raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2971

Peroxisomal acyl-CoA oxidase deficiency

Synonyms: Pseudo-NALD · Pseudo-neonatal adrenoleukodystrophy · Pseudoadrenoleukodystrophy

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

Peroxisomal acyl-CoA oxidase deficiency is a rare neurodegenerative disorder that belongs to the group of inherited peroxisomal disorders and is characterized by hypotonia and seizures in the neonatal period and neurological regression in early infancy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPeroxisomal acyl-CoA oxidase deficiencyPseudo-NALD · Pseudo-neonatal adrenoleukodystrophy · Pseudoadrenoleukodystrophy
frDéficit en acyl-CoA oxydase
deAcyl-CoA-Oxidase-Mangel, peroxisomalerAcyl-CoA-Oxydase-Mangel · Pseudo-NALD · Pseudoadrenoleukodystrophie · Pseudoadrenoleukodystrophie, neonatale
esDeficiencia de acil CoA oxidasa peroxisomalPseudo-NALD · Pseudoadrenoleucodistrofia · Pseudoadrenoleucodistrofia neonatal
itDeficit perossisomiale di acil-CoA ossidasiPseudo-NALD · Pseudoadrenoleucodistrofia · Pseudoadrenoleucodistrofia neonatale
nlPeroxisomale acyl-CoA-oxidasedeficiëntiePseudo-neonatale adrenoleukodystrofie · Pseudoadrenoleukodystrofie · Pseudo-NALD
ptDeficiência de acil-CoA oxidase peroxissomalPseudo-adrenoleucodistrofia
plPeroksysomalny Niedobór oksydazy acetylo-CoAPseudoadrenoleukodystrofia · Pseudo-NALD · Pseudo-noworodkowa adrenoleukodystrofia
csDeficit peroxizomální acyl-CoA oxidázyPseudo-NALD · Pseudo-novorozenecká adrenoleukodystrofie · Pseudoadrenoleukodystrofie
ukДефіцит пероксисомальної ацил-КоА-оксидазиПсевдоадренолейкодистрофія · Псевдо-НАЛД · Псевдонеонатальна адренолейкодистрофія
zh过氧化物酶体酰基辅酶A氧化酶缺乏症假性肾上腺脑白质营养不良
trPeroksizomal asil-CoA oksidaz eksikliğiPsödo-NALD · Psödoadrenolökodistrofi · Psödo-yenidoğan adrenolökodistrofi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM264470Evalidated
ICD-10E71.3NTBTattributedvalidated
ICD-115C57.1NTBTindexvalidated
MONDO0009919Evalidated
MeSHC536662Evalidated
UMLSC1849678Evalidated
GARD4543Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ACOX1Disease-causing germline mutation(s) inAssessedHGNC:119ENSG0000016153360975117q25.1acyl-CoA oxidase 122508517[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families40 casesWorldwideCase(s)ValidatedORPHANET
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

29 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000512Abnormal electroretinogram
HP:0012639Abnormal nervous system morphology
HP:0001939Abnormality of metabolism/homeostasis
HP:0002167Abnormality of speech or vocalization
HP:0000649Abnormality of visual evoked potentials
HP:0002376Developmental regression
HP:0002353EEG abnormality
HP:0001288Gait disturbance
HP:0001263Global developmental delay
HP:0001347Hyperreflexia
HP:0000668Hypodontia
HP:0001252Hypotonia
HP:0010864Intellectual disability, severe
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
Frequent (79-30%)
HP:0001522Death in infancy
HP:0005280Depressed nasal bridge
HP:0000286Epicanthus
HP:0001508Failure to thrive
HP:0002240Hepatomegaly
HP:0000316Hypertelorism
HP:0000369Low-set ears
HP:0000545Myopia
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0002093Respiratory insufficiency
HP:0000486Strabismus
Occasional (29-5%)
HP:0001161Hand polydactyly
HP:0001276Hypertonia

Run the differential on the 12 obligate / very frequent terms

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Sources for this card