raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:28

Vitamin B12-responsive methylmalonic acidemia

Synonyms: Adenosylcobalamin deficiency · Vitamin B12-responsive methylmalonic aciduria

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

An inborn error of vitamin B12 (cobalamin) metabolism characterized by recurrent ketoacidotic comas or transient vomiting, dehydration, hypotonia and intellectual deficit, which responds to vitamin B12. There are three types: <i>cblA, cblB</i> and <i>cblD</i>-variant 2 (<i>cblD</i>v2).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enVitamin B12-responsive methylmalonic acidemiaAdenosylcobalamin deficiency · Vitamin B12-responsive methylmalonic aciduria
frAcidémie méthylmalonique sensible à la vitamine B12Acidurie méthylmalonique sensible à la vitamine B12 · Déficit en adénosylcobalamine
deMethylmalonazidämie, Vitamin B12-sensibleMethylmalonazidurie, Vitamin B12-abhängige
esAcidemia metilmalónica sensible a la vitamina B12Aciduria metilmalónica sensible a la vitamina B12 · Deficiencia de adenosilcobalamina
itAcidemia metilmalonica sensibile alla vitamina B12Aciduria metilmalonica sensibile alla vitamina B12
nlVitamine B12-responsieve methylmalonacidemieAdenosylcobalaminedeficiëntie · Vitamine B12-responsieve methylmalonacidurie · Vitamine B12-responsieve methylmalonzuuracidemie · Vitamine B12-responsieve methylmalonzuuracidurie
ptAcidemia metilmalónica sensível à vitamina B12Acidúria metilmalónica sensível à vitamina B12 · Deficiência de adenosilcobalamina
plKwasica metylomalonowa reagująca na witaminę B12Acyduria metylomalonowa reagująca na witaminę B12 · Adenosylcobalamin deficiency Niedobór adenosylcobalaminy
csMethylmalonová acidemie odpovídající na vitamin B12Adenosylkobalaminový deficit · Methylmalonová acidurie odpovídající na vitamin B12
ukМетилмалонова ацидемія, чутлива до вітаміну В12Дефіцит аденозилкобаламіну · Метилмалонова ацидурія, що реагує на вітамін В12
zh维生素B12反应性甲基丙二酸血症维生素B12反应性甲基丙二酸尿症
trB12 vitaminine duyarlı metilmalonik asidemiAdenosilkobalamin eksikliği · B12 vitaminine duyarlı metilmalonik asidüri

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM251100BTNTvalidated
OMIM251110BTNTvalidated
OMIM277410BTNTvalidated
ICD-10E71.1NTBTinclusionvalidated
ICD-115C50.E0NTBTindexvalidated
MONDO0017214Evalidated
UMLSC0342720Evalidated
GARD12623Evalidated

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 (5):

Children (3):

4

Genes

0 direct · 3 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MMAAORPHA:79310Vitamin B12-responsive methylmalonic acidemia type cblADisease-causing germline mutation(s) inAssessedHGNC:18871ENSG000001516116074814q31.21metabolism of cobalamin associated A
MMABORPHA:79311Vitamin B12-responsive methylmalonic acidemia type cblBDisease-causing germline mutation(s) inAssessedHGNC:19331ENSG0000013942860756812q24.11metabolism of cobalamin associated B
MMADHCORPHA:308442Vitamin B12-responsive methylmalonic acidemia, type cblDv2Disease-causing germline mutation(s) inAssessedHGNC:25221ENSG000001682886119352q23.2metabolism of cobalamin associated D
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families192 casesWorldwideCase(s)Validated[EXPERT]
Point prevalenceUnknown—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

13 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001259Coma
HP:0001944Dehydration
HP:0001508Failure to thrive
HP:0002240Hepatomegaly
HP:0001254Lethargy
HP:0002017Nausea and vomiting
HP:0002093Respiratory insufficiency
Frequent (79-30%)
HP:0001263Global developmental delay
HP:0001987Hyperammonemia
HP:0001252Hypotonia
HP:0001249Intellectual disability
Occasional (29-5%)
HP:0001903Anemia
HP:0000083Renal insufficiency

Run the differential on the 7 obligate / very frequent terms

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Sources for this card