways for Catel-Manzke Syndrome

GO Terms for Catel-Manzke Syndrome

Sources for Catel-Manzke Syndrome

9 Cosmic
10 dbSNP
11 DGIdb
17 EFO
18 ExPASy
20 FMA
29 GO
30 GTR
33 HPO
34 ICD10
35 ICD10 via Orphanet
39 LifeMap
43 MedGen
45 MeSH
46 MESH via Orphanet
47 MGI
50 NCI
51 NCIt
56 Novoseek
59 OMIM via Orphanet
63 PubMed
71 SNOMED-CT via Orphanet
73 Tocris
75 UMLS via Orphanet
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