raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3137

Alpha-N-acetylgalactosaminidase deficiency

Synonyms: NAGA deficiency · Schindler disease

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

A very rare lysosomal storage disease that is clinically and pathologically heterogeneous and is characterized by deficient NAGA activity.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAlpha-N-acetylgalactosaminidase deficiencyNAGA deficiency · Schindler disease
frDéficit en alpha-N-acétylgalactosaminidaseDéficit en NAGA · Maladie de Schindler
deAlpha-N-Acetylgalactosaminidase-MangelNAGA-Mangel · Schindler-Krankheit
esDeficiencia de N-acetil-alfa-D-galactosaminidasaDeficiencia de NAGA · Enfermedad de Schindler
itDeficit di alfa-N-acetilgalattosaminidasiDeficit di NAGA · Malattia di Schindler
nlDeficiëntie van alfa-N-acetylgalactosaminidaseNAGA-deficiëntie · Ziekte van Schindler
ptDeficiência de N-acetil-alfa-D-galactosaminidaseDeficiência de NAGA
plNiedobór alfa-N-acetylgalaktozoaminidazyChoroba Schindlera · Niedobór NAGA
csDeficit alfa-N-acetylgalaktosaminidázyNAGA deficit · Schindlerova nemoc
ukДефіцит альфа-N-ацетилгалактозамінідазиДефіцит NAGA · Хвороба Шиндлера
zhα-N-乙酰半乳糖胺酶缺乏症Schindler病
trAlfa-N-asetilgalaktozaminidaz eksikliğiNAGA eksikliği · Schindler hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM609241BTNTvalidated
OMIM609242BTNTvalidated
ICD-10E77.1NTBTattributedvalidated
ICD-115C56.21NTBTindexvalidated
MONDO0017779Evalidated
UMLSC5848084Evalidated

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 (6):

Children (3):

4

Genes

0 direct · 3 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NAGAORPHA:79279Alpha-N-acetylgalactosaminidase deficiency type 1Disease-causing germline mutation(s) inAssessedHGNC:7631ENSG0000019895110417022q13.2alpha-N-acetylgalactosaminidase
NAGAORPHA:79280Alpha-N-acetylgalactosaminidase deficiency type 2Disease-causing germline mutation(s) inAssessedHGNC:7631ENSG0000019895110417022q13.2alpha-N-acetylgalactosaminidase
NAGAORPHA:79281Alpha-N-acetylgalactosaminidase deficiency type 3Disease-causing germline mutation(s) inAssessedHGNC:7631ENSG0000019895110417022q13.2alpha-N-acetylgalactosaminidase
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families20 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

28 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000618Blindness
HP:0002376Developmental regression
HP:0001263Global developmental delay
HP:0000365Hearing impairment
HP:0001252Hypotonia
HP:0001249Intellectual disability
HP:0010471Oligosacchariduria
HP:0001257Spasticity
Frequent (79-30%)
HP:0000518Cataract
HP:0001321Cerebellar hypoplasia
HP:0002120Cerebral cortical atrophy
HP:0002169Clonus
HP:0000280Coarse facial features
HP:0000639Nystagmus
HP:0009830Peripheral neuropathy
HP:0001250Seizure
HP:0002445Tetraplegia
HP:0011276Vascular skin abnormality
HP:0002321Vertigo
Occasional (29-5%)
HP:0000717Autism
HP:0001640Cardiomegaly
HP:0002019Constipation
HP:0002020Gastroesophageal reflux
HP:0001004Lymphedema
HP:0006532Recurrent pneumonia
HP:0002650Scoliosis
HP:0000486Strabismus
HP:0012471Thick vermilion border

Run the differential on the 8 obligate / very frequent terms

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Sources for this card