raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:27

Vitamin B12-unresponsive methylmalonic acidemia

Synonyms: Methylmalonyl-CoA mutase deficiency · Methylmalonyl-Coenzyme A mutase deficiency · Vitamin B12-unresponsive methylmalonic aciduria

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

Vitamin B12-unresponsive methylmalonic acidemia is an inborn error of vitamin B12 (cobalamin) metabolism characterized by recurrent ketoacidotic crises or transient vomiting, dehydration, hypotonia and intellectual deficit, which does not respond to administration of vitamin B12. There are two types of vitamin B12-unresponsive methylmalonic acidemia: <i>mut0</i> and <i>mut-</i>.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enVitamin B12-unresponsive methylmalonic acidemiaMethylmalonyl-CoA mutase deficiency · Methylmalonyl-Coenzyme A mutase deficiency · Vitamin B12-unresponsive methylmalonic aciduria
frAcidémie méthylmalonique résistante à la vitamine B12Acidurie méthylmalonique résistante à la vitamine B12 · Déficit en méthylmalonyl-CoA mutase · Déficit en méthylmalonyl-Coenzyme A mutase
deMethylmalonazidämie, Vitamin B12-resistenteMethylmalonazidurie, Vitamin B12-unabhängige · Methylmalonyl-CoA-Mutase-Mangel · Methylmalonyl-Coenzym A-Mutase-Mangel
esAcidemia metilmalónica resistente a la vitamina B12Aciduria metilmalónica resistente a la vitamina B12 · Deficiencia de metilmalonil coenzima A mutasa · Deficiencia de metilmalonil-CoA mutasa
itAcidemia metilmalonica resistente alla vitamina B12Aciduria metilmalonica resistente alla vitamina B12
nlVitamine B12-resistente methylmalonacidemieMethylmalonyl-Co-enzym A-mutasedeficiëntie · Methylmalonyl-CoA-mutasedeficiëntie · Vitamine B12-resistente methylmalonacidurie · Vitamine B12-resistente methylmalonzuuracidemie · Vitamine B12-resistente methylmalonzuuracidurie
ptAcidemia metilmalónica refratária à vitamina B12Acidúria metilmalónica refratária à vitamina B12 · Deficiência de metilmalonil-coenzima A epimerase · Deficiência de metilmalonil-coenzima A mutase
plKwasica metylomalonowa niereagująca na witaminę B12Acyduria metylomalonowa niereagująca na witaminę B12
csVitamin B12-neresponzivní metylmalonová acidémieVitamin B12-neresponzivní metylmalonová acidurie
ukМетилмалонова ацидемія, не чутлива до вітаміну В12Дефіцит метилмалоніл-КоА мутази · Дефіцит метилмалоніл-коензиму А мутази · Метилмалоновий ацидоз, що не реагує на вітамін В12
zh维生素B12无反应性甲基丙二酸血症维生素B12无反应性甲基丙二酸尿症
trB12 Vitamini - yanıtsız metilmalonik asidemiMetilmalonil-CoA mutaz eksikliği · Metilmalonil-Koenzim A mutaz eksikliği · B12 vitamini-yanıtsız metilmalonik asidüri

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM251000Evalidated
ICD-10E71.1NTBTinclusionvalidated
ICD-115C50.E0NTBTindexvalidated
MONDO0009612Evalidated
MONDO9612Evalidated
MeSHC537573Evalidated
UMLSC2931536Evalidated
GARD3586Evalidated

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 (4):

Children (2):

4

Genes

0 direct · 2 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MMUTORPHA:79312Vitamin B12-unresponsive methylmalonic acidemia type mut-Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:7526ENSG000001460856090586p12.3methylmalonyl-CoA mutase
MMUTORPHA:289916Vitamin B12-unresponsive methylmalonic acidemia type mut0Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:7526ENSG000001460856090586p12.3methylmalonyl-CoA mutase20301409[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

25 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001259Coma
HP:0001944Dehydration
HP:0001254Lethargy
HP:0002017Nausea and vomiting
HP:0002093Respiratory insufficiency
Frequent (79-30%)
HP:0001263Global developmental delay
HP:0002240Hepatomegaly
HP:0001252Hypotonia
HP:0001249Intellectual disability
HP:0001882Leukopenia
HP:0001873Thrombocytopenia
Occasional (29-5%)
HP:0002167Abnormality of speech or vocalization
HP:0001903Anemia
HP:0001251Ataxia
HP:0001638Cardiomyopathy
HP:0001266Choreoathetosis
HP:0001987Hyperammonemia
HP:0002721Immunodeficiency
HP:0001972Macrocytic anemia
HP:0000648Optic atrophy
HP:0001733Pancreatitis
HP:0002385Paraparesis
HP:0000083Renal insufficiency
HP:0001250Seizure
HP:0002273Tetraparesis

Run the differential on the 5 obligate / very frequent terms

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Sources for this card