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 57 59 75 37 13 40
Hyperphalangy-Clinodactyly of Index Finger with Pierre Robin Syndrome 57 53 59 75
Catel Manzke Syndrome 53 29 6 73
Pierre Robin Syndrome with Hyperphalangy and Clinodactyly 57 53 75
Index Finger Anomaly with Pierre Robin Syndrome 57 53 75
Palatodigital Syndrome, Catel-Manzke Type 57 59 75
Micrognathia Digital Syndrome 57 59 75
Catmans 57 75
Pierre Robin Sequence-Hyperphalangy-Clinodactyly Syndrome 59
Pierre Robin Syndrome-Hyperphalangy-Clinodactyly Syndrome 59
Index Finger Anomaly-Pierre Robin Syndrome 59
Palatodigital Syndrome Catel-Manzke Type 53
Catelmanzke Syndrome 76


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 : 53 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 hypertelorism

OMIM : 57 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 : 75 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 : 76 Catel�??Manzke syndrome is a rare genetic disorder characterized by distinctive abnormalities of the... 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 cystic lymphangioma 10.4
5 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

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:


Human phenotypes related to Catel-Manzke Syndrome:

59 32 (show all 49)
# Description HPO Frequency Orphanet Frequency HPO Source Accession
1 malar flattening 59 32 hallmark (90%) Very frequent (99-80%) HP:0000272
2 hypertelorism 59 32 occasional (7.5%) Occasional (29-5%) HP:0000316
3 pectus excavatum 59 32 occasional (7.5%) Occasional (29-5%) HP:0000767
4 abnormality of epiphysis morphology 59 32 hallmark (90%) Very frequent (99-80%) HP:0005930
5 failure to thrive 59 32 hallmark (90%) Very frequent (99-80%) HP:0001508
6 scoliosis 59 32 frequent (33%) Frequent (79-30%) HP:0002650
7 chronic otitis media 59 32 frequent (33%) Frequent (79-30%) HP:0000389
8 joint stiffness 59 32 frequent (33%) Frequent (79-30%) HP:0001387
9 short stature 59 32 frequent (33%) Frequent (79-30%) HP:0004322
10 full cheeks 59 32 frequent (33%) Frequent (79-30%) HP:0000293
11 glossoptosis 59 32 hallmark (90%) Very frequent (99-80%) HP:0000162
12 cleft palate 59 32 hallmark (90%) Very frequent (99-80%) HP:0000175
13 micrognathia 59 32 hallmark (90%) Very frequent (99-80%) HP:0000347
14 joint hyperflexibility 59 32 occasional (7.5%) Occasional (29-5%) HP:0005692
15 atrial septal defect 59 32 occasional (7.5%) Occasional (29-5%) HP:0001631
16 ventriculomegaly 59 32 occasional (7.5%) Occasional (29-5%) HP:0002119
17 clinodactyly of the 5th finger 59 32 hallmark (90%) Very frequent (99-80%) HP:0004209
18 low-set, posteriorly rotated ears 59 32 frequent (33%) Frequent (79-30%) HP:0000368
19 ventricular septal defect 59 32 frequent (33%) Frequent (79-30%) HP:0001629
20 highly arched eyebrow 59 32 frequent (33%) Frequent (79-30%) HP:0002553
21 camptodactyly of finger 59 32 occasional (7.5%) Occasional (29-5%) HP:0100490
22 metatarsus valgus 59 32 occasional (7.5%) Occasional (29-5%) HP:0010508
23 oral synechia 59 32 occasional (7.5%) Occasional (29-5%) HP:0010285
24 radial deviation of the 2nd finger 59 32 occasional (7.5%) Occasional (29-5%) HP:0009467
25 low-set ears 32 HP:0000369
26 short neck 32 HP:0000470
27 joint dislocation 32 HP:0001373
28 high palate 32 HP:0000218
29 seizures 32 HP:0001250
30 inguinal hernia 32 HP:0000023
31 global developmental delay 32 HP:0001263
32 pectus carinatum 32 HP:0000768
33 umbilical hernia 32 HP:0001537
34 malformation of the heart and great vessels 59 Frequent (79-30%)
35 cryptorchidism 32 HP:0000028
36 intrauterine growth retardation 32 HP:0001511
37 postnatal growth retardation 32 HP:0008897
38 cystic hygroma 32 HP:0000476
39 coarctation of aorta 32 HP:0001680
40 abnormality of the pinna 32 HP:0000377
41 joint laxity 32 HP:0001388
42 talipes equinovarus 32 HP:0001762
43 overriding aorta 32 HP:0002623
44 cleft upper lip 32 HP:0000204
45 dextrocardia 32 HP:0001651
46 single transverse palmar crease 32 HP:0000954
47 camptodactyly 32 HP:0012385
48 ulnar deviation of the 2nd finger 32 HP:0009464
49 hyperphalangy of the 2nd finger 32 HP:0030368

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 29 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 15)
# 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 )
Catel-Manzke syndrome: a clinical report suggesting autosomal recessive inheritance. ( 21834032 )
Cystic hygroma and hirsutism in a child with Catel-Manzke syndrome. ( 21383555 )
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 )
Pierre Robin anomaly with an accessory metacarpal of the index fingers. The Catel-Manzke syndrome. ( 3955870 )
A male infant with the Catel-Manzke syndrome and dislocatable knees. ( 3723561 )
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_014305.3(TGDS): c.700T> C (p.Tyr234His) single nucleotide variant Pathogenic rs544436734 GRCh37 Chromosome 13, 95230384: 95230384
4 TGDS NM_014305.3(TGDS): c.700T> C (p.Tyr234His) single nucleotide variant Pathogenic rs544436734 GRCh38 Chromosome 13, 94578130: 94578130
5 TGDS NM_014305.3(TGDS): c.269A> G (p.Glu90Gly) single nucleotide variant Pathogenic rs724160004 GRCh37 Chromosome 13, 95243151: 95243151
6 TGDS NM_014305.3(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_271delGA (p.Lys91Asnfs) deletion Pathogenic rs727502809 GRCh37 Chromosome 13, 95243149: 95243150
10 TGDS NM_014305.3(TGDS): c.270_271delGA (p.Lys91Asnfs) deletion Pathogenic rs727502809 GRCh38 Chromosome 13, 94590895: 94590896
11 TGDS NM_014305.3(TGDS): c.892A> G (p.Asn298Asp) single nucleotide variant Pathogenic rs724160005 GRCh37 Chromosome 13, 95228658: 95228658
12 TGDS NM_014305.3(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 ExPASy
19 FMA
28 GO
29 GTR
32 HPO
33 ICD10
34 ICD10 via Orphanet
38 LifeMap
42 MedGen
44 MeSH
45 MESH via Orphanet
46 MGI
49 NCI
50 NCIt
55 Novoseek
58 OMIM via Orphanet
62 PubMed
70 SNOMED-CT via Orphanet
72 Tocris
74 UMLS via Orphanet
Loading form....