raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1667

Wolcott-Rallison syndrome

Synonyms: Early-onset diabetes mellitus with multiple epiphyseal dysplasia · WRS

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

Wolcott-Rallison syndrome (WRS) is a very rare genetic disease, characterized by permanent neonatal diabetes mellitus (PNDM) with multiple epiphyseal dysplasia and other clinical manifestations, including recurrent episodes of acute liver failure.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enWolcott-Rallison syndromeEarly-onset diabetes mellitus with multiple epiphyseal dysplasia · WRS
frSyndrome de Wolcott-RallisonDiabète précoce et dysplasie épiphysaire multiple · WRS
deWolcott-Rallison-SyndromMultiple epiphysäre Dysplasie - früh einsetzender Diabetes
esSíndrome de Wolcott-RallisonDiabetes mellitus de inicio precoz con displasia epifisaria múltiple · WRS
itSindrome di Wolcott-RallisonDiabete mellito a esordio precoce - displasia epifisaria multipla · WRS
nlSyndroom van Wolcott-RallisonVroeg optredende diabetes mellitus met multipele epifysaire dysplasie · WRS
ptSíndrome Wolcott-RallisonDisplasia epifisária múltipla com diabetes mellitus precoce
plZespół Wolcotta i RallisonaCukrzyca o wczesnym początku z wielomiejscową dysplazją nasad · WRS
csWolcottové-Rallisonův syndromWRS · Časně-vzniklý diabetes mellitus s mnohočetnou epifyzární dysplázií · Wolcott-Rallisonův syndrom
ukСиндром Волкотта-РаллісонаЦукровий діабет на ранніх стадіях з множинною епіфізарною дисплазією · WRS
zhWolcott-Rallison综合征早发性糖尿病伴多发性骨骺发育不良
trWolcott-Rallison sendromuWRS · Çoklu epifiz displazili erken başlangıçlı diabetes mellitus

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM226980Evalidated
ICD-10Q87.1NTBTattributedvalidated
ICD-115A13.6NTBTindexvalidated
MONDO0009192Evalidated
MeSHC536739Evalidated
UMLSC0432217Evalidated
GARD5589Evalidated
MedDRA10090582Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
EIF2AK3Disease-causing germline mutation(s) inAssessedHGNC:3255ENSG000001720716040322p11.2eukaryotic translation initiation factor 2 alpha kinase 321050479[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families60 casesWorldwideCase(s)Validated21050479[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass 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

40 annotations · validated 2021-06-21
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001392Abnormality of the liver
HP:0001510Growth delay
HP:0000857Neonatal insulin-dependent diabetes mellitus
HP:0004322Short stature
HP:0002652Skeletal dysplasia
Frequent (79-30%)
HP:0006554Acute hepatic failure
HP:0004325Decreased body weight
HP:0001875Decreased total neutrophil count
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0003073Hypoalbuminemia
HP:0100255Metaphyseal dysplasia
HP:0002654Multiple epiphyseal dysplasia
Occasional (29-5%)
HP:0410263Brain imaging abnormality
HP:0011787Central hypothyroidism
HP:0012622Chronic kidney disease
HP:0001944Dehydration
HP:0001738Exocrine pancreatic insufficiency
HP:0001945Fever
HP:0001288Gait disturbance
HP:0001263Global developmental delay
HP:0002240Hepatomegaly
HP:0001987Hyperammonemia
HP:0002904Hyperbilirubinemia
HP:0000821Hypothyroidism
HP:0001249Intellectual disability
HP:0001891Iron deficiency anemia
HP:0000952Jaundice
HP:0001993Ketoacidosis
HP:0100827Lymphocytosis
HP:0000252Microcephaly
HP:0001324Muscle weakness
HP:0002719Recurrent infections
HP:0000083Renal insufficiency
HP:0001250Seizure
HP:0000486Strabismus
Very rare (<4-1%)
HP:0001541Ascites
HP:0001631Atrial septal defect
HP:0001719Double outlet right ventricle
HP:0002480Hepatic encephalopathy
HP:0002902Hyponatremia

Run the differential on the 5 obligate / very frequent terms

Annotation source: 28843469[PMID]_30514997[PMID]_31884440[PMID]

7

Sources for this card