raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:309854

Cirrhosis-dystonia-polycythemia-hypermanganesemia syndrome

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

A rare disorder of manganese transport characterized by childhood onset of extrapyramidal movement disorder (including dystonia, tremor, and bradykinesia), liver cirrhosis, polycythemia, and hypermanganesemia. Cases with spastic paraparesis without extrapyramidal dysfunction have also been reported. Cognitive functions are preserved. Brain imaging findings are consistent with deposition of manganese in the basal ganglia, dentate nucleus, brain stem, and anterior pituitary.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCirrhosis-dystonia-polycythemia-hypermanganesemia syndrome
frSyndrome de cirrhose-dystonie-polycythémie-hypermanganésémie
deZirrhose-Dystonie-Polyzythämie-Hypermanganämie-Syndrom
esSíndrome de cirrosis-distonía-policitemia-hipermanganesemia
itSindrome cirrosi-distonia-policitemia-ipermagnesemia
nlCirrose - dystonie - polycytemie - hypermanganesemie-syndroom
ptSíndrome de cirrose - distonia - policitémia - hipermanganesémia
plZespół marskość wątroby-dystonia-policytemia-hipermanganemia
csSyndrom zahrnující cirhózu, dystonii, polycytémii a hypermanganémii
ukСиндром цирозу печінки-дистонії-поліцитемії-гіперманганеземії
zh肝硬化-肌张力障碍-红细胞增多症-高锰血症综合征
trSiroz-distoni-polisitemi-hipermanganezemi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613280Evalidated
ICD-10E83.8NTBTattributedvalidated
ICD-115C64.40NTBTattributedvalidated
MONDO0013208Evalidated
MeSHC548016Evalidated
UMLSC2750442Evalidated
GARD10706Evalidated

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
SLC30A10Disease-causing germline mutation(s) inAssessedHGNC:25355ENSG000001966606111461q41solute carrier family 30 member 1022341972[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families20 casesWorldwideCase(s)Validated22934317[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_22934317[PMID]

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

39 annotations · validated 2018-06-14
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0012751Abnormal basal ganglia MRI signal intensity
HP:0010927Abnormal blood inorganic cation concentration
HP:0002453Abnormal globus pallidus morphology
HP:0012447Abnormal myelination
HP:0040135Abnormal transferrin saturation
HP:0001392Abnormality of the liver
HP:0002345Action tremor
HP:0002067Bradykinesia
HP:0001260Dysarthria
HP:0002075Dysdiadochokinesis
HP:0001332Dystonia
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0002040Esophageal varix
HP:0001288Gait disturbance
HP:0002240Hepatomegaly
HP:0001276Hypertonia
HP:0000338Hypomimic face
HP:0001413Micronodular cirrhosis
HP:0009830Peripheral neuropathy
HP:0001901Polycythemia
HP:0001409Portal hypertension
HP:0002172Postural instability
HP:0002063Rigidity
HP:0001744Splenomegaly
Occasional (29-5%)
HP:0004337Abnormality of amino acid metabolism
HP:0001928Abnormality of coagulation
HP:0002446Astrocytosis
HP:0025321Copper accumulation in liver
HP:0012343Decreased serum ferritin
HP:0002154Hyperglycinemia
HP:0001639Hypertrophic cardiomyopathy
HP:0025196Increased total iron binding capacity
HP:0000952Jaundice
HP:0100513Low levels of vitamin E
HP:0000252Microcephaly
HP:0007010Poor fine motor coordination
HP:0008151Prolonged prothrombin time
HP:0002313Spastic paraparesis
HP:0002078Truncal ataxia

Annotation source: 18392750[PMID]_24599576[PMID]_22341972[PMID]_22341971[PMID]

7

Sources for this card