raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:31150

Tangier disease

Synonyms: ATP-binding cassette transporter A1 deficiency · Analphalipoproteinemia

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

A rare, genetic neurometabolic disease characterized biochemically by an almost complete absence of plasma high-density lipoproteins (HDL), and clinically by liver, spleen, lymph node and tonsil enlargement along with multifocal peripheral neuropathy, corneal, skin and nail and, occasionally, cardiovascular disease.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTangier diseaseATP-binding cassette transporter A1 deficiency · Analphalipoproteinemia
frMaladie de TangierAnalphalipoprotéinémie · Déficit du transporteur à ATP-binding cassette A1
deTangier-KrankheitATP-binding cassette-Transporter A1-Defekt · Analphalipoproteinämie
esEnfermedad de TangierAnalfalipoproteinemia · Casete transportador de unión a adenosina trifosfato A1 defectuoso · Deficiencia del casete transportador de unión a ATP A1
itMalattia di TangierAnalfalipoproteinemia · Deficit del trasportatore a cassetta legante ATP · Deficit del trasportatore a cassetta legante l'adenosina trifosfato A1
nlZiekte van TangierAnalfalipoproteïnemie · ATP-binding cassette transporter A1-deficiëntie
ptDoença de Tangier
plChoroba TangierAnalfalipoproteinemia · Defekt kasety wiążącej trójfosforan adenozyny transportera A1 · Niedobór kasety wiążącej ATP transportera A1
csTangierská nemocDeficit ATP-vázajícího kazetového transportéru A1 · Analfalipoproteinémie · Defektní adenozin trifosfát-vázající kazetový transportér A1
ukХвороба ТанжераАнальфаліпопротеїнемія · Дефіцит АТФ-звязуючого касетного транспортера А1
zh丹吉尔病三磷酸腺苷结合盒转运体A1缺乏症
trTangier hastalığıAnalfalipoproteinemi · ATP bağlayıcı kaset taşıyıcı A1 eksikliği · Defektif adenozin trifosfat bağlayıcı kaset taşıyıcı A1

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM205400Evalidated
ICD-10E78.6NTBTattributedvalidated
ICD-115C81.0NTBTindexvalidated
MONDO0008783Evalidated
MeSHD013631Evalidated
UMLSC0039292Evalidated
GARD7731Evalidated
MedDRA10051875Evalidated

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
ABCA1Disease-causing germline mutation(s) inAssessedHGNC:29ENSG000001650296000469q31.1ATP binding cassette subfamily A member 110535983[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families185 casesWorldwideCase(s)Validated27565770[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_22913675[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

22 annotations · validated 2017-02-06
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002155Hypertriglyceridemia
HP:0003146Hypocholesterolemia
Frequent (79-30%)
HP:0002027Abdominal pain
HP:0004943Accelerated atherosclerosis
HP:0002730Chronic noninfectious lymphadenopathy
HP:0005145Coronary artery stenosis
HP:0002460Distal muscle weakness
HP:0000958Dry skin
HP:0000656Ectropion
HP:0001433Hepatosplenomegaly
HP:0008404Nail dystrophy
HP:0030814Orange discoloured tonsils
HP:0003477Peripheral axonal neuropathy
HP:0007133Progressive peripheral neuropathy
Occasional (29-5%)
HP:0001903Anemia
HP:0100546Carotid artery stenosis
HP:0007957Corneal opacity
HP:0001349Facial diplegia
HP:0010829Impaired temperature sensition
HP:0001712Left ventricular hypertrophy
HP:0003396Syringomyelia
HP:0001873Thrombocytopenia

Run the differential on the 2 obligate / very frequent terms

Annotation source: 18955690[PMID]_10431236[PMID]_10525055[PMID]_195100[PMID]_4165386[PMID]_10431238[PMID]

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Sources for this card