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Living with Orofaciodigital syndrome X

An extremely rare condition with face, mouth, and limb differences, described in one infant girl.

Understanding Orofaciodigital syndrome X

Orofaciodigital syndrome X is an extremely rare condition with differences of the face, mouth, fingers, and limbs.

Features include widely spaced inner eye corners, a flat nose bridge, a small lower jaw, cleft palate, and fewer or extra fingers. Forearm bones are very short, one lower leg bone is missing, and ankle bones are fused. It was described in one 10-month-old girl, and no new cases have been described since 1993.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Based on its summary, features may include:

  • Widely spaced inner eye corners
  • Flat nose bridge and small lower jaw
  • Cleft palate
  • Fewer or extra fingers
  • Very short forearm bone (radius)
  • Missing lower leg bone (fibula)

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

  4. Connect with expert centers

    American Cleft Palate Craniofacial Association may keep lists of experts for this condition.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Expert lists: American Cleft Palate Craniofacial Association
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 American Cleft Palate Craniofacial Association and other patient organizations
  • 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
Which specialists should manage cleft and limb differences?
What is known about this condition from the few reported cases?
Would genetic testing help find the cause?

Quick facts

InheritanceAutosomal Dominant

GARD doesn't describe a specific cause. It lists autosomal dominant inheritance, where one changed copy of a gene can be enough.

Also known as: figuera syndrome; ofd10; ofds x; oral-facial-digital syndrome type 10; oral-facial-digital syndrome with fibular aplasia; oral-facial-digital syndrome, type x

Patient organizations

Source: NIH GARD · Orofaciodigital syndrome XGARD ID 4061 · 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 Orofaciodigital syndrome X.

Explore the Orofaciodigital syndrome X blog

Explore research for Orofaciodigital syndrome X

Explore actively recruiting Orofaciodigital syndrome X studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Orofaciodigital syndrome X with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • 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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