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Start free with EleplanAcromelic frontonasal dysplasia
ORPHA:1827Malformation syndrome
Also called AFND · Acromelic frontonasal dysostosis · Toriello syndrome
What it is
A rare frontonasal dysplasia characterized by distinct craniofacial (large fontanelle, hypertelorism, bifid nasal tip, nasal clefting, brachycephaly, median cleft face, carp-shaped mouth), brain (interhemispheric lipoma, agenesis of the corpus callosum), and limb (tibial hypoplasia/aplasia, club foot, symmetric preaxial polydactyly of the feet and bilateral clubbed and thickened nails of halluces) malformations as well as intellectual disability. Other manifestations sometimes reported include absent olfactory bulbs, hypopituitarism and cryptorchidism.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Antenatal, Neonatal
- Inheritance
- Autosomal dominant
- Classified as
- Malformation syndrome
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
19- Abnormality of the glabella
- Abnormal toenail morphology
- Agenesis of corpus callosum
- Bifid nasal tip
- Bifid nose
- Brachycephaly
- Broad nasal tip
- Encephalocele
- Global developmental delay
- Hypertelorism
- Intellectual disability
- Large fontanelles
- Median cleft palate
- Meningocele
- Midline central nervous system lipomas
- Preaxial foot polydactyly
- Talipes equinovarus
- Telecanthus
- Thick nasal alae
Sometimes5–29%
12- Anterior pituitary hypoplasia
- Aplasia/Hypoplasia of the tibia
- Cryptorchidism
- Hypopituitarism
- Large sella turcica
- Myopia
- Patellar hypoplasia
- Ptosis
and 4 more in this range
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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