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Living with Mammary-digital-nail syndrome

A rare inherited syndrome affecting nails, fingers, and toes, with breast overgrowth around puberty in females.

Understanding Mammary-digital-nail syndrome

Mammary-digital-nail syndrome is a rare inherited condition with differences in the nails, fingers, and toes, and breast overgrowth in girls around puberty.

People are born with nail changes or missing nails, short fifth fingers, thumbs that look like fingers, and short or missing end bones of the fingers and toes. Females may have very large breasts starting around puberty. Signs start in newborns and infants.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet, but its summary describes these:

  • Nail changes or missing nails
  • Short fifth fingers
  • Thumbs that look like fingers
  • Short or missing end bones of fingers and toes
  • Breast overgrowth in girls around puberty

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists, genetic specialists, maternal-fetal medicine specialists and women’s reproductive health specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists); Maternal-fetal medicine specialists (pregnancy-related); Women’s reproductive health specialists (obstetricians / gynecologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is genetic testing available for this syndrome?
Which specialists should follow the hands, feet, and breast growth?
What is the chance that other family members are affected?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. It is inherited in an autosomal dominant way, so a change in one copy of the gene can be enough.

GeneticUrinary and Reproductive

Also known as: mammary digital nail syndrome; mdn (mammary digital nail) syndrome; mdn syndrome; mdns; onycho-digito-mammary syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Mammary-digital-nail syndromeGARD ID 17180 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Mammary-digital-nail syndrome.

Explore the Mammary-digital-nail syndrome blog

Explore research for Mammary-digital-nail syndrome

Explore actively recruiting Mammary-digital-nail syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Mammary-digital-nail syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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