raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:289916

Vitamin B12-unresponsive methylmalonic acidemia type mut0

Synonyms: Complete deficiency of methylmalonyl-CoA mutase · Vitamin B12-unresponsive methylmalonic aciduria type mut0

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

Vitamin B12-unresponsive methylmalonic acidemia type mut0 is an inborn error of metabolism characterized by recurrent ketoacidotic comas or transient vomiting, dehydration, hypotonia and intellectual deficit, which does not respond to administration of vitamin B12.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enVitamin B12-unresponsive methylmalonic acidemia type mut0Complete deficiency of methylmalonyl-CoA mutase · Vitamin B12-unresponsive methylmalonic aciduria type mut0
frAcidémie méthylmalonique résistante à la vitamine B12 type mut0Acidurie méthylmalonique résistante à la vitamine B12 type mut0 · Déficit complet en méthymalonyl-CoA mutase
deMethylmalonazidämie, Vitamin B12-resistente, Typ mut0Methylmalonazidurie, Vitamin B12-unabhängige, Typ mut 0 · Methylmalonyl-CoA-Mutase-Mangel, kompletter
esAcidemia metilmalónica resistente a la vitamina B12 tipo mut 0Aciduria metilmalónica resistente a la vitamina B12 tipo mut 0 · Deficiencia completa de metilmalonil-CoA mutasa
itAcidemia metilmalonica refrattaria alla vitamina B12, tipo mut0Aciduria metilmalonica refrattaria alla vitamina B12, tipo mut0 · Deficit completo di metilmalonil-CoA mutasi
nlVitamine B12-resistente methylmalonacidemie, type mut0Vitamine B12-resistente methylmalonacidurie type mut0 · Vitamine B12-resistente methylmalonzuuracidemie, type mut0 · Vitamine B12-resistente methylmalonzuuracidurie, type mut0 · Volledige deficiëntie van methylmalonyl-CoA-mutase
ptAcidemia metilmalónica refratária à vitamina B12 tipo mut0Acidemia metilmalónica refratária à vitamina B12 tipo mut 0 · Acidúria metilmalónica refratária à vitamina B12 tipo mut 0 · Deficiência completa de metilmalonil-CoA epimerase · Deficiência completa de metilmalonil-CoA mutase · Deficiência completa de metilmalonil-CoA racemase
plKwasica metylomalonowa typu mut0 niewrażliwa na witaminę B12Acyduria metylomalonowa typu mut0 niewrażliwa na witaminę B12 · Całkowity Niedobór mutazy metylomalonylo-CoA
csMethylmalonová acidemie, typ mut0, non-responzivní na vitamin B12Úplný deficit methylmalonyl-CoA mutázy
ukМетилмалонова ацидемія, не чутлива до вітаміну В12, тип mut0Повна недостатність метилмалоніл-КоА мутази · Метилмалонова ацидурія, що не реагує на вітамін В12, тип мут0
zh维生素B12-无反应性甲基丙二酸血症mut0型维生素B12-无反应性甲基丙二酸血症mut0型
trB12 vitaminine-yanıtsız metilmalonik asidemi tipi mut0Metilmalonil-KoA mutaz tam eksikliği · B12 vitamini-tepkisiz metilmalonik asidüri tip mut0

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM251000NTBTvalidated
ICD-10E71.1NTBTattributedvalidated
ICD-115C50.E0NTBTindexvalidated
MONDO0017360Evalidated
UMLSC0342718Evalidated

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
MMUTDisease-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

22 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001259Coma
HP:0001510Growth delay
HP:0001254Lethargy
HP:0002017Nausea and vomiting
Frequent (79-30%)
HP:0001263Global developmental delay
HP:0002240Hepatomegaly
HP:0001252Hypotonia
HP:0001249Intellectual disability
HP:0002098Respiratory distress
HP:0001873Thrombocytopenia
Occasional (29-5%)
HP:0001903Anemia
HP:0002072Chorea
HP:0001266Choreoathetosis
HP:0001875Decreased total neutrophil count
HP:0001332Dystonia
HP:0004374Hemiplegia/hemiparesis
HP:0001987Hyperammonemia
HP:0000648Optic atrophy
HP:0001733Pancreatitis
HP:0000083Renal insufficiency
HP:0000124Renal tubular dysfunction
HP:0100806Sepsis

Run the differential on the 4 obligate / very frequent terms

7

Sources for this card