raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1035

Beta-mercaptolactate cysteine disulfiduria

historical

Synonyms: 3-mercaptopyruvate sulfurtransferase deficiency · Ampola syndrome · MCDU

Type
Biological anomaly
Group
Disorder
Age of onset
No data available
Status
historical

An extremely rare disorder of methionine cycle and sulfur amino acid metabolism characterized by increased urine excretion of beta-mercaptolactate-cysteine disulfide (due to deficiency of mercaptopyruvate sulfurtransferase activity in erythrocytes), leading to a positive cyanide nitroprusside test. Association with intellectual disability, congenital lens dislocation, and behavioral abnormalities has been reported, however the causal link remains to be established. There have been no further descriptions in the literature since 1981.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBeta-mercaptolactate cysteine disulfiduria3-mercaptopyruvate sulfurtransferase deficiency · Ampola syndrome · MCDU
frBêta-mercaptolactate cystéine disulfidurieDéficit en 3-mercaptopyruvate sulfurtransferase · MCDU · Syndrome d'Ampola
deBeta-Mercaptolaktat-Cystein Disulfidurie3-Mercaptopyruvat-Sulfurtransferase-Mangel · Ampola-Syndrom · MCDU
esDisulfiduria por beta-mercaptolactato-cisteínaMCDU · Síndrome de Ampola · Deficiencia de 3-mercaptopiruvato sulfurotransferasa
itDisulfiduria da beta-mercaptolattato cisteinaDeficit di 3-mercaptopiruvato sulfurtransferasi · MCDU · Sindrome di Ampola
nlBèta-mercaptolactaat-cysteïne-disulfidurie3-mercaptopyruvaat-sulfurtransferasedeficiëntie · MCDU · Syndroom van Ampola
ptDisulfiduria por beta-mercaptolactato cistéina
plEncefalopatia spowodowana disulfidurią merkaptomleczano-cysteinowąZespół Ampola
csEncefalopatie způsobená beta-merkaptolaktát-cysteinovou disulfiduriíAmpolové syndrom
ukБета-меркаптолактатна цистеїнова дисульфідуріяДефіцит 3-меркаптопіруватсульфурттрансферази · Синдром Ампола · MCDU
zhβ-巯基乳酸半胱氨酸二硫尿症3-巯基丙酮酸硫酸转移酶缺乏症
trBeta-merkaptolaktat sistein disülfürüriMCDU · Ampola sendromu · 3-merkaptopiruvat sülfürtransferaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM249650Evalidated
ICD-10E72.1NTBTattributedvalidated
ICD-115C50.BNTBTattributedvalidated
MONDO0009585Evalidated
UMLSC0796055Evalidated
GARD654Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families1 casesWorldwideCase(s)Validated4973015[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_4973015[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

24 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000348High forehead
HP:0001249Intellectual disability
HP:0001250Seizure
HP:0004322Short stature
Frequent (79-30%)
HP:0000463Anteverted nares
HP:0001166Arachnodactyly
HP:0000444Convex nasal ridge
HP:0000494Downslanted palpebral fissures
HP:0000958Dry skin
HP:0002353EEG abnormality
HP:0002007Frontal bossing
HP:0002857Genu valgum
HP:0000218High palate
HP:0100720Hypoplasia of the ear cartilage
HP:0001252Hypotonia
HP:0001382Joint hypermobility
HP:0002983Micromelia
HP:0000358Posteriorly rotated ears
HP:0001852Sandal gap
HP:0000486Strabismus
Occasional (29-5%)
HP:0000069Abnormality of the ureter
HP:0001631Atrial septal defect
HP:0001513Obesity
HP:0001537Umbilical hernia
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Sources for this card