raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3261

Autoimmune lymphoproliferative syndrome

Synonyms: ALPS · Canale-Smith syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive
Age of onset
All ages
Status
active

A rare, inherited disorder characterized by non-malignant lymphoproliferation, multilineage cytopenias, and a lifelong increased risk of Hodgkin's and non-Hodgkin's lymphoma.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutoimmune lymphoproliferative syndromeALPS · Canale-Smith syndrome
frSyndrome lymphoprolifératif auto-immunALPS · SLAI · Syndrome de Canale-Smith · Syndrome lymphoprolifératif avec auto-immunité
deAutoimmun-lymphoproliferatives SyndromALPS · Canale-Smith-Syndrom · FAS-Mangel
esSíndrome linfoproliferativo autoinmuneALPS · Síndrome de Canale-Smith
itSindrome linfoproliferativa autoimmuneALPS · Sindrome di Canale-Smith
nlAuto-immuun lymfoproliferatief syndroomALPS · Syndroom van Canale-Smith
ptSíndrome linfoproliferativo autoimuneALPS · Síndrome Canale-Smith
plAutoimmunizacyjny zespół limfoproliferacyjnyALPS · Niedobór FAS · Zespół Canale'a i Smitha
csAutoimunitní lymfoproliferativní syndromALPS · FAS deficit · Canaleův-Smithův syndrom · Canale-Smithův syndrom
ukАутоімунний лімфопроліферативний синдромALPS · Синдром Канале-Сміта
zh自身免疫淋巴增生综合征Canale-Smith 综合征
trOtoimmün lenfoproliferatif sendromALPLER · Canale-Smith sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM601859Evalidated
OMIM603909BTNTvalidated
OMIM618534BTNTvalidated
ICD-10D47.9NTBTattributedvalidated
ICD-114A01.22NTBTindexvalidated
MONDO0017979Evalidated
MeSHD056735Evalidated
UMLSC1328840Evalidated
GARD8686Evalidated
MedDRA10069521Evalidated

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 (3):

No children.

4

Genes

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CASP10Disease-causing germline mutation(s) inAssessedHGNC:1500ENSG000000034006017622q33.1caspase 1020301287[PMID]_10412980[PMID]_17999750[PMID]
FASDisease-causing germline mutation(s) inAssessedHGNC:11920ENSG0000002610313463710q23.31Fas cell surface death receptor22983577[PMID]_21885602[PMID]_20301287[PMID]
FASLGDisease-causing germline mutation(s) inAssessedHGNC:11936ENSG000001175601346381q24.3Fas ligand20301287[PMID]_16627752[PMID]_17605793[PMID]
FASDisease-causing somatic mutation(s) inAssessedHGNC:11920ENSG0000002610313463710q23.31Fas cell surface death receptor22983577[PMID]_21885602[PMID]_20301287[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families500 casesWorldwideCase(s)Validated20538792[PMID]
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET_20538792[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

72 annotations · validated 2019-04-29
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002960Autoimmunity
HP:0002730Chronic noninfectious lymphadenopathyDiagnostic criterion
HP:0002716Lymphadenopathy
HP:0001744Splenomegaly
Frequent (79-30%)
HP:0001892Abnormal bleeding
HP:0011117Abnormal circulating interleukin concentration
HP:0030886Abnormal lymphocyte apoptosisDiagnostic criterion
HP:0001890Autoimmune hemolytic anemiaDiagnostic criterion
HP:0001973Autoimmune thrombocytopeniaDiagnostic criterion
HP:0000978Bruising susceptibility
HP:0002851Elevated proportion of CD4-negative, CD8-negative, alpha-beta regulatory T cellsDiagnostic criterion
HP:0002240Hepatomegaly
HP:0001971Hypersplenism
HP:0005404Increased B cell count
HP:0003237Increased circulating IgG level
HP:0010702Increased circulating immunoglobulin concentrationDiagnostic criterion
HP:0033199Increased circulating interleukin 10 concentrationDiagnostic criterion
HP:0001904Neutropenia in presence of anti-neutropil antibodiesDiagnostic criterion
Occasional (29-5%)
HP:0031392Abnormal proportion of CD4 T cells
HP:0031393Abnormal proportion of CD8 T cells
HP:0040126Abnormal vitamin B12 levelDiagnostic criterion
HP:0003453Antineutrophil antibody positivity
HP:0003493Antinuclear antibody positivity
HP:0003613Antiphospholipid antibody positivity
HP:0012191B-cell lymphoma
HP:0030080Burkitt lymphoma
HP:0004844Coombs-positive hemolytic anemia
HP:0004315Decreased circulating IgG level
HP:0002850Decreased circulating total IgM
HP:0032218Decreased proportion of CD4-positive T cells
HP:6000017Elevated circulating soluble FASL concentrationDiagnostic criterion
HP:6000016Elevated circulating vitamin B12 concentrationDiagnostic criterion
HP:0000099Glomerulonephritis
HP:0012115Hepatitis
HP:0012189Hodgkin lymphoma
HP:0003261Increased circulating IgA level
HP:0003212Increased circulating IgE concentration
HP:0034447Increased circulating interleukin 18 concentrationDiagnostic criterion
HP:0001880Increased total eosinophil count
HP:0100827Lymphocytosis
HP:0001888Lymphopenia
HP:0012539Non-Hodgkin lymphoma
HP:0001923Reticulocytosis
HP:0002923Rheumatoid factor positive
HP:0002848Specific anti-polysaccharide antibody deficiency
HP:0012190T-cell lymphoma
HP:0100646Thyroiditis
HP:0001025Urticaria
HP:0002633Vasculitis
Very rare (<4-1%)
HP:0001369Arthritis
HP:0002671Basal cell carcinoma
HP:0031020Bone marrow hypercellularity
HP:0005528Bone marrow hypocellularity
HP:0002583Colitis
HP:0010619Fibroadenoma of the breast
HP:0005263Gastritis
HP:0002315Headache
HP:0001402Hepatocellular carcinoma
HP:0001789Hydrops fetalis
HP:0008069Neoplasm of the skin
HP:0100648Neoplasm of the tongue
HP:0012490Panniculitis
HP:0008209Premature ovarian insufficiency
HP:0002206Pulmonary fibrosis
HP:0002113Pulmonary infiltrates
HP:0011107Recurrent aphthous stomatitis
HP:0000083Renal insufficiency
HP:0001250Seizure
HP:0002725Systemic lupus erythematosus
HP:0000854Thyroid adenoma
HP:0002890Thyroid carcinoma
HP:0000554Uveitis

Run the differential on the 4 obligate / very frequent terms

Annotation source: 15767081[PMID]_11418480[PMID]_9028957[PMID]_8929361[PMID]_7540117[PMID]_1386609[PMID]_4165068[PMID]_20301287[PMID]_30958694[PMID]

7

Sources for this card