raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2785

Osteopetrosis with renal tubular acidosis

Synonyms: Carbonic anhydrase 2 deficiency · Guibaud-Vainsel syndrome · Marble brain disease · Mixed RTA · Mixed renal tubular acidosis · Renal tubular acidosis type 3

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

Osteopetrosis with renal tubular acidosis is a rare disorder characterized by osteopetrosis, renal tubular acidosis (RTA), and neurological disorders related to cerebral calcifications.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enOsteopetrosis with renal tubular acidosisCarbonic anhydrase 2 deficiency · Guibaud-Vainsel syndrome · Marble brain disease · Mixed RTA · Mixed renal tubular acidosis · Renal tubular acidosis type 3
frOstéopétrose avec acidose tubulaire rénaleAcidose tubulaire rénale mixte · Acidose tubulaire rénale type 3 · Déficit en anhydrase carbonique II · Syndrome de Guibaud-Vainsel
deOsteopetrose mit renaler tubulärer AzidoseAzidose, renale tubuläre, Typ 3 · Carbonanhydrase-II-Mangel · Gemischte renale tubuläre Azidose · Guibaud-Vainsel-Syndrom · RTA, gemischt
esOsteopetrosis con acidosis tubular renalAcidosis tubular renal mixta · Acidosis tubular renal tipo 3 · Deficiencia de anhidrasa carbónica 2 · Enfermedad del cerebro de mármol · RTA mixta · Síndrome de Guibaud-Vainsel
itOsteopetrosi con acidosi tubolare renaleAcidosi tubolare renale mista · Acidosi tubolare renale, tipo 3 · Deficit di anidrasi carbonica 2 · Malattia del cervello di marmo · RTA mista · Sindrome di Guibaud-Vainsel
nlOsteopetrose met renale tubulaire acidoseGemengde RTA · Gemengde renale tubulaire acidose · Koolzuuranhydrase 2-deficiëntie · Renale tubulaire acidose type 3 · Syndroom van Guibaud-Vainsel
ptOsteopetrose com acidose tubular renalAcidose tubular renal mista · Deficiência de anidrase carbónica 2 · RTA mista · Síndrome Guibaud-Vainsel
plOsteopetroza z kwasicą kanalików nerkowychKwasica kanalików nerkowych typu 3 · Marmurowa choroba mózgu · Mieszana kwasica kanalików nerkowych · Mieszana RTA · Niedobór anhydrazy węglanowej 2 · Zespół Guibauda i Vainsela
csOsteopetróza s renální tubulární acidózouDeficit karboanhydrázy 2 · Guibaudův-Vainselův syndrom · Guibaud-Vainselův syndrom
ukОстеопетроз з нирковим тубулярним ацидозомДефіцит карбоангідрази 2 · Синдром Гібо-Вейнселя · Мармурова хвороба мозку · Змішаний нирковий тубулярний ацидоз · Змішаний RTA · Нирковий тубулярний ацидоз типу 3
zh骨硬化症伴肾小管性酸中毒碳酸酐酶2缺乏症
trRenal tübüler asidozlu osteopetrozKarma RTA · Mermer beyin hastalığı · Guibaud-Vainsel sendromu · Karma renal tübüler asidoz · Renal tübüler asidoz tip 3 · Karbonik anhidraz 2 eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM259730Evalidated
OMIM267200BTNTnot yet validated
ICD-10Q78.2NTBTattributedvalidated
ICD-11LD24.10NTBTindexvalidated
MONDO0009818Evalidated
MONDO9818Evalidated
MeSHC536058Evalidated
UMLSC0345407Evalidated
GARD4154Evalidated

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.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CA2Disease-causing germline mutation(s) inAssessedHGNC:1373ENSG000001042676114928q21.2carbonic anhydrase 2
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families100 casesWorldwideCase(s)Validated[EXPERT]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

60 annotations · validated 2021-10-11
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
HP:0011002Osteopetrosis
HP:0001947Renal tubular acidosis
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0000164Abnormality of the dentition
HP:0002135Basal ganglia calcification
HP:0002514Cerebral calcification
HP:0001293Cranial nerve compression
HP:0008341Distal renal tubular acidosis
HP:0003236Elevated circulating creatine kinase concentration
HP:0003148Elevated serum acid phosphatase
HP:0001263Global developmental delay
HP:0002901Hypocalcemia
HP:0002049Proximal renal tubular acidosis
HP:0002757Recurrent fractures
HP:0004322Short stature
Occasional (29-5%)
HP:0002518Abnormal periventricular white matter morphology
HP:0000479Abnormal retinal morphology
HP:0001903Anemia
HP:0000592Blue sclerae
HP:0005528Bone marrow hypocellularity
HP:0000248Brachycephaly
HP:0006824Cranial nerve paralysis
HP:0005461Craniofacial disproportion
HP:0004445Elliptocytosis
HP:0030812Enlarged tonsils
HP:0001508Failure to thrive
HP:0002240Hepatomegaly
HP:0000218High palate
HP:0000126Hydronephrosis
HP:0001249Intellectual disability
HP:0010864Intellectual disability, severe
HP:0001882Leukopenia
HP:0000400Macrotia
HP:0000347Micrognathia
HP:0000160Narrow mouth
HP:0000787Nephrolithiasis
HP:0001562Oligohydramnios
HP:0000648Optic atrophy
HP:0001876Pancytopenia
HP:0000767Pectus excavatum
HP:0006335Persistence of primary teeth
HP:0001357Plagiocephaly
HP:0012370Prominence of the zygomatic bone
HP:0006641Prominent floating ribs
HP:0011220Prominent forehead
HP:0001105Retinal atrophy
HP:0000278Retrognathia
HP:0000867Secondary hyperparathyroidism
HP:0001328Specific learning disability
HP:0000179Thick lower lip vermilion
HP:0002684Thickened calvaria
HP:0001873Thrombocytopenia
HP:0000692Tooth malposition
Very rare (<4-1%)
HP:0000405Conductive hearing impairment
HP:0012181Entrapment neuropathy
HP:0001942Metabolic acidosis
HP:0002870Obstructive sleep apnea
HP:0002092Pulmonary arterial hypertension
HP:0002273Tetraparesis

Run the differential on the 3 obligate / very frequent terms

Annotation source: 30109220[PMID]_28761241[PMID]_29571443[PMID]

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Sources for this card