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Living with Multinodular goiter-cystic kidney-polydactyly syndrome

A very rare syndrome with a thyroid gland that has many nodules, cysts in the kidneys, and extra fingers or toes.

Understanding Multinodular goiter-cystic kidney-polydactyly syndrome

Multinodular goiter-cystic kidney-polydactyly syndrome is a very rare syndrome that combines a lumpy enlarged thyroid, kidney cysts, and extra fingers or toes.

GARD describes it as the combination of multinodular goiter (an enlarged thyroid with many nodules), cystic kidney disease, and differences in the fingers and toes. Signs are seen during pregnancy or in the newborn period.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Enlarged thyroid with many nodules (multinodular goiter)
  • Cysts in the kidneys
  • Extra little finger
  • Extra toe on the thumb side
  • Finger-like thumb (triphalangeal thumb)

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 genetic specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Genetic specialists (geneticists)
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
How often should the thyroid and kidneys be checked?
Is genetic testing available for this syndrome?
Which specialists should be involved?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this syndrome. It is autosomal dominant, which means a changed copy of the gene from one parent can be enough to cause it.

Genetic

Also known as: daneman davy mancer syndrome; daneman-davy-mancer syndrome; mng/crd/da; multinodular goiter, cystic kidney, polydactyly syndrome; multinodular goiter/cystic renal disease/digital anomalies; thyroid-renal-digital anomalies

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Multinodular goiter-cystic kidney-polydactyly syndromeGARD ID 1671 · 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 Multinodular goiter-cystic kidney-polydactyly syndrome.

Explore the Multinodular goiter-cystic kidney-polydactyly syndrome blog

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