raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:230

Dopamine beta-hydroxylase deficiency

Synonyms: DBH deficiency

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

A very rare primary monoamine neurotransmitter synthesis disorder with norepinephrine and adrenaline deficiency that leads to young-onset severe orthostatic hypotension and eyelid ptosis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enDopamine beta-hydroxylase deficiencyDBH deficiency
frDéficit en dopamine bêta-hydroxylaseDéficit en DBH
deDopamin-beta-Hydroxylase-MangelDBH-Mangel · Noradrenalin-Mangel
esDeficiencia de dopamina beta-hidroxilasaDeficiencia de DBH
itDeficit di dopamina beta-idrossilasiDeficit di DBH
nlDeficiëntie van dopamine-bèta-hydroxylaseDBH-deficiëntie
ptDeficiência de dopamina beta-hidroxilaseDeficiência de DBH
plNiedobór beta-hydroksylazy dopaminyNiedobór noradrenaliny · Niedobór norepinefryny
csDeficit dopamin beta-hydroxylázyDeficit noradrenalinu · Deficit norepinefrinu
ukДефіцит бета-гідроксилази дофамінуДефіцит DBH
zh多巴胺β羟化酶缺乏去甲肾上腺素缺乏症
trDopamin beta-hidroksilaz eksikliğiNoradrenalin eksikliği · Norepinefrin eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM223360Evalidated
ICD-10G90.8NTBTattributedvalidated
ICD-115C59.00NTBTindexvalidated
MONDO0009123Evalidated
MeSHC535600Evalidated
UMLSC0342687Evalidated
GARD1903Evalidated

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
DBHDisease-causing germline mutation(s) inAssessedHGNC:2689ENSG000001234546093129q34.2dopamine beta-hydroxylase20301647[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families25 casesWorldwideCase(s)Validated33034372[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated33034372[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

28 annotations · validated 2019-05-28
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001488Bilateral ptosis
HP:0011979Elevated urinary dopamine
HP:0001278Orthostatic hypotension
HP:0012384Rhinitis
Frequent (79-30%)
HP:0001903Anemia
HP:0003259Elevated circulating creatinine concentration
HP:0009020Exercise-induced muscle fatigue
HP:0012378Fatigue
HP:0001943Hypoglycemia
HP:0003138Increased blood urea nitrogen
HP:0001315Reduced tendon reflexes
HP:0012877Retrograde ejaculation
HP:0002360Sleep abnormality
HP:0001279Syncope
Occasional (29-5%)
HP:0003115Abnormal EKG
HP:0000622Blurred vision
HP:0100749Chest pain
HP:0001944Dehydration
HP:0002014Diarrhea
HP:0002094Dyspnea
HP:0002045Hypothermia
HP:0001252Hypotonia
HP:0000017Nocturia
HP:0012670Orthostatic syncope
HP:0002321Vertigo
HP:0002013Vomiting
Very rare (<4-1%)
HP:0000842Hyperinsulinemia
HP:0000855Insulin resistance

Run the differential on the 4 obligate / very frequent terms

Annotation source: 27778639[PMID]_20301647[PMID]_2300263[PMID]_3010116[PMID]

7

Sources for this card