raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:276580

Autosomal dominant hyperinsulinism due to Kir6.2 deficiency

Synonyms: Dominant KATP hyperinsulinism due to Kir6.2 deficiency · Autosomal dominant hyperinsulinemic hypoglycemia due to Kir6.2 deficiency

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

A form of diazoxide-sensitive diffuse hyperinsulinism (DHI) characterized by hypoglycemic episodes that are usually mild, escaping detection during infancy, and usually a good clinical response to diazoxide, (but some are diazoxide resistant). Autosomal dominant hyperinsulinism due to Kir6.2 deficiency usually has a milder phenotype when compared to that resulting from recessive K+ (K-ATP) channel mutations (Recessive forms of diazoxide-resistant hyperinsulinism).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal dominant hyperinsulinism due to Kir6.2 deficiencyDominant KATP hyperinsulinism due to Kir6.2 deficiency · Autosomal dominant hyperinsulinemic hypoglycemia due to Kir6.2 deficiency
frHyperinsulinisme autosomique dominant par déficit en Kir6.2Hypoglycémie hyperinsulinémique autosomique dominant par déficit en Kir6.2
deHyperinsulinismus durch Kir6.2-Mangel, autosomal-dominanterHypoglykämie, hyperinsulinämische, durch Kir6.2-Mangel
esHiperinsulinismo autosómico dominante por deficiencia de Kir6.2Hipoglucemia hiperinsulinémica autosómica dominante por deficiencia de Kir6.2
itIperinsulinismo autosomico dominante da deficit di Kir6.2Ipoglicemia iperinsulinemica autosomica dominante da deficit di Kir6.2
nlAutosomaal dominant hyperinsulinisme door Kir6.2-deficiëntieAutosomaal dominante hyperinsulinemische hypoglycemie door Kir6.2-deficiëntie · Dominant KATP-hyperinsulinisme door Kir6.2-deficiëntie
ptHiperinsulinismo autossómico dominante por deficiência de Kir6.2
plAutosomalny dominujący hiperinsulinizm z powodu niedoboru Kir6.2Autosomalna dominująca hipoglikemia hiperinsulinemiczna z powodu niedoboru Kir6.2
csAutozomálně dominantní hyperinzulinismus způsobený deficitem Kir6.2Autozomálne dominantní hyperinzulinemická hypoglykémie zpusobená deficitem Kir6.2 · Autozomálně dominantní hyperinzulinemická hypoglykémie způsobená deficitem Kir6.2 · Dominantní KATP hyperinzulinismus způsobený deficitem Kir6.2
ukАутосомно-домінантний гіперінсулінізм внаслідок дефіциту Kir6.2Аутосомно-домінантна гіперінсулінемічна гіпоглікемія внаслідок дефіциту Kir6.2 · Домінантний KATP-гіперінсулінізм внаслідок дефіциту Kir6.2
zhKir6.2缺乏所致常染色体显性高胰岛素血症Kir6.2缺陷所致常染色体显性高胰岛素低血糖
trKir6.2 eksikliğine bağlı otozomal dominant hiperinsülinizmKir6.2 eksikliğine bağlı baskın KATP hiperinsülinizm · Kir6.2 eksikliğine bağlı otozomal baskın hiperinsülinemik hipoglisemi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM601820NTBTvalidated
ICD-10E16.1NTBTattributedvalidated
ICD-115A45NTBTattributedvalidated
MONDO0017185Evalidated
UMLSC4274081Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
KCNJ11Disease-causing germline mutation(s) inAssessedHGNC:6257ENSG0000018748660093711p15.1potassium inwardly rectifying channel subfamily J member 1118596924[PMID]_25733449[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

29 annotations · validated 2021-07-09
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0031084Excessive insulin response to glucagon test
HP:0003162Fasting hypoglycemia
HP:0000842Hyperinsulinemia
HP:0000825Hyperinsulinemic hypoglycemia
HP:0001985Hypoketotic hypoglycemia
HP:0030796Increased C-peptide level
Frequent (79-30%)
HP:0004924Abnormal oral glucose tolerance
HP:0000713Agitation
HP:0031224Diffuse pancreatic islet hyperplasia
HP:0002329Drowsiness
HP:0001069Episodic hyperhidrosis
HP:0002173Hypoglycemic seizures
HP:0001520Large for gestational age
HP:0012759Neurodevelopmental abnormality
HP:0000980Pallor
HP:0001962Palpitations
HP:0001649Tachycardia
Occasional (29-5%)
HP:0011968Feeding difficulties
HP:0002240Hepatomegaly
HP:0001639Hypertrophic cardiomyopathy
HP:0001325Hypoglycemic coma
HP:0001254Lethargy
HP:0007185Loss of consciousness
HP:0009800Maternal diabetes
HP:0001324Muscle weakness
HP:0002591Polyphagia
HP:0002133Status epilepticus
HP:0001279Syncope
Very rare (<4-1%)
HP:0100651Type I diabetes mellitus

Run the differential on the 6 obligate / very frequent terms

Annotation source: 31414570[PMID]_29280746[PMID]_21967988[PMID]_31464105[PMID]

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Sources for this card