raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:132

Hereditary butyrylcholinesterase deficiency

Synonyms: Hereditary pseudocholinesterase deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

Butyrylcholinesterase (BChE) deficiency is a metabolic disorder characterised by prolonged apnoea after the use of certain anaesthetic drugs, including the muscle relaxants succinylcholine or mivacurium and other ester local anaesthetics. The duration of the prolonged apnoea varies significantly depending on the extent of the enzyme deficiency.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHereditary butyrylcholinesterase deficiencyHereditary pseudocholinesterase deficiency
frDéficit héréditaire en butyrylcholinestéraseDéficit héréditaire en pseudocholinestérase
deButyrylcholinesterase-Mangel, hereditärerPseudocholinesterase-Mangel, hereditärer
esDeficiencia de butiril-colinesterasa hereditariaDeficiencia de pseudocolinesterasa hereditaria
itDeficit di butirrilcolinesterasi ereditarioDeficit di pseudocolinesterasi
nlHereditaire deficiëntie van butyrylcholinesteraseErfelijke deficiëntie van butyrylcholinesterase · Hereditaire deficiëntie van pseudocholinesterase
ptDeficiência de butirilcolinesterase hereditáriaDeficiência de pseudocolinesterase hereditária
plNiedobór butyrylocholinesterazy= en
csDeficit butyrylcholinesterázy= en
ukСпадковий дефіцит бутирилхолінестеразиСпадковий дефіцит псевдохолінестерази
zh丁酰胆碱酯酶缺乏假性胆碱脂酶缺乏
trButirilkolinesteraz eksikliğiPsödokolinesteraz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617936Evalidated
ICD-10E88.0NTBTindexvalidated
ICD-115C59.YNTBTindexvalidated
MONDO0015270Evalidated
MeSHC537417Evalidated
UMLSC5880943Evalidated
GARD7482Evalidated
MedDRA10062674Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
BCHEDisease-causing germline mutation(s) inAssessedHGNC:983ENSG000001142001774003q26.1butyrylcholinesterase25054547[PMID]_25448037[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 000—EuropeClass onlyValidatedORPHANET

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

9 annotations · validated 2019-06-20
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
Frequent (79-30%)
HP:0002878Respiratory failure
Very rare (<4-1%)
HP:0001392Abnormality of the liver
HP:0031035Chronic infection
HP:0001635Congestive heart failure
HP:0001658Myocardial infarction
HP:0002664Neoplasm
HP:0003470Paralysis
HP:0004887Respiratory failure requiring assisted ventilation

Run the differential on the 1 obligate / very frequent terms

Annotation source: 30578021[PMID]_24478828[PMID]_31082076[PMID]_30600548[PMID]

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Sources for this card