raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:227990

Autoimmune polyendocrinopathy type 4

Synonyms: APS type 4 · APS4 · Autoimmune polyendocrine syndrome type 4 · Autoimmune polyglandular syndrome type 4

Type
Disease
Group
Disorder
Inheritance
Multigenic/multifactorial
Age of onset
Adult
Status
active

A rare autoimmune polyendocrinopathy characterized by autoimmune activity against an endocrine organ in combination with at least one more endocrine or non-endocrine organ. Typical autoimmune diseases occurring in this type include insulin-requiring diabetes, pernicious anemia, alopecia, vitiligo, or myasthenia gravis, but not Addison disease, thyroid disease, or hypoparathyroidism.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutoimmune polyendocrinopathy type 4APS type 4 · APS4 · Autoimmune polyendocrine syndrome type 4 · Autoimmune polyglandular syndrome type 4
frPolyendocrinopathie auto-immune type 4APS type 4 · APS4
deAutoimmun-Polyendokrinopathie Typ 4APS Typ 4 · APS-4 · Autoimmun-polyglanduläres Syndrom Typ 4
esPoliendocrinopatía autoinmune tipo 4APS4 · APS tipo 4
itPoliendocrinopatia autoimmune tipo 4APS, tipo 4 · APS4 · Sindrome poliendocrina autoimmune, tipo 4 · Sindrome polighiandolare autoimmune, tipo 4
nlAuto-immune polyendocrinopathie type 4APS type 4 · APS4 · Auto-immuun polyendocrien syndroom type 4 · Auto-immuun polyglandulair syndroom type 4
ptPoliendocrinopatia autoimune tipo 4APS tipo 4 · APS4
plPoliendokrynopatia autoimmunologiczna 4APS type 4 · APS4 · Autoimmunologiczny zespół wielogruczołowy typu 4 · Autoimmunologiczny zespół niedoczynności wielogruczołowej typu 4
csAutoimunitní polyendokrinní syndrom, typ 4APS typ 4 · APS4 · Autoimunitní polyglandulární syndrom, typ 4
ukАутоімунна поліендокринопатія, тип 4APS тип 4 · APS4 · Автоімунний поліендокринний синдром 4 типу · Аутоімунний полігландулярний синдром типу 4
zh自身免疫性多内分泌病4型自身免疫性多腺体综合征4型
trOtoimmün poliendokrinopati tip 4APS4 · APS tip 4 · Otoimmün poliendokrin sendrom tip 4 · Otoimmün poliglandüler sendrom tip 4

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10E31.0NTBTattributedvalidated
ICD-115B00NTBTindexvalidated
MONDO0016423Evalidated
UMLSC3266026Evalidated

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

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

32 annotations · validated 2017-03-15
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0002960Autoimmunity
Frequent (79-30%)
HP:0002582Atrophic gastritisDiagnostic criterion
HP:0030057Autoimmune antibody positivity
HP:0002608Celiac disease
HP:0001972Macrocytic anemia
HP:0100651Type I diabetes mellitusDiagnostic criterion
Occasional (29-5%)
HP:0001596AlopeciaDiagnostic criterion
HP:0010625Anterior pituitary dysgenesis
HP:0002613Biliary cirrhosis
HP:0004313Decreased circulating antibody level
HP:0001882Leukopenia
HP:0001045VitiligoDiagnostic criterion
Very rare (<4-1%)
HP:0008066Abnormal blistering of the skin
HP:0006530Abnormal pulmonary interstitial morphology
HP:0003613Antiphospholipid antibody positivity
HP:0010451Aplasia/Hypoplasia of the spleen
HP:0001973Autoimmune thrombocytopenia
HP:0000863Central diabetes insipidus
HP:0012115Hepatitis
HP:0000815Hypergonadotropic hypogonadismDiagnostic criterion
HP:0001094Iridocyclitis
HP:0001097Keratoconjunctivitis sicca
HP:0012220Non-caseating epithelioid cell granulomatosis
HP:0000938Osteopenia
HP:0001370Rheumatoid arthritis
HP:0100522Thymoma
HP:0001970Tubulointerstitial nephritis
HP:0000217Xerostomia
Excluded (0%)
HP:0002728Chronic mucocutaneous candidiasis
HP:0100647Graves disease
HP:0000872Hashimoto thyroiditis
HP:0008207Primary adrenal insufficiency

Run the differential on the 1 obligate / very frequent terms

Annotation source: 19411300[PMID]_19322903[PMID]_26000153[PMID]_19645063[PMID]_20233565[PMID]_17880463[PMID]_16946565[PMID]_15597731[PMID]_8616531[PMID]_12843130[PMID]_15625773[PMID]_2218600[PMID]_7934446[PMID]_4053951[PMID]

7

Sources for this card