raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:25

Glutaryl-CoA dehydrogenase deficiency

Synonyms: GA1 · GCDHD · Glutaric acidemia type 1 · Glutaric aciduria type 1 · Glutaryl-coenzyme A dehydrogenase deficiency

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

Glutaryl-CoA dehydrogenase (GCDH) deficiency (GDD) is an autosomal recessive neurometabolic disorder clinically characterized by encephalopathic crises resulting in striatal injury and a severe dystonic dyskinetic movement disorder.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGlutaryl-CoA dehydrogenase deficiencyGA1 · GCDHD · Glutaric acidemia type 1 · Glutaric aciduria type 1 · Glutaryl-coenzyme A dehydrogenase deficiency
frDéficit en glutaryl-CoA déshydrogénaseAcidurie glutarique type 1 · Acidémie glutarique type 1 · Déficit en glutaryl-coenzyme A déshydrogénase · GA1 · GCDHD
deGlutaryl-CoA-Dehydrogenase-MangelGA1 · GCDHD · Glutarazidurie Typ 1 · Glutarazidämie Typ 1 · Glutaryl-Coenzym A -Dehydrogenase-Mangel
esDeficiencia de glutaril-CoA deshidrogenasaAcidemia glutárica tipo 1 · Aciduria glutárica tipo 1 · Deficiencia de glutaril coenzima A deshidrogenasa · GA1 · GCDHD
itDeficit di glutaril-CoA deidrogenasiAcidemia glutarica, tipo 1 · Aciduria glutarica, tipo 1 · Deficit di glutaril-Coenzima A deidrogenasi · GA1 · GCDHD
nlGlutaryl-CoA-dehydrogenasedeficiëntieGA1 · GCDHD · Glutaaracidemie type 1 · Glutaaracidurie type 1 · Glutaarzuuracidemie type 1 · Glutaarzuuracidurie type 1 · Glutaryl-CoA dehydrogenasedeficiëntie · Glutaryl-co-enzym A dehydrogenase-deficiëntie
ptDeficiência de glutaril-CoA desidrogenaseAcidúria glutárica tipo 1
plNiedobór dehydrogenazy glutarylo-CoAAcyduria glutarowa typu 1 · GA1 · GCDHD · Kwasica glutarowa typu 1 · Niedobór dehydrogenazy glutarylo-koenzymu A
csDeficit glutaryl-CoA dehydrogenázyGA1 · GCDHD · Glutarová acidémie, typ 1 · Glutarová acidurie, typ I · Deficit glutaryl-koenzym A dehydrogenázy
ukДефіцит глутарил-КоА-дегідрогеназиGA1 · GCDHD · Глутарова ацидемія типу 1 · Глутарова ацидурія типу 1 · Дефіцит глутарил-коензиму А дегідрогенази
zh戊二酰-辅酶A脱氢酶缺乏戊二酰脱氢酶辅酶A缺乏
trGlutaril-KoA dehidrogenaz eksikliğiGA1 · GCDHD · Glutarik asidemi tip 1 · Glutarik asidüri tip 1 · Glutaril-koenzim A dehidrojenaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM231670Evalidated
ICD-10E72.3NTBTinclusionvalidated
ICD-115C50.E1NTBTindexvalidated
MONDO0009281Evalidated
MeSHC536833Evalidated
UMLSC0268595Evalidated
GARD6522Evalidated
MedDRA10088192Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GCDHDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:4189ENSG0000010560760880119p13.13glutaryl-CoA dehydrogenase18775954[PMID]
5

Prevalence and incidence

10 records
TypeClassValueAreaQualificationValidationSource
Point prevalence>1 / 1000333 / 100 000Specific populationValue and classValidated[EXPERT]
Point prevalence1-9 / 100 0002 / 100 000Specific populationValue and classValidated[EXPERT]
Prevalence at birth1-9 / 100 0001 / 100 000WorldwideValue and classValidated15505392[PMID]
Prevalence at birth1-9 / 100 0002.85 / 100 000SpainValue and classValidated22000754[PMID]
Prevalence at birth1-9 / 1 000 0000.48 / 100 000JapanValue and classValidated12127323[PMID]
Prevalence at birth1-9 / 1 000 0000.76 / 100 000United StatesValue and classValidated6601872[PMID]
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET
Prevalence at birth1-9 / 1 000 0000.56 / 100 000Czech RepublicValue and classValidated31241292[PMID]
Prevalence at birth1-9 / 100 0002 / 100 000IsraelValue and classValidated33239050[PMID]
Prevalence at birth1-9 / 100 0004.3 / 100 000Specific populationValue and classValidated33239050[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

43 annotations · validated 2020-06-04
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002134Abnormal basal ganglia morphology
HP:0012379Abnormal enzyme/coenzyme activity
HP:0003150Glutaric aciduria
Frequent (79-30%)
HP:0002339Abnormal caudate nucleus morphology
HP:0031982Abnormal putamen morphology
HP:0002305Athetosis
HP:0001334Communicating hydrocephalus
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0001332Dystonia
HP:0011968Feeding difficulties
HP:0002315Headache
HP:0040194Increased head circumference
HP:0100954Open operculum
HP:0007132Pallidal degeneration
HP:0002275Poor motor coordination
HP:0004481Progressive macrocephaly
HP:0009716Subependymal nodules
HP:0012753T2 hypointense basal ganglia
HP:0012704Widened subarachnoid space
Occasional (29-5%)
HP:0002500Abnormal cerebral white matter morphology
HP:0002086Abnormality of the respiratory system
HP:0001251Ataxia
HP:0002072Chorea
HP:0100543Cognitive impairment
HP:0000726Dementia
HP:0002376Developmental regression
HP:0003546Exercise intolerance
HP:0003162Fasting hypoglycemia
HP:0012469Infantile spasms
HP:0001373Joint dislocation
HP:0002451Limb dystonia
HP:0007185Loss of consciousness
HP:0000573Retinal hemorrhage
HP:0002063Rigidity
HP:0001250Seizure
HP:0006829Severe muscular hypotonia
HP:0100309Subdural hemorrhage
HP:0001337Tremor
HP:0002119Ventriculomegaly
HP:0002321Vertigo
Very rare (<4-1%)
HP:0012622Chronic kidney disease
HP:0009830Peripheral neuropathy

Run the differential on the 3 obligate / very frequent terms

Annotation source: 31536184[PMID]_12888985[PMID]

7

Sources for this card