raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:320

Apparent mineralocorticoid excess

Synonyms: 11-beta-hydroxysteroid dehydrogenase deficiency type 2 · Ulick syndrome

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

A rare form of pseudohyperaldosteronism characterized by very early-onset and severe hypertension, associated with low renin levels and hypoaldosteronism.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enApparent mineralocorticoid excess11-beta-hydroxysteroid dehydrogenase deficiency type 2 · Ulick syndrome
frExcès apparent de minéralocorticoïdesDéficit en 11-bêta-hydroxystéroïde déshydogénase type 2 · Syndrome d'Ulick
deApparenter Mineralocorticoid Exzess11-beta-Hydroxysteroid-Dehydrogenase-Mangel Typ 2 · Ulick-Syndrom
esExceso aparente de mineralocorticoidesDeficiencia de 11-beta-hidroxiesteroide-deshidrogenasa · Síndrome de Ulick
itEccesso apparente di mineralcorticoidiDeficit di 11-beta-idrossisteroido deidrogenasi, tipo 2 · Sindrome di Ulick
nlSchijnbare overmaat aan mineralocorticoïdDeficiëntie van 11-bèta-hydroxysteroïddehydrogenase type 2 · Syndroom van Ulick
ptExcesso aparente de mineralocorticóidesDeficiência de 11-beta-hidroxiesteroide desidrogenase tipo 2 · Hipocalémia hipertensiva recessiva · Síndrome Ulick
plPozorny nadmiar mineralokortykoidówNiedobór dehydrogenazy 11-beta-hydroksysteroidowej · Zespół Ulicka
csSyndrom zdánlivého nadbytku mineralokortikoidůDeficit 11-beta-hydroxysteroid dehydrogenázy, typ 2 · Ulickův syndrom
ukВиражений надлишок мінералокортикоїдівДефіцит 11-бета-гідроксистероїддегідрогенази типу 2 · Синдром Уліка
zh显性盐皮质激素过多综合征11β-羟类固醇脱氢酶缺乏2型
trGörünür mineralokortikoid fazlalığıUlick sendromu · 11-beta-hidroksisteroid dehidrojenaz eksikliği tip 2

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM218030Evalidated
ICD-10E26.8NTBTattributedvalidated
ICD-115A76.YNTBTindexvalidated
MONDO0009025Evalidated
MeSHD043204Evalidated
UMLSC0342488Evalidated
GARD433Evalidated
MedDRA10080229Evalidated

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
HSD11B2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:5209ENSG0000017638761423216q22.1hydroxysteroid 11-beta dehydrogenase 210523339[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—EuropeClass 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

17 annotations · validated 2019-07-03
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003351Decreased circulating renin concentration
HP:0000822Hypertension
HP:0002900Hypokalemia
Frequent (79-30%)
HP:0012603Abnormal urine sodium concentration
HP:0011731Abnormality of circulating cortisol level
HP:0004319Decreased circulating aldosterone level
HP:0001508Failure to thrive
HP:0001960Hypokalemic metabolic alkalosis
HP:0000121Nephrocalcinosis
HP:0001959Polydipsia
HP:0004322Short stature
Occasional (29-5%)
HP:0001095Hypertensive retinopathy
HP:0001511Intrauterine growth retardation
HP:0001712Left ventricular hypertrophy
HP:0000083Renal insufficiency
HP:0001297Stroke
Excluded (0%)
HP:0012606Renal sodium wasting

Run the differential on the 3 obligate / very frequent terms

Annotation source: 10536001[PMID]_870517[PMID]_226561[PMID]_17314322[PMID]_20610969[PMID]

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Sources for this card