raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:228426

Syndromic multisystem autoimmune disease due to Itch deficiency

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

A rare, genetic, systemic autoimmune disease characterized by failure to thrive, global developmental delay, distinctive craniofacial dysmorphism (relative macrocephaly, dolichocephaly, frontal bossing, orbital proptosis, flattened midface with a prominent occiput, low, posteriorly rotated ears, micrognatia), hepato- and/or splenomegaly, and multisystemic autoimmune disease involving the lungs, liver, gut and/or thyroid gland.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSyndromic multisystem autoimmune disease due to Itch deficiency
frMaladie auto-immune multisystémique syndromique par déficit en Itch
deAutoimmunkrankheit, multisystemische syndromale, durch Itch-Mangel
esEnfermedad autoinmune multisistémica sindrómica por deficiencia de Itch
itMalattia multisistemica autoimmunitaria sindromica da deficit di Itch
nlSyndromale multisystemische auto-immuunziekte door Itch-deficiëntie
ptDoença autoimune multissistémica sindromática por deficiência no Itch
plSyndromiczna wieloukładowa choroba autoimmunologiczna z powodu niedoboru Itch
csSyndromická multisystémová autoimunitní choroba způsobená deficitem Itch
ukСиндромальне мультисистемне аутоімунне захворювання, зумовлене Itch дефіцитом
zhITCH基因缺陷所致综合征性多系统自身免疫病
trITCH eksikliğine bağlı sendromik multisistem otoimmün hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613385Evalidated
ICD-10D89.8NTBTattributedvalidated
ICD-114A43.YNTBTindexvalidated
MONDO0013245Evalidated
UMLSC4755273Evalidated
GARD10775Evalidated

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 (8):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ITCHDisease-causing germline mutation(s) inAssessedHGNC:13890ENSG0000007874760640920q11.22itchy E3 ubiquitin protein ligase20170897[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families10 casesWorldwideCase(s)Validated20170897[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20170897[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

38 annotations · validated 2019-10-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0006528Chronic lung disease
HP:0001531Failure to thrive in infancy
HP:0001263Global developmental delay
HP:0001433Hepatosplenomegaly
HP:0004482Relative macrocephaly
Frequent (79-30%)
HP:0025379Anti-thyroid peroxidase antibody positivity
HP:0002960Autoimmunity
HP:0008947Floppy infant
HP:0011471Gastrostomy tube feeding in infancy
HP:0012115Hepatitis
HP:0001971Hypersplenism
HP:0000821Hypothyroidism
HP:0000520Proptosis
HP:0002719Recurrent infections
HP:0100646Thyroiditis
Occasional (29-5%)
HP:0002242Abnormal intestine morphology
HP:0006554Acute hepatic failure
HP:0025329Anti-glutamic acid decarboxylase antibody positivity
HP:0003453Antineutrophil antibody positivity
HP:0012385Camptodactyly
HP:0000453Choanal atresia
HP:0030151Cholangitis
HP:0001394Cirrhosis
HP:0030084Clinodactyly
HP:0000268Dolichocephaly
HP:0002007Frontal bossing
HP:0031104Insulin receptor antibody positivity
HP:0011800Midface retrusion
HP:0001904Neutropenia in presence of anti-neutropil antibodies
HP:0001876Pancytopenia
HP:0001409Portal hypertension
HP:0000358Posteriorly rotated ears
HP:0000269Prominent occiput
HP:0000508Ptosis
HP:0000331Short chin
HP:0003262Smooth muscle antibody positivity
HP:0100651Type I diabetes mellitus

Run the differential on the 6 obligate / very frequent terms

Annotation source: 30705142[PMID]_20170897[PMID]

7

Sources for this card