raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:26793

Very long chain acyl-CoA dehydrogenase deficiency

Synonyms: VLCAD deficiency · VLCADD

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

Very long-chain acyl-CoA dehydrogenase (VLCAD) deficiency (VLCADD) is an inherited disorder of mitochondrial long-chain fatty acid oxidation with a variable presentation including: cardiomyopathy, hypoketotic hypoglycemia, liver disease, exercise intolerance and rhabdomyolysis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enVery long chain acyl-CoA dehydrogenase deficiencyVLCAD deficiency · VLCADD
frDéficit en acyl-CoA déshydrogénase des acides gras à chaîne très longueDéficit en VLCAD · VLCADD
deSehr langkettige-Acyl-CoA-Dehydrogenase-MangelAcyl-CoA-Dehydrogenase-Mangel, sehr langkettige · VLCADD
esDeficiencia de acil-CoA deshidrogenasa de cadena muy largaDeficiencia de VLCAD · VLCADD
itDeficit di acil-CoA deidrogenasi a catena molto lungaDeficit di VLCAD · VLCADD
nlZeer lange keten acyl-CoA-dehydrogenasedeficiëntieVLCAD-deficiëntie · VLCADD
ptDeficiência de acil-CoA desidrogenase de cadeias muito longasDeficiência de VLCAD
plNiedobór dehydrogenazy bardzo długiego łańcucha acetylo-CoANiedobór VLCAD · VLCADD
csDeficit acyl-CoA dehydrogenázy s velmi dlouhým řetězcemDeficit VLCAD · VLCADD
ukДефіцит ацил-КоА-дегідрогенази з дуже довгим ланцюгомДефіцит VLCAD · VLCADD
zh极长链酰基辅酶A脱氢酶缺乏症VLCAD 缺乏症
trÇok uzun zincirli açil-CoA dehidrojenaz eksikliğiVLCADD · VLCAD eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM201475Evalidated
ICD-10E71.3NTBTattributedvalidated
ICD-115C52.01NTBTindexvalidated
MONDO0008723Evalidated
MeSHC536353Evalidated
UMLSC3887523Evalidated
GARD5508Evalidated
MedDRA10072656Evalidated

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 (3):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ACADVLDisease-causing germline mutation(s) inAssessedHGNC:92ENSG0000007277860957517p13.1acyl-CoA dehydrogenase very long chain20301763[PMID]
5

Prevalence and incidence

7 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 000—EuropeClass onlyNot yet validatedORPHANET
Prevalence at birth1-9 / 100 0003.2 / 100 000AustraliaValue and classValidated16488171[PMID]
Prevalence at birth1-9 / 100 0001.8 / 100 000United StatesValue and classValidated22766612[PMID]
Point prevalence1-9 / 100 0002 / 100 000GermanyValue and classValidated20547398[PMID]
Prevalence at birth1-9 / 1 000 0000.45 / 100 000Czech RepublicValue and classValidated31241292[PMID]
Prevalence at birth1-9 / 100 0002.3 / 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

40 annotations · validated 2019-08-07
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0030781Increased circulating free fatty acid level
Occasional (29-5%)
HP:0001631Atrial septal defect
HP:0003236Elevated circulating creatine kinase concentration
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0002876Episodic tachypnea
HP:0009045Exercise-induced rhabdomyolysis
HP:0011968Feeding difficulties
HP:0002240Hepatomegaly
HP:0001985Hypoketotic hypoglycemia
HP:0002045Hypothermia
HP:0000952Jaundice
HP:0025502Overweight
HP:0001655Patent foramen ovale
HP:0002098Respiratory distress
HP:0001518Small for gestational age
HP:0001629Ventricular septal defect
Very rare (<4-1%)
HP:0001545Anteriorly placed anus
HP:0011675Arrhythmia
HP:0001678Atrioventricular block
HP:0001644Dilated cardiomyopathy
HP:0002280Enlarged cisterna magna
HP:0008947Floppy infant
HP:0001987Hyperammonemia
HP:0002901Hypocalcemia
HP:0003075Hypoproteinemia
HP:0011123Inflammatory abnormality of the skin
HP:0001254Lethargy
HP:0000256Macrocephaly
HP:0001942Metabolic acidosis
HP:0003394Muscle spasm
HP:0001513Obesity
HP:0012531Pain
HP:0001698Pericardial effusion
HP:0002090Pneumonia
HP:0001657Prolonged QT interval
HP:0001649Tachycardia
HP:0002789Tachypnea
HP:0001663Ventricular fibrillation
HP:0004756Ventricular tachycardia
HP:0002013Vomiting

Annotation source: 31031081[PMID]_20301763[PMID]_27246109[PMID]_27209629[PMID]

7

Sources for this card