Pular para o conteúdo
Hipoplasia dos membros - defeito de redução dos membros
ORPHA:93457CID-10 · Q73CID-11 · LB99DOENÇA RARA
Esta doença tem causa genética. Recomendamos procurar um médico geneticista para diagnóstico, exames genéticos e aconselhamento familiar.
Sistema ósseo

Condição genética rara caracterizada por desenvolvimento incompleto de um ou mais membros, podendo afetar braços e pernas. Frequentemente associada a outras anomalias, como tórax em sino e defeitos no punho.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

Mantido pelo Disease Twin100% com fonte · atualizado 18/06/2026Revisão médica pendente
Informacoes curadas por IA — podem conter imprecisoes

Visão geral

A hipoplasia dos membros, também conhecida como defeito de redução dos membros, é uma condição rara caracterizada pelo desenvolvimento incompleto ou ausência de partes dos membros superiores e/ou inferiores. Essa condição pode afetar ossos, articulações e tecidos moles, resultando em encurtamento, deformidades ou ausência de segmentos dos braços, pernas, mãos ou pés. A gravidade varia amplamente entre os indivíduos, desde pequenas alterações em um único dedo até a ausência quase completa de um membro.[1][2]

Sinais e sintomas

Os sinais e sintomas da hipoplasia dos membros são variados e podem incluir: encurtamento mesomélico do braço (encurtamento da porção média do braço), morfologia anormal do rádio (osso do antebraço), anormalidades do punho, falange distal do polegar curta, hálux curto (dedão do pé curto), falange larga do hálux, anormalidades dos dedos, pregas palmares transversas únicas bilaterais, contratura em flexão progressiva, tórax em sino, morfologia metafisária anormal (alteração na região de crescimento dos ossos), morfologia anormal da epífise (extremidade dos ossos), fusão vertebral, coloboma corioretiniano (defeito na retina), glaucoma, cristas supraorbitais subdesenvolvidas, laringomalácia (enfraquecimento da laringe), divertículo de bexiga, ânus ectópico, hérnia da parede abdominal, anormalidade do útero, pelos axilares ausentes, anormalidade da regulação da temperatura e fertilidade diminuída.[1][2]

Causas genéticas

A hipoplasia dos membros pode ter causas genéticas. Estudos identificaram variantes em diversos genes associados à condição, incluindo: CALR (calreticulina), BHLHA9 (proteína básica hélice-alça-hélice classe A 9), GLI3 (ativador transcricional GLI3), SHH (proteína sonic hedgehog), RECQL4 (helicase de DNA dependente de ATP Q4), DLL4 (proteína delta-like 4), ARHGAP31 (proteína ativadora de GTPase Rho 31), EOGT (transferase O-GlcNAc específica de domínio EGF), SMC1A (proteína de manutenção estrutural de cromossomos 1A), NOTCH1 (proteína homóloga do receptor Notch 1), DOCK6 (proteína dedicadora de citocinese 6) e WNT3 (proto-oncogene Wnt-3). Esses genes estão envolvidos em processos importantes para o desenvolvimento embrionário dos membros.[1][3]

Diagnóstico

O diagnóstico da hipoplasia dos membros é baseado na avaliação clínica, exames de imagem (como radiografias) e, quando indicado, testes genéticos. Atualmente, existem 336 testes genéticos disponíveis para a condição, e 516 variantes foram registradas no ClinVar, um banco de dados público de variantes genéticas. O teste genético pode ajudar a identificar a causa subjacente em alguns casos, mas nem sempre é possível encontrar uma alteração genética específica.[1][3]

Tratamento e manejo

O tratamento da hipoplasia dos membros é individualizado e pode incluir cirurgias ortopédicas para correção de deformidades, próteses, órteses, fisioterapia e terapia ocupacional. O objetivo é melhorar a função, a mobilidade e a qualidade de vida. Não há medicamentos específicos aprovados para tratar a condição em si. O acompanhamento multidisciplinar é importante para abordar as diversas necessidades do paciente.[1]

Prognóstico e qualidade de vida

O prognóstico para pessoas com hipoplasia dos membros depende da gravidade das alterações e da presença de outras condições associadas. Muitas pessoas levam uma vida ativa e produtiva com o suporte adequado. O acesso a cuidados especializados, reabilitação e grupos de apoio pode fazer uma grande diferença na qualidade de vida.[1]

Fontes numeradas em Referências.

Conteúdo informativo gerado e mantido automaticamente a partir de fontes oficiais (Orphanet, HPO, OMIM, SUS). Não substitui avaliação médica.

💬
EM LINGUAGEM SIMPLES

A hipoplasia dos membros - defeito de redução dos membros é uma condição que agrupa alterações no tamanho ou na formação dos braços e das pernas. Ela costuma estar ligada a variações em genes importantes para o desenvolvimento do corpo, como o BHLHA9 e o GLI3. Geralmente, o que a família observa no nascimento são encurtamentos ou ausências parciais de ossos dos membros, mãos ou dedos. No Brasil, esta condição não conta com um protocolo PCDT próprio nem medicamentos específicos dispensados na lista do SUS, sendo acompanhada pela rede de saúde pública regular.

📋
Informacoes curadas por IA — podem conter imprecisoes

Condição genética rara caracterizada por desenvolvimento incompleto de um ou mais membros, podendo afetar braços e pernas. Frequentemente associada a outras anomalias, como tórax em sino e defeitos no punho.

🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: Q73
Você se identifica com essa condição?
O Raras está aqui pra te apoiar — com ou sem diagnóstico

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🦴
Ossos e articulações
179 sintomas
😀
Face
45 sintomas
❤️
Coração
43 sintomas
👁️
Olhos
31 sintomas
🧠
Neurológico
29 sintomas
🫃
Digestivo
27 sintomas

+ 343 sintomas em outras categorias

Características mais comuns

—
Tórax em sino
—
Anormalidade do punho
—
Encurtamento mesomélico do braço
—
Morfologia metafisária anormal
—
Anormalidade da regulação da temperatura
—
Pelos axilares ausentes
820sintomas
Sem dados (820)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 820 características clínicas mais associadas, ordenadas por frequência.

Tórax em sinoBell-shaped thorax
Anormalidade do punhoAbnormality of the wrist
Encurtamento mesomélico do braçoMesomelic arm shortening
Morfologia metafisária anormalAbnormal metaphysis morphology
Anormalidade da regulação da temperaturaAbnormality of temperature regulation

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa10
Últimos 10 anos2publicações
Pico20161 papers
Linha do tempo
20202016Hoje · 2026
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

30 genes identificados com associação a esta condição.

CALRCalreticulinDisease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (2)
Antigen Presentation: Folding, assembly and peptide loading of class I MHCER-Phagosome pathway
OUTRAS DOENÇAS (4)
thrombocythemia 1primary myelofibrosisessential thrombocythemiaBudd-Chiari syndrome
HGNC:1455UniProt:P27797
BHLHA9Class A basic helix-loop-helix protein 9Candidate gene tested inDesconhecido
MECANISMO DE DOENÇA

Split-hand/foot malformation with long bone deficiency 3

A disease characterized by the association of split-hand/foot malformation with long bone deficiency involving the tibia and fibula. Split-hand/foot malformation is a limb malformation involving the central rays of the autopod. Phenotypic expression is extremely variable between and within families, and even between limbs of a single patient, ranging from syndactyly and oligodactyly to the most severe monodactyly with only a single phalanx. Limb features include median clefts of the hands and feet, and aplasia and/or hypoplasia of the phalanges, metacarpals, and metatarsals.

OUTRAS DOENÇAS (4)
mesoaxial synostotic syndactyly with phalangeal reductionCamptosynpolydactyly, complexGollop-Wolfgang complextibial aplasia-ectrodactyly syndrome
HGNC:35126UniProt:Q7RTU4
GLI3Transcriptional activator GLI3Candidate gene tested inAltamente restrito
VIAS BIOLÓGICAS (2)
GLI3 is processed to GLI3R by the proteasomeHedgehog 'off' state
MECANISMO DE DOENÇA

Greig cephalo-poly-syndactyly syndrome

Autosomal dominant disorder affecting limb and craniofacial development. It is characterized by pre- and postaxial polydactyly, syndactyly of fingers and toes, macrocephaly and hypertelorism.

EXPRESSÃO TECIDUAL(Ubíquo)
Útero
27.0 TPM
Cólon sigmoide
21.9 TPM
Fallopian Tube
19.5 TPM
Ovário
19.4 TPM
Cervix Ectocervix
15.9 TPM
OUTRAS DOENÇAS (8)
Pallister-Hall syndromepolysyndactyly 4polydactyly, postaxial, type A1Greig cephalopolysyndactyly syndrome
HGNC:4319UniProt:P10071
SHHSonic hedgehog proteinCandidate gene tested inAltamente restrito
VIAS BIOLÓGICAS (5)
Hedgehog 'on' stateActivation of SMOLigand-receptor interactionsRelease of Hh-Np from the secreting cellFormation of lateral plate mesoderm
MECANISMO DE DOENÇA

Microphthalmia/Coloboma 5

A disorder of eye formation, ranging from small size of a single eye to complete bilateral absence of ocular tissues. Ocular abnormalities like opacities of the cornea and lens, scaring of the retina and choroid, and other abnormalities may also be present. Ocular colobomas are a set of malformations resulting from abnormal morphogenesis of the optic cup and stalk, and the fusion of the fetal fissure (optic fissure).

EXPRESSÃO TECIDUAL(Tecido-específico)
Nervo tibial
21.7 TPM
Glândula adrenal
7.7 TPM
Fígado
7.4 TPM
Estômago
3.8 TPM
Rim - Medula
3.5 TPM
OUTRAS DOENÇAS (15)
microphthalmia, isolated, with coloboma 5holoprosencephaly 3solitary median maxillary central incisor syndrometibia, hypoplasia or aplasia of, with polydactyly
HGNC:10848UniProt:Q15465
RECQL4ATP-dependent DNA helicase Q4Disease-causing germline mutation(s) inTolerante
MECANISMO DE DOENÇA

RAPADILINO syndrome

Disease characterized by radial and patellar aplasia or hypoplasia.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
56.5 TPM
Linfócitos
32.2 TPM
Cerebelo
26.9 TPM
Cérebro - Hemisfério cerebelar
23.8 TPM
Esôfago - Mucosa
13.9 TPM
OUTRAS DOENÇAS (3)
Baller-Gerold syndromerapadilino syndromeRothmund-Thomson syndrome type 2
HGNC:9949UniProt:O94761
DLL4Delta-like protein 4Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (8)
NOTCH2 Activation and Transmission of Signal to the NucleusActivated NOTCH1 Transmits Signal to the NucleusConstitutive Signaling by NOTCH1 PEST Domain MutantsConstitutive Signaling by NOTCH1 t(7;9)(NOTCH1:M1580_K2555) Translocation MutantNOTCH4 Activation and Transmission of Signal to the Nucleus
MECANISMO DE DOENÇA

Adams-Oliver syndrome 6

A form of Adams-Oliver syndrome, a disorder characterized by the congenital absence of skin (aplasia cutis congenita) in combination with transverse limb defects. Aplasia cutis congenita can be located anywhere on the body, but in the vast majority of the cases, it is present on the posterior parietal region where it is often associated with an underlying defect of the parietal bones. Limb abnormalities are typically limb truncation defects affecting the distal phalanges or entire digits (true ectrodactyly). Only rarely, metatarsals/metacarpals or more proximal limb structures are also affected. Apart from transverse limb defects, syndactyly, most commonly of second and third toes, can also be observed. The clinical features are highly variable and can also include cardiovascular malformations, brain abnormalities and vascular defects such as cutis marmorata and dilated scalp veins.

EXPRESSÃO TECIDUAL(Ubíquo)
Tecido adiposo
46.1 TPM
Mama
39.1 TPM
Pulmão
38.5 TPM
Adipose Visceral Omentum
35.9 TPM
Tireoide
34.3 TPM
OUTRAS DOENÇAS (3)
Adams-Oliver syndrome 6Adams-Oliver syndromeaplasia cutis congenita
HGNC:2910UniProt:Q9NR61
ARHGAP31Rho GTPase-activating protein 31Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (4)
RHOU GTPase cycleRAC1 GTPase cycleCDC42 GTPase cycleRHOA GTPase cycle
MECANISMO DE DOENÇA

Adams-Oliver syndrome 1

A disorder characterized by the congenital absence of skin (aplasia cutis congenita) in combination with transverse limb defects. Aplasia cutis congenita can be located anywhere on the body, but in the vast majority of the cases, it is present on the posterior parietal region where it is often associated with an underlying defect of the parietal bones. Limb abnormalities are typically limb truncation defects affecting the distal phalanges or entire digits (true ectrodactyly). Only rarely, metatarsals/metacarpals or more proximal limb structures are also affected. Apart from transverse limb defects, syndactyly, most commonly of second and third toes, can also be observed. The clinical features are highly variable and can also include cardiovascular malformations, brain abnormalities and vascular defects such as cutis marmorata and dilated scalp veins.

OUTRAS DOENÇAS (2)
Adams-Oliver syndrome 1Adams-Oliver syndrome
HGNC:29216UniProt:Q2M1Z3
EOGTEGF domain-specific O-linked N-acetylglucosamine transferaseDisease-causing germline mutation(s) inTolerante
MECANISMO DE DOENÇA

Adams-Oliver syndrome 4

A form of Adams-Oliver syndrome, a disorder characterized by the congenital absence of skin (aplasia cutis congenita) in combination with transverse limb defects. Aplasia cutis congenita can be located anywhere on the body, but in the vast majority of the cases, it is present on the posterior parietal region where it is often associated with an underlying defect of the parietal bones. Limb abnormalities are typically limb truncation defects affecting the distal phalanges or entire digits (true ectrodactyly). Only rarely, metatarsals/metacarpals or more proximal limb structures are also affected. Apart from transverse limb defects, syndactyly, most commonly of second and third toes, can also be observed. The clinical features are highly variable and can also include cardiovascular malformations, brain abnormalities and vascular defects such as cutis marmorata and dilated scalp veins.

EXPRESSÃO TECIDUAL(Ubíquo)
Aorta
73.6 TPM
Artéria tibial
56.9 TPM
Artéria coronária
52.8 TPM
Esôfago - Muscular
43.4 TPM
Pulmão
39.1 TPM
INTERAÇÕES PROTEICAS (4)
OUTRAS DOENÇAS (2)
Adams-Oliver syndrome 4Adams-Oliver syndrome
HGNC:28526UniProt:Q5NDL2
SMC1AStructural maintenance of chromosomes protein 1ADisease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (2)
Establishment of Sister Chromatid CohesionResolution of Sister Chromatid Cohesion
MECANISMO DE DOENÇA

Cornelia de Lange syndrome 2

A form of Cornelia de Lange syndrome, a clinically heterogeneous developmental disorder associated with malformations affecting multiple systems. Characterized by facial dysmorphisms, abnormal hands and feet, growth delay, cognitive retardation, hirsutism, gastroesophageal dysfunction and cardiac, ophthalmologic and genitourinary anomalies.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
50.6 TPM
Cérebro - Hemisfério cerebelar
34.9 TPM
Útero
33.4 TPM
Cervix Endocervix
29.0 TPM
Artéria tibial
28.1 TPM
OUTRAS DOENÇAS (4)
developmental and epileptic encephalopathy, 85, with or without midline brain defectsCornelia de Lange syndrome 2Cornelia de Lange syndromeatypical Rett syndrome
HGNC:11111UniProt:Q14683
NOTCH1Neurogenic locus notch homolog protein 1Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (2)
NFE2L2 regulating tumorigenic genesFormation of paraxial mesoderm
MECANISMO DE DOENÇA

Aortic valve disease 1

A common defect in the aortic valve in which two rather than three leaflets are present. It is often associated with aortic valve calcification, stenosis and insufficiency. In extreme cases, the blood flow may be so restricted that the left ventricle fails to grow, resulting in hypoplastic left heart syndrome.

EXPRESSÃO TECIDUAL(Ubíquo)
Pulmão
47.5 TPM
Baço
45.2 TPM
Skin Not Sun Exposed Suprapubic
42.4 TPM
Skin Sun Exposed Lower leg
41.7 TPM
Nervo tibial
38.9 TPM
OUTRAS DOENÇAS (4)
Adams-Oliver syndrome 5aortic valve disease 1Adams-Oliver syndromefamilial bicuspid aortic valve
HGNC:7881UniProt:P46531
DOCK6Dedicator of cytokinesis protein 6Disease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (3)
Factors involved in megakaryocyte development and platelet productionRAC1 GTPase cycleCDC42 GTPase cycle
MECANISMO DE DOENÇA

Adams-Oliver syndrome 2

A disorder characterized by the congenital absence of skin (aplasia cutis congenita) in combination with transverse limb defects. Aplasia cutis congenita can be located anywhere on the body, but in the vast majority of the cases, it is present on the posterior parietal region where it is often associated with an underlying defect of the parietal bones. Limb abnormalities are typically limb truncation defects affecting the distal phalanges or entire digits (true ectrodactyly). Only rarely, metatarsals/metacarpals or more proximal limb structures are also affected. Apart from transverse limb defects, syndactyly, most commonly of second and third toes, can also be observed. The clinical features are highly variable and can also include cardiovascular malformations, brain abnormalities and vascular defects such as cutis marmorata and dilated scalp veins.

EXPRESSÃO TECIDUAL(Ubíquo)
Pulmão
85.2 TPM
Tireoide
66.5 TPM
Tecido adiposo
56.9 TPM
Mama
48.0 TPM
Adipose Visceral Omentum
44.0 TPM
OUTRAS DOENÇAS (2)
Adams-Oliver syndrome 2Adams-Oliver syndrome
HGNC:19189UniProt:Q96HP0
WNT3Proto-oncogene Wnt-3Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (1)
WNT ligand biogenesis and trafficking
MECANISMO DE DOENÇA

Tetraamelia syndrome 1

A form of tetraamelia, a rare disease characterized by rudimentary appendages or complete absence of all four limbs, and other anomalies such as craniofacial, nervous system, pulmonary, skeletal and urogenital defects. TETAMS1 patients manifest complete limb agenesis without defects of scapulae or clavicles. Other features include bilateral cleft lip/palate, diaphragmatic defect with bilobar right lung, renal and adrenal agenesis, pelvic hypoplasia, and urogenital defects. TETAMS1 transmission pattern is consistent with autosomal recessive inheritance.

EXPRESSÃO TECIDUAL(Ubíquo)
Skin Not Sun Exposed Suprapubic
36.6 TPM
Skin Sun Exposed Lower leg
28.8 TPM
Testículo
9.2 TPM
Fígado
6.3 TPM
Hipotálamo
5.6 TPM
OUTRAS DOENÇAS (2)
tetraamelia syndrome 1tetraamelia-multiple malformations syndrome
HGNC:12782UniProt:P56703
SMC3Structural maintenance of chromosomes protein 3Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (5)
Establishment of Sister Chromatid CohesionCohesin Loading onto ChromatinSUMOylation of DNA damage response and repair proteinsEstrogen-dependent gene expressionMeiotic synapsis
MECANISMO DE DOENÇA

Cornelia de Lange syndrome 3 with or without midline brain defects

A form of Cornelia de Lange syndrome, a clinically heterogeneous developmental disorder associated with malformations affecting multiple systems. Characterized by facial dysmorphisms, abnormal hands and feet, growth delay, cognitive retardation, hirsutism, gastroesophageal dysfunction and cardiac, ophthalmologic and genitourinary anomalies. Cornelia de Lange syndrome type 3 is a mild form with absence of major structural anomalies. The phenotype in some instances approaches that of apparently non-syndromic intellectual disability.

EXPRESSÃO TECIDUAL(Ubíquo)
Testículo
85.3 TPM
Linfócitos
79.3 TPM
Fibroblastos
51.8 TPM
Ovário
51.0 TPM
Útero
49.7 TPM
OUTRAS DOENÇAS (2)
Cornelia de Lange syndrome 3Cornelia de Lange syndrome
HGNC:2468UniProt:Q9UQE7
LMBR1Limb region 1 protein homologDisease-causing germline mutation(s) inTolerante
MECANISMO DE DOENÇA

Preaxial polydactyly 2

Polydactyly consists of duplication of the distal phalanx. The thumb in PPD2 is usually opposable and possesses a normal metacarpal.

EXPRESSÃO TECIDUAL(Ubíquo)
Glândula adrenal
16.9 TPM
Testículo
14.8 TPM
Útero
13.0 TPM
Cérebro - Hemisfério cerebelar
12.8 TPM
Ovário
12.4 TPM
INTERAÇÕES PROTEICAS (5)
OUTRAS DOENÇAS (7)
syndactyly type 4laurin-Sandrow syndrometriphalangeal thumb-polysyndactyly syndromeacheiropody
HGNC:13243UniProt:Q8WVP7
FANCAFanconi anemia group A proteinDisease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (1)
PKR-mediated signaling
MECANISMO DE DOENÇA

Fanconi anemia, complementation group A

A disorder affecting all bone marrow elements and resulting in anemia, leukopenia and thrombopenia. It is associated with cardiac, renal and limb malformations, dermal pigmentary changes, and a predisposition to the development of malignancies. At the cellular level it is associated with hypersensitivity to DNA-damaging agents, chromosomal instability (increased chromosome breakage) and defective DNA repair.

EXPRESSÃO TECIDUAL(Tecido-específico)
Testículo
25.2 TPM
Linfócitos
22.3 TPM
Fibroblastos
6.8 TPM
Baço
4.8 TPM
Cerebelo
4.7 TPM
OUTRAS DOENÇAS (2)
Fanconi anemia complementation group AFanconi anemia
HGNC:3582UniProt:O15360
SALL4Sal-like protein 4Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (3)
Transcriptional regulation of pluripotent stem cellsRegulation of PTEN gene transcriptionPOU5F1 (OCT4), SOX2, NANOG activate genes related to proliferation
MECANISMO DE DOENÇA

Duane-radial ray syndrome

Disorder characterized by the association of forearm malformations with Duane retraction syndrome.

EXPRESSÃO TECIDUAL(Tecido-específico)
Tireoide
11.9 TPM
Testículo
8.9 TPM
Próstata
3.7 TPM
Pâncreas
1.3 TPM
Glândula salivar
1.2 TPM
OUTRAS DOENÇAS (5)
Duane-radial ray syndromeIVIC syndromeOkihiro syndrome due to 20q13 microdeletionOkihiro syndrome due to a point mutation
HGNC:15924UniProt:Q9UJQ4
WNT7AProtein Wnt-7aDisease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (1)
WNT ligand biogenesis and trafficking
MECANISMO DE DOENÇA

Limb pelvis hypoplasia aplasia syndrome

A syndrome of severe deficiency of the extremities due to hypo- or aplasia of one or more long bones of one or more limbs. Pelvic manifestations include hip dislocation, hypoplastic iliac bone and aplastic pubic bones. Thoracic deformity, unusual facies and genitourinary anomalies can be present.

EXPRESSÃO TECIDUAL(Baixa expressão)
Brain Frontal Cortex BA9
4.2 TPM
Córtex cerebral
4.1 TPM
Testículo
3.1 TPM
Brain Caudate basal ganglia
3.0 TPM
Cérebro - Amígdala
3.0 TPM
OUTRAS DOENÇAS (3)
Fuhrmann syndromeSantos syndromephocomelia, Schinzel type
HGNC:12786UniProt:O00755
PITX1Pituitary homeobox 1Disease-causing germline mutation(s) inAltamente restrito
MECANISMO DE DOENÇA

Clubfoot, congenital, with or without deficiency of long bones and/or mirror-image polydactyly

A congenital limb deformity defined as fixation of the foot in cavus, adductus, varus, and equinus (i.e., inclined inwards, axially rotated outwards, and pointing downwards) with concomitant soft tissue abnormalities. Clubfoot may occur in isolation or as part of a syndrome. Some patients present tibial hemimelia, bilateral patellar hypoplasia, and preaxial mirror-image polydactyly.

EXPRESSÃO TECIDUAL(Tecido-específico)
Esôfago - Mucosa
816.4 TPM
Vagina
305.4 TPM
Pituitária
298.8 TPM
Bladder
154.5 TPM
Glândula salivar
118.4 TPM
OUTRAS DOENÇAS (4)
clubfootfamilial clubfoot due to 5q31 microdeletionfamilial clubfoot due to PITX1 point mutationbrachydactyly-elbow wrist dysplasia syndrome
HGNC:9004UniProt:P78337
RBPJRecombining binding protein suppressor of hairlessDisease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (10)
NOTCH1 Intracellular Domain Regulates TranscriptionPre-NOTCH Transcription and TranslationNOTCH4 Intracellular Domain Regulates TranscriptionNOTCH3 Intracellular Domain Regulates TranscriptionRegulation of gene expression in late stage (branching morphogenesis) pancreatic bud precursor cells
MECANISMO DE DOENÇA

Adams-Oliver syndrome 3

An autosomal dominant form of Adams-Oliver syndrome, a disorder characterized by the congenital absence of skin (aplasia cutis congenita) in combination with transverse limb defects. Aplasia cutis congenita can be located anywhere on the body, but in the vast majority of the cases, it is present on the posterior parietal region where it is often associated with an underlying defect of the parietal bones. Limb abnormalities are typically limb truncation defects affecting the distal phalanges or entire digits (true ectrodactyly). Only rarely, metatarsals/metacarpals or more proximal limb structures are also affected. Apart from transverse limb defects, syndactyly, most commonly of second and third toes, can also be observed. The clinical features are highly variable and can also include cardiovascular malformations, brain abnormalities and vascular defects such as cutis marmorata and dilated scalp veins. AOS3 patients manifest characteristic vertex scalp defects and terminal limb defects, but without congenital heart defects, other associated defects, or immune defects.

EXPRESSÃO TECIDUAL(Ubíquo)
Útero
58.7 TPM
Cervix Ectocervix
56.0 TPM
Tecido adiposo
52.7 TPM
Nervo tibial
51.7 TPM
Linfócitos
47.3 TPM
OUTRAS DOENÇAS (2)
Adams-Oliver syndrome 3Adams-Oliver syndrome
HGNC:5724UniProt:Q06330
TBX15T-box transcription factor TBX15Disease-causing germline mutation(s) inAltamente restrito
MECANISMO DE DOENÇA

Cousin syndrome

Defined as pelviscapular dysplasia with epiphyseal abnormalities, congenital dwarfism and facial dysmorphy (frontal bossing, hypertelorism, narrow palpebral fissures, deep set globes, strabismus, low-set posteriory rotated and unusually formed external ears, dysplasia of conchae, small chin, short neck with redundant skin folds, and a low hairline). Intelligence may vary from normal to moderately impaired. Radiographic features comprise aplasia of the body of the scapula, hypoplasia of the iliac bone, humeroradial synosthosis, dislocation of the femoral heads, and moderate brachydactyly.

EXPRESSÃO TECIDUAL(Tecido-específico)
Músculo esquelético
78.0 TPM
Artéria tibial
53.9 TPM
Tecido adiposo
47.8 TPM
Nervo tibial
30.2 TPM
Fibroblastos
25.4 TPM
INTERAÇÕES PROTEICAS (1)
OUTRAS DOENÇAS (1)
pelviscapular dysplasia
HGNC:11594UniProt:Q96SF7
TBX5T-box transcription factor TBX5Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (3)
YAP1- and WWTR1 (TAZ)-stimulated gene expressionPhysiological factorsCardiogenesis
MECANISMO DE DOENÇA

Holt-Oram syndrome

Developmental disorder affecting the heart and upper limbs. It is characterized by thumb anomaly and atrial septal defects.

EXPRESSÃO TECIDUAL(Tecido-específico)
Coração - Átrio
71.0 TPM
Pulmão
35.0 TPM
Esôfago - Muscular
20.7 TPM
Esôfago - Junção
15.3 TPM
Coração - Ventrículo esquerdo
14.7 TPM
OUTRAS DOENÇAS (2)
Holt-Oram syndromefamilial long QT syndrome
HGNC:11604UniProt:Q99593
RAD21Double-strand-break repair protein rad21 homologDisease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (2)
Establishment of Sister Chromatid CohesionResolution of Sister Chromatid Cohesion
MECANISMO DE DOENÇA

Cornelia de Lange syndrome 4 with or without midline brain defects

A form of Cornelia de Lange syndrome, a clinically heterogeneous developmental disorder associated with malformations affecting multiple systems. It is characterized by facial dysmorphisms, abnormal hands and feet, growth delay, cognitive retardation, hirsutism, gastroesophageal dysfunction and cardiac, ophthalmologic and genitourinary anomalies.

EXPRESSÃO TECIDUAL(Ubíquo)
Linfócitos
148.7 TPM
Cérebro - Hemisfério cerebelar
109.2 TPM
Esôfago - Muscular
99.4 TPM
Testículo
98.1 TPM
Tireoide
90.8 TPM
OUTRAS DOENÇAS (4)
Cornelia de Lange syndrome 4Mungan syndrometrichorhinophalangeal syndrome type IICornelia de Lange syndrome
HGNC:9811UniProt:O60216
NIPBLNipped-B-like proteinDisease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (1)
Cohesin Loading onto Chromatin
MECANISMO DE DOENÇA

Cornelia de Lange syndrome 1

A form of Cornelia de Lange syndrome, a clinically heterogeneous developmental disorder associated with malformations affecting multiple systems. Characterized by facial dysmorphisms, abnormal hands and feet, growth delay, cognitive retardation, hirsutism, gastroesophageal dysfunction and cardiac, ophthalmologic and genitourinary anomalies.

EXPRESSÃO TECIDUAL(Ubíquo)
Ovário
27.7 TPM
Útero
26.8 TPM
Linfócitos
25.7 TPM
Nervo tibial
24.2 TPM
Cervix Ectocervix
23.2 TPM
OUTRAS DOENÇAS (3)
Cornelia de Lange syndrome 1Cornelia de Lange syndromechromosome 5p13 duplication syndrome
HGNC:28862UniProt:Q6KC79
HDAC8Histone deacetylase 8Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (5)
NOTCH1 Intracellular Domain Regulates TranscriptionNotch-HLH transcription pathwayConstitutive Signaling by NOTCH1 HD+PEST Domain MutantsConstitutive Signaling by NOTCH1 PEST Domain MutantsHDACs deacetylate histones
MECANISMO DE DOENÇA

Cornelia de Lange syndrome 5

A form of Cornelia de Lange syndrome, a clinically heterogeneous developmental disorder associated with malformations affecting multiple systems. It is characterized by facial dysmorphisms, abnormal hands and feet, growth delay, cognitive retardation, hirsutism, gastroesophageal dysfunction and cardiac, ophthalmologic and genitourinary anomalies.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
10.3 TPM
Glândula adrenal
10.1 TPM
Pituitária
9.4 TPM
Tireoide
9.1 TPM
Cervix Endocervix
9.1 TPM
OUTRAS DOENÇAS (3)
Cornelia de Lange syndrome 5Wilson-Turner syndromeCornelia de Lange syndrome
HGNC:13315UniProt:Q9BY41
TBX3T-box transcription factor TBX3Disease-causing germline mutation(s) inAltamente restrito
VIAS BIOLÓGICAS (1)
Transcriptional and post-translational regulation of MITF-M expression and activity
MECANISMO DE DOENÇA

Ulnar-mammary syndrome

Characterized by ulnar ray defects, obesity, hypogenitalism, delayed puberty, hypoplasia of nipples and apocrine glands.

EXPRESSÃO TECIDUAL(Ubíquo)
Glândula adrenal
250.7 TPM
Próstata
150.4 TPM
Tireoide
119.4 TPM
Cervix Endocervix
96.4 TPM
Cervix Ectocervix
80.5 TPM
OUTRAS DOENÇAS (1)
ulnar-mammary syndrome
HGNC:11602UniProt:O15119
RBM8ARNA-binding protein 8ADisease-causing germline mutation(s) inRestrito
VIAS BIOLÓGICAS (4)
Transport of Mature mRNA derived from an Intron-Containing TranscriptmRNA 3'-end processingRNA Polymerase II Transcription TerminationmRNA Splicing - Major Pathway
MECANISMO DE DOENÇA

Thrombocytopenia-absent radius syndrome

An autosomal recessive disorder characterized by bilateral absence of the radii with the presence of both thumbs, thrombocytopenia, low numbers of megakaryocytes, and bleeding episodes in the first year of life. Thrombocytopenic episodes decrease with age. Skeletal anomalies range from absence of radii to virtual absence of upper limbs, with or without lower limb defects such as malformations of the hip and knee.

EXPRESSÃO TECIDUAL(Ubíquo)
Cérebro - Hemisfério cerebelar
48.5 TPM
Linfócitos
43.6 TPM
Esôfago - Mucosa
42.4 TPM
Fibroblastos
39.4 TPM
Músculo esquelético
39.1 TPM
OUTRAS DOENÇAS (1)
thrombocytopenia-absent radius syndrome
HGNC:9905UniProt:Q9Y5S9
SH2B3SH2B adapter protein 3Disease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (3)
Regulation of KIT signalingNegative regulation of FLT3Factors involved in megakaryocyte development and platelet production
MECANISMO DE DOENÇA

Celiac disease 13

A multifactorial, chronic disorder of the small intestine caused by intolerance to gluten. It is characterized by immune-mediated enteropathy associated with failed intestinal absorption, and malnutrition. In predisposed individuals, the ingestion of gluten-containing food such as wheat and rye induces a flat jejunal mucosa with infiltration of lymphocytes.

EXPRESSÃO TECIDUAL(Ubíquo)
Baço
56.0 TPM
Linfócitos
43.0 TPM
Pulmão
41.6 TPM
Fibroblastos
37.9 TPM
Adipose Visceral Omentum
34.1 TPM
OUTRAS DOENÇAS (5)
primary myelofibrosisthrombocythemia 1primary familial polycythemia due to EPO receptor mutationgrowth retardation-mild developmental delay-chronic hepatitis syndrome
HGNC:29605UniProt:Q9UQQ2
THPOThrombopoietinDisease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (1)
Platelet Aggregation (Plug Formation)
MECANISMO DE DOENÇA

Thrombocythemia 1

A myeloproliferative disorder characterized by excessive platelet production, resulting in increased numbers of circulating platelets. It can be associated with spontaneous hemorrhages and thrombotic episodes.

EXPRESSÃO TECIDUAL(Ubíquo)
Fígado
19.4 TPM
Cerebelo
9.8 TPM
Cérebro - Hemisfério cerebelar
9.7 TPM
Cervix Endocervix
7.6 TPM
Útero
7.4 TPM
OUTRAS DOENÇAS (7)
thrombocytopenia 9thrombocythemia 1amegakaryocytic thrombocytopenia, congenital, 2congenital amegakaryocytic thrombocytopenia 1
HGNC:11795UniProt:P40225
ESCO2N-acetyltransferase ESCO2Disease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (1)
Establishment of Sister Chromatid Cohesion
MECANISMO DE DOENÇA

Roberts-SC phocomelia syndrome

An autosomal recessive disorder characterized by pre- and postnatal growth retardation, intellectual disability, microcephaly, bilateral cleft lip and cleft palate, and mesomelic symmetric limb reduction. Severely affected infants may be stillborn or die shortly after birth. Patient chromosomes have a lack of cohesion involving heterochromatic C-banding regions around centromeres and the heterochromatin regions on the 1, 9, 16, and Y chromosomes. These findings are referred to as premature centromere separation (PCS) and heterochromatin repulsion (HR), and they are important for the diagnosis of the syndrome.

EXPRESSÃO TECIDUAL(Tecido-específico)
Linfócitos
17.0 TPM
Testículo
4.6 TPM
Fibroblastos
3.2 TPM
Intestino delgado
1.7 TPM
Esôfago - Mucosa
1.6 TPM
OUTRAS DOENÇAS (2)
Roberts-SC phocomelia syndromeJuberg-Hayward syndrome
HGNC:27230UniProt:Q56NI9
RSPO2R-spondin-2Disease-causing germline mutation(s) inTolerante
VIAS BIOLÓGICAS (1)
Regulation of FZD by ubiquitination
MECANISMO DE DOENÇA

Tetraamelia syndrome 2

A form of tetraamelia, a rare disease characterized by rudimentary appendages or complete absence of all four limbs, and other anomalies such as craniofacial, nervous system, pulmonary, skeletal and urogenital defects. TETAMS2 patients manifest limb deformities, bilateral agenesis of the lungs, abnormalities of the pulmonary vasculature, labioscrotal fold aplasia, and dysmorphic features including bilateral cleft lip/palate, ankyloglossia, mandibular hypoplasia, and microretrognathia. TETAMS2 transmission pattern is consistent with autosomal recessive inheritance.

EXPRESSÃO TECIDUAL(Tecido-específico)
Brain Frontal Cortex BA9
13.8 TPM
Cólon sigmoide
11.5 TPM
Córtex cerebral
8.8 TPM
Esôfago - Junção
6.5 TPM
Pulmão
5.4 TPM
OUTRAS DOENÇAS (3)
tetraamelia syndrome 2humerofemoral hypoplasia with radiotibial ray deficiencytetraamelia-multiple malformations syndrome
HGNC:28583UniProt:Q6UXX9

Variantes genéticas (ClinVar)

516 variantes patogênicas registradas no ClinVar.

🧬 CALR: NM_004343.4(CALR):c.*297A>G ()
🧬 CALR: NC_000019.9:g.(?_12651855)_(13373667_?)del ()
🧬 CALR: GRCh37/hg19 19p13.2(chr19:10441330-13077352)x1 ()
🧬 CALR: GRCh37/hg19 19p13.2(chr19:12281048-13573342)x3 ()
🧬 CALR: NC_000019.9:g.(?_12757434)_(13617038_?)del ()
Ver todas no ClinVar

Vias biológicas (Reactome)

81 vias biológicas associadas aos genes desta condição.

ER-Phagosome pathway Assembly of Viral Components at the Budding Site Scavenging by Class A Receptors Scavenging by Class F Receptors ATF6 (ATF6-alpha) activates chaperone genes Calnexin/calreticulin cycle Antigen Presentation: Folding, assembly and peptide loading of class I MHC Maturation of DENV proteins GLI3 is processed to GLI3R by the proteasome Hedgehog 'off' state Hedgehog 'on' state GLI proteins bind promoters of Hh responsive genes to promote transcription RUNX2 regulates osteoblast differentiation Class B/2 (Secretin family receptors) Hedgehog ligand biogenesis Hh mutants are degraded by ERAD Release of Hh-Np from the secreting cell Ligand-receptor interactions Activation of SMO HHAT G278V doesn't palmitoylate Hh-Np Formation of lateral plate mesoderm Formation of axial mesoderm Developmental Lineage of Multipotent Pancreatic Progenitor Cells Activated NOTCH1 Transmits Signal to the Nucleus Constitutive Signaling by NOTCH1 PEST Domain Mutants Constitutive Signaling by NOTCH1 t(7;9)(NOTCH1:M1580_K2555) Translocation Mutant Constitutive Signaling by NOTCH1 HD Domain Mutants Constitutive Signaling by NOTCH1 HD+PEST Domain Mutants NOTCH2 Activation and Transmission of Signal to the Nucleus NOTCH3 Activation and Transmission of Signal to the Nucleus NOTCH4 Activation and Transmission of Signal to the Nucleus RHOA GTPase cycle CDC42 GTPase cycle RAC1 GTPase cycle RHOU GTPase cycle Meiotic synapsis Separation of Sister Chromatids Establishment of Sister Chromatid Cohesion Cohesin Loading onto Chromatin Resolution of Sister Chromatid Cohesion SUMOylation of DNA damage response and repair proteins Estrogen-dependent gene expression Pre-NOTCH Processing in the Endoplasmic Reticulum Pre-NOTCH Transcription and Translation Pre-NOTCH Processing in Golgi Regulation of gene expression in late stage (branching morphogenesis) pancreatic bud precursor cells NOTCH1 Intracellular Domain Regulates Transcription Loss of Function of FBXW7 in Cancer and NOTCH1 Signaling Notch-HLH transcription pathway Defective LFNG causes SCDO3 RUNX3 regulates NOTCH signaling NOTCH3 Intracellular Domain Regulates Transcription NOTCH4 Intracellular Domain Regulates Transcription Formation of paraxial mesoderm NFE2L2 regulating tumorigenic genes Regulation of NFE2L2 gene expression Somitogenesis Factors involved in megakaryocyte development and platelet production TCF dependent signaling in response to WNT WNT ligand biogenesis and trafficking Fanconi Anemia Pathway PKR-mediated signaling POU5F1 (OCT4), SOX2, NANOG activate genes related to proliferation Transcriptional regulation of pluripotent stem cells Regulation of PTEN gene transcription NOTCH2 intracellular domain regulates transcription YAP1- and WWTR1 (TAZ)-stimulated gene expression Physiological factors Cardiogenesis HDACs deacetylate histones Transcriptional and post-translational regulation of MITF-M expression and activity Transport of Mature mRNA derived from an Intron-Containing Transcript mRNA Splicing - Major Pathway mRNA 3'-end processing RNA Polymerase II Transcription Termination Regulation of expression of SLITs and ROBOs Nonsense Mediated Decay (NMD) enhanced by the Exon Junction Complex (EJC) Regulation of KIT signaling Negative regulation of FLT3 Platelet Aggregation (Plug Formation) Regulation of FZD by ubiquitination

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Hipoplasia dos membros - defeito de redução dos membros

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

Pesquisa e ensaios clínicos

Nenhum ensaio clínico registrado para esta condição.

🧪 Está conduzindo uma pesquisa?
Divulgue para pacientes e familiares que acompanham esta doença.
Divulgar pesquisa →

Publicações mais relevantes

Timeline de publicações
0 papers (10 anos)
#1

Whole exome sequencing identified a novel frameshift variant in the BHLHA9 in an Iranian family with mesoaxial synostotic syndactyly.

Congenital anomalies2021 Nov

Mesoaxial synostotic syndactyly with phalangeal reduction (MSSD) represents a rare non-syndromic defect with an autosomal recessive pattern of inheritance. Sequence variants in the BHLHA9 gene cause MSSD and to date only a few mutations in this gene have been reported. In the present report, we have described a consanguineous Iranian family segregating MSSD in an autosomal recessive manner. The family had two affected siblings showing evidence of camptodactyly in some fingers, complete syndactyly of the 3rd and 4th fingers with synostoses of the corresponding metacarpals, and associated single phalanx in both right and left hand. Whole exome sequencing (WES) followed by segregation analysis using Sanger sequencing identified a novel homozygous frameshift variation [c.74_74delG p.(G25Afs*55)] in the BHLHA9 gene. This has expanded the spectrum of mutations in the BHLHA9 and will facilitate genetic counseling in Iranian families segregating MSSD-related phenotypes.

#2

Prevalence of congenital limb defects: Data from birth defects registries in three provinces in Southern Thailand.

Congenital anomalies2016 Sep

This is the first population-based study in Thailand on the prevalence of congenital limb defects (CLD). Data were obtained from recently established birth defects registries in three southern Thailand provinces during 2009-2013. Entries in the birth defects registries included live births, stillbirths after 24 weeks gestational age, and terminations of pregnancy following a prenatal diagnosis of fetal anomaly. The total of 186 393 births recorded included 424 CLD cases, giving an average prevalence of 2.27 per 1000 births (95% CI, 2.05-2.49). The most common CLD was talipes equinovarus (44.1%), followed by polydactyly (13.9%) and syndactyly (9.4%). The prevalence significantly increased with maternal age from 1.81 in mothers aged <30 years to 2.75 in mothers 30 to  < 35 years, and to 2.94 in mothers ≥35 years (P = 0.004). Overall 9.4% of the CLDs were syndromic CLD, again with significantly greater percentages in pregnant women aged ≥35 years than the non-syndromic CLD (32.5% vs 17.5% respectively, P = 0.03). In conclusion, the overall prevalence of CLD in the 3 southern Thailand provinces examined was 2.27 per 1000 births, and syndromic CLD was significantly higher in pregnant women aged ≥35 years than younger pregnant women.

Associações

Organizações que acompanham esta doença — pra ter apoio e orientação

Ainda não temos associações cadastradas para Hipoplasia dos membros - defeito de redução dos membros.

É de uma associação que acompanha esta doença? Fale com a gente →

Doença com base genética

Um médico geneticista pode ajudar no diagnóstico de Hipoplasia dos membros - defeito de redução dos membros e no aconselhamento genético da família.

Vai consultar um especialista? Confirme o registro dele no conselho.
Conselhos e sociedades

Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

Perguntas frequentes

O que as famílias mais perguntam sobre esta doença — cada resposta com a fonte de onde saiu

Respostas geradas por IA a partir das fontes citadas

A condição está relacionada a alterações em genes que coordenam a formação do esqueleto, como BHLHA9, CALR, GLI3 e SHH. Essas variantes genéticas interferem diretamente no correto desenvolvimento embrionário dos membros.

Referências

Fontes citadas no texto, publicações do grafo e bases de dados usadas neste verbete

4 fontes citadas no texto · 2 publicações do grafo RarasNet (PubMed) · 4 bases de dados. Títulos, periódicos e PMIDs vêm direto da fonte, sem intermediação de IA.

  1. MONDO
    purl.obolibrary.org
  2. GARD:19210
    GARD (NIH)
  3. Q55788825
    Wikidata

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Citar este verbete

Raras. (2026). Hipoplasia dos membros - defeito de redução dos membros. Em Raras — Enciclopédia de Doenças Raras do Brasil. https://raras.org/doenca/hipoplasia-dos-membros-defeito-de-reducao-dos-membros

Formato APA. Conteúdo sob CC BY 4.0 — reuso livre com atribuição.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Compêndio · Raras BR

Hipoplasia dos membros - defeito de redução dos membros

ORPHA:93457 · MONDO:0019713
CID-10
Q73 · Defeitos por redução de membro não especificado
CID-11
MedGen
UMLS
C0239399
Wikidata

📋 Origem dos dados

Esta página agrega dados de fontes públicas e oficiais. Dados sobre cobertura no SUS (PCDT, CEAF) são verificados ativamente por agente proativo (ver badge no infobox). Demais dados têm atribuição de fonte + data da última sincronização — clique para abrir o original.

Doença rara (ontologia)
fonte: Orphanet
Identificador unificado
fonte: MONDO
Dado público estruturado
fonte: Wikidata
Rara