raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:333

Farber disease

Synonyms: Acid ceramidase deficiency · Farber lipogranulomatosis

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

A subcutaneous tissue disease characterized by a spectrum of clinical signs ranging from the classical triad of painful and progressively deformed joints, subcutaneous nodules, and progressive hoarseness (due to laryngeal involvement) that presents in infancy, to varying phenotypes with respiratory and neurologic involvement.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFarber diseaseAcid ceramidase deficiency · Farber lipogranulomatosis
frMaladie de FarberDéficit en céramidase acide · Lipogranulomatose de Farber
deFarber-KrankheitCeramidase-Mangel · Farber-Lipogranulomatose
esEnfermedad de FarberDeficiencia de ceramidasa · Lipogranulomatosis de Farber
itMalattia di FarberDeficit di ceramidasi · Lipogranulomatosi di Farber
nlZiekte van FarberCeramidasedeficiëntie · Lipogranulomatose van Farber · N-acylsfingosine-amidohydrolasedeficiëntie
ptDoença de FarberDeficiência de ceramidase · Lipogranulomatose de Farber
plLipogranulomatoza FarberaChoroba Farbera · Niedobór ceramidazy
csFarberova nemocDeficit kyselé ceramidázy · Farberova lipogranulomatóza
ukХвороба ФарбераДефіцит кислої церамідази · Ліпогранулематоз Фарбера
zh法伯病酸性神经酰胺酶缺乏症
trFarber hastalığıFarber lipogranülomatozu · Asit seramidaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM228000Evalidated
ICD-10E75.2NTBTinclusionvalidated
ICD-115C56.0YNTBTindexvalidated
MONDO0009218Evalidated
MeSHD055577Evalidated
UMLSC0268255Evalidated
GARD6426Evalidated
MedDRA10083960Evalidated

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 (7):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ASAH1Disease-causing germline mutation(s) inAssessedHGNC:735ENSG000001047636134688p22N-acylsphingosine amidohydrolase 124355074[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families96 casesWorldwideCase(s)Validated29048419[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_29048419[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

70 annotations · validated 2020-02-03
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
HP:0001369Arthritis
HP:0001371Flexion contracture
HP:0001609Hoarse voice
HP:0001386Joint swelling
HP:0007470Periarticular subcutaneous nodules
Frequent (79-30%)
HP:0011842Abnormality of skeletal morphology
HP:0000707Abnormality of the nervous system
HP:0002086Abnormality of the respiratory system
HP:0002829Arthralgia
HP:0000708Atypical behavior
HP:0010729Cherry red spot of the macula
HP:0003444EMG: chronic denervation signs
HP:0001508Failure to thrive
HP:0008947Floppy infant
HP:0003640Foam cells in visceral organs and CNS
HP:0001263Global developmental delay
HP:0001615Hoarse cry
HP:0001249Intellectual disability
Occasional (29-5%)
HP:0000502Abnormal conjunctiva morphology
HP:0005483Abnormal epiglottis morphology
HP:0001760Abnormal foot morphology
HP:0025423Abnormal larynx morphology
HP:0000766Abnormal sternum morphology
HP:0009811Abnormality of the elbow
HP:0001155Abnormality of the hand
HP:0002815Abnormality of the knee
HP:0003019Abnormality of the wrist
HP:0100750Atelectasis
HP:0012444Brain atrophy
HP:0007957Corneal opacity
HP:0002376Developmental regression
HP:0002207Diffuse reticular or finely nodular infiltrations
HP:0001618Dysphonia
HP:0011968Feeding difficulties
HP:0001433Hepatosplenomegaly
HP:0006511Laryngeal stridor
HP:0000608Macular degeneration
HP:0002300Mutism
HP:0001336Myoclonus
HP:0025392Nodular pattern on pulmonary HRCT
HP:0000939Osteoporosis
HP:0001954Recurrent fever
HP:0002788Recurrent upper respiratory tract infections
HP:0002098Respiratory distress
HP:0002093Respiratory insufficiency
HP:0001250Seizure
HP:0004322Short stature
HP:0003202Skeletal muscle atrophy
HP:0001257Spasticity
HP:0025405Visual fixation instability
HP:0001612Weak cry
Very rare (<4-1%)
HP:0001999Abnormal facial shape
HP:0001903Anemia
HP:0001541Ascites
HP:0002028Chronic diarrhea
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0001399Hepatic failure
HP:0001395Hepatic fibrosis
HP:0001789Hydrops fetalis
HP:0012469Infantile spasms
HP:0006575Intrahepatic cholestasis with episodic jaundice
HP:0001686Loss of voice
HP:0002716Lymphadenopathy
HP:0000639Nystagmus
HP:0007759Opacification of the corneal stroma
HP:0002385Paraparesis
HP:0009381Short finger
HP:0001831Short toe
HP:0001873Thrombocytopenia

Run the differential on the 6 obligate / very frequent terms

Annotation source: 30029679[PMID]_29048419[PMID]_29595935[PMID]

7

Sources for this card