raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:16

Blue cone monochromatism

Synonyms: Atypical X-linked achromatopsia · Blue cone monochromacy · Color blindness, blue monocone monochromatic type · S cone monochromacy · S cone monochromatism · X-linked incomplete achromatopsia

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Infancy
Status
active

Blue cone monochromatism (BCM) is a recessive X-linked disease characterized by severely impaired color discrimination, low visual acuity, nystagmus, and photophobia, due to dysfunction of the red (L) and green (M) cone photoreceptors. BCM is as an incomplete form of achromatopsia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBlue cone monochromatismAtypical X-linked achromatopsia · Blue cone monochromacy · Color blindness, blue monocone monochromatic type · S cone monochromacy · S cone monochromatism · X-linked incomplete achromatopsia
frMonochromatisme à cônes bleusAchromatopsie atypique liée à l'X · Achromatopsie incomplète liée à l'X · Monochromatie à cônes S · Monochromatie à cônes bleus · Monochromatisme à cônes S
deBlauzapfenmonochromasieAchromatopsie, atypische X-chromosomale · Achromatopsie, inkomplette X-chromosomale · Farbenblindheit, blauer einzapfiger monochromatischer Typ · S-Zapfen-Monochromasie
esMonocromatismo de conos azulesAcromatopsia atípica ligada al cromosoma X · Acromatopsia incompleta ligada al cromosoma X · Monocromacia de conos S · Monocromacia de conos azules · Monocromatismo de conos S
itMonocromatismo dei coni bluAcromatopsia atipica legata all'X · Acromatopsia incompleta legata all'X · Cecità ai colori, tipo monocromatico dei coni blu · Monocromasia dei coni S · Monocromasia dei coni blu · Monocromatismo dei coni S
nlBlauwekegeltjesmonochromatismeAtypische X-gebonden achromatopsie · Blauwekegeltjesmonochromatie · Kleurenblindheid, blauw monoconisch monochromatisch type · S-kegeltjesmonochromatie · S-kegeltjesmonochromatisme · X-gebonden onvolledige achromatopsie
ptMonocromatismo de cones azuisAcromatopsia incompleta ligada ao X · Distrofia dos cones, ligada ao X
plMonochromacja typu niebieskiego stożkaAtypowa achromatopsja sprzężona z chromosomem X · Monochromacja niebieskiego stożka · Monochromacja stożka S · Monochromatyzm stożka S · Niecałkowita achromatopsja sprzężona z chromosomem X · Ślepota barw typu monochromacji niebieskiego stożka
csModrý čípkový monochromatismusAtypická X-vázaná achromatopsie · Barvoslepost, modrý monochromatický typ · Modrá čípková monochromacie
ukМонохроматизм синього конусуАтипова ахроматопсія, зчеплена з Х-хромосомою · Монохромність синього конуса · Кольорова сліпота, синій моноконус монохромного типу · Монохромність S-образного конуса · Монохроматизм S-конуса · Х-зчеплена неповна ахроматопсія
zh蓝色锥体性全色盲色盲,蓝色锥体性全色盲型
trMavi koni monokromatizmasıS koni monokromasi · S koni monokromatizması · Mavi koni monokromasi · Atipik X'e bağlı akromatopsi · X'e bağlı eksik akromatopsi · Renk körlüğü, mavi monokon monokromatik tip

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM303700Evalidated
ICD-10H53.5NTBTinclusionvalidated
ICD-119B70NTBTindexvalidated
MONDO0010563Evalidated
MeSHC536238Evalidated
UMLSC0339537Evalidated
GARD917Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
OPN1LWDisease-causing germline mutation(s) inAssessedHGNC:9936ENSG00000102076300822Xq28opsin 1, long wave sensitive15069569[PMID]
OPN1MWDisease-causing germline mutation(s) inAssessedHGNC:4206ENSG00000268221300821Xq28opsin 1, medium wave sensitive15069569[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0001 / 100 000WorldwideValue and classValidatedISBN:9780521004398[OTHER]_[EXPERT]
Point prevalence1-9 / 100 0001 / 100 000WorldwideValue and classValidatedISBN:9780521004398[OTHER]_[EXPERT]

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

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HPO phenotypes

12 annotations · validated 2024-04-03
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007939Blue cone monochromacy
Frequent (79-30%)
HP:0000551Color vision defect
HP:0025549Eccentric visual fixation
HP:0000545Myopia
HP:0000639Nystagmus
HP:0030619Reduced OCT-measured foveal thickness
Occasional (29-5%)
HP:0000512Abnormal electroretinogram
HP:0007703Abnormality of retinal pigmentation
HP:0001131Corneal dystrophy
HP:0000540Hypermetropia
HP:0000613Photophobia
HP:0000505Visual impairment

Run the differential on the 1 obligate / very frequent terms

Annotation source: 20301591[PMID]_30578487[PMID]

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Sources for this card