raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:289157

Hypocalcemic vitamin D-dependent rickets

Synonyms: 1-alpha-hydroxylase deficiency · PDDRI · Pseudovitamin D-deficient rickets · VDDI · VDDR-I · Vitamin D dependent rickets type I · Vitamin D-dependency type I

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

A rare, genetic disorder of vitamin D metabolism characterized by severe hypocalcemia leading to osteomalacia and rachitic bone deformations, and moderate hypophosphatemia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHypocalcemic vitamin D-dependent rickets1-alpha-hydroxylase deficiency · PDDRI · Pseudovitamin D-deficient rickets · VDDI · VDDR-I · Vitamin D dependent rickets type I · Vitamin D-dependency type I
frRachitisme hypocalcémique vitamine D-dépendantDéficit en 1-alpha-hydrolase · Dépendance en vitamine D de type I · PDDRI · Rachitisme d'insuffisance en pseudo-vitamine D · Rachitisme de carence en pseudo-vitamine D · Rachitisme hypocalcémique dépendant de la vitamine D · Rachitisme vitamine D-dépendant de type I · VDDI · VDDR-I
deRachitis, hypokalzämische, Vitamin D-abhängige1-alpha-Hydroxylase-Mangel · PDDRI · Pseudo-Vitamin-D-Mangel-Rachitis · VDDI · VDDR-I · Vitamin-D-Mangel-Rachitis Typ I
esRaquitismo hipocalcémico dependiente de vitamina DDeficiencia de 1-alfa-hidroxilasa · Dependencia de vitamina D tipo 1 · PDDRI · Raquitismo dependiente de vitamina D tipo I · Raquitismo por deficiencia de pseudovitamina D · VDDI · VDDR-I
itRachitismo ipocalcemico dipendente dalla vitamina DRachitismo con deficit della pseudovitamina D · Rachitismo dipendente dalla vitamina D, tipo I · VDDI · VDDR-I · Deficit di 1-alfa-idrossilasi · Dipendenza dalla vitamina D, tipo I · PDDRI
nlHypocalciëmische vitamine D-afhankelijke rachitis1-alfa-hydroxylasedeficiëntie · PDDRI · Pseudovitamine D-deficiënte rachitis · VDDI · VDDR-I · Vitamine D-afhankelijke rachitis type I · Vitamine D-afhankelijkheid type I
ptRaquitismo hipocalcémico vitamina D-dependenteDeficiência de 1-alfa-hidroxilase · Dependência de vitamina D, tipo I · PDDRI · Raquitismo dependente de vitamina D, tipo I · Raquitismo por deficiência de pseudovitamina D · VDDI · VDDR-I
plHipokalcemiczna krzywica zależna od witaminy DKrzywica zależna od witaminy D typu I · Niedobór 1-alfa-hydroksylazy · PDDRI · Pseudovitamin D-deficient rickets · VDDI · VDDR-I · Vitamin D-dependency type I
csHypokalcemická vitamin D-dependentní křiviceDeficit 1-alfahydroxylázy · PDDRI · VDDI · VDDR-I · Vitamin D-dependence, typ I · Pseudovitamin D deficientní křivice · Vitamin D dependentní křivice, typ I
ukГіпокальціємічний вітамін D-залежний рахітДефіцит 1-альфа-гідроксилази · PDDRI · Псевдовітамін D-дефіцитний рахіт · VDDI · VDDR-I · Вітамін D-залежний рахіт I типу · Залежність від вітаміну D, тип I
zh低钙维生素D依赖型佝偻病I型维生素D依赖性佝偻病
trHipokalsemik D vitamini bağlı raşitizmVDDI · PDDRI · VDDR-I · D vitamini-bağımlılığı tip I · 1-alfa-hidroksilaz eksikliği · Psödovitamin D-eksikliği olan raşitizm · D vitamini bağımlı raşitizm tip I

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM264700Evalidated
OMIM600081BTNTvalidated
ICD-10E83.3NTBTattributedvalidated
ICD-115C63.20Especificvalidated
MONDO0009924Evalidated
UMLSC0268689Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CYP27B1Disease-causing germline mutation(s) inAssessedHGNC:2606ENSG0000011101260950612q14.1cytochrome P450 family 27 subfamily B member 1
CYP2R1Disease-causing germline mutation(s) inAssessedHGNC:20580ENSG0000018610460871311p15.2cytochrome P450 family 2 subfamily R member 1
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-5 / 10 000—EuropeClass 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

46 annotations · validated 2019-05-13
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0002901HypocalcemiaDiagnostic criterion
HP:0012052Low serum calcitriolDiagnostic criterion
HP:0002748RicketsDiagnostic criterion
Very frequent (99-80%)
HP:0002653Bone pain
HP:0000886Deformed rib cage
HP:0002663Delayed epiphyseal ossification
HP:0010639Elevated alkaline phosphatase of bone origin
HP:0003165Elevated circulating parathyroid hormone level
HP:0003029Enlargement of the ankles
HP:0000920Enlargement of the costochondral junction
HP:0003020Enlargement of the wrists
HP:0001508Failure to thrive
HP:0002980Femoral bowing
HP:0005469Flat occiput
HP:0002909Generalized aminoaciduria
HP:0002970Genu varum
HP:0002148Hypophosphatemia
HP:0002659Increased susceptibility to fractures
HP:0005042Irregular, rachitic-like metaphyses
HP:0001270Motor delay
HP:0001324Muscle weakness
HP:0002749Osteomalacia
HP:0008897Postnatal growth retardation
HP:0000897Rachitic rosary
HP:0000867Secondary hyperparathyroidism
HP:0002752Sparse bone trabeculae
HP:0003106Subperiosteal bone resorption
HP:0001281Tetany
HP:0002753Thin bony cortex
HP:0002982Tibial bowing
HP:0010537Wide cranial sutures
Frequent (79-30%)
HP:0001638Cardiomyopathy
HP:0003155Elevated circulating alkaline phosphatase concentration
HP:0002007Frontal bossing
HP:0001288Gait disturbance
HP:0001290Generalized hypotonia
HP:0001931Hypochromic anemia
HP:0004322Short stature
Occasional (29-5%)
HP:0000684Delayed eruption of teeth
HP:0006297Enamel hypoplasia
HP:0002240Hepatomegaly
HP:0002199Hypocalcemic seizures
HP:0001974Increased total leukocyte count
HP:0000737Irritability
HP:0001538Protuberant abdomen
HP:0001744Splenomegaly

Run the differential on the 12 obligate / very frequent terms

Annotation source: 8201479[PMID]_15128933[PMID]_4309963[PMID]_4357855[PMID]_9837822[PMID]_9295274[PMID]_30086869[PMID]

7

Sources for this card