raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:3463

Wolfram syndrome

Synonyms: Arginine vasopressin deficiency- diabetes mellitus-optic atrophy-deafness syndrome · Arginine vasopressin deficiency- diabetes mellitus-optic atrophy-hearing loss syndrome · DIDMOAD syndrome · Diabetes insipidus-diabetes mellitus-optic atrophy-deafness syndrome · Diabetes insipidus-diabetes mellitus-optic atrophy-hearing loss syndrome

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

A rare, genetic, endocrine disorder characterized by type I diabetes mellitus (DM), diabetes insipidus (DI), sensorineural deafness (D), bilateral optical atrophy (OA) and neurological signs.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enWolfram syndromeArginine vasopressin deficiency- diabetes mellitus-optic atrophy-deafness syndrome · Arginine vasopressin deficiency- diabetes mellitus-optic atrophy-hearing loss syndrome · DIDMOAD syndrome · Diabetes insipidus-diabetes mellitus-optic atrophy-deafness syndrome · Diabetes insipidus-diabetes mellitus-optic atrophy-hearing loss syndrome
frSyndrome de WolframSyndrome DIDMOAD · Syndrome de déficit en arginine vasopressine-diabète sucré-atrophie optique-surdité
deWolfram-SyndromDiabetes insipidus-Diabetes mellitus-Optikusatrophie-Schwerhörigkeit-Syndrom · Arginin-Vasopressin-Mangel-Diabetes mellitus-Optikusatrophie-Hörverlust-Syndrom · DIDMOAD-Syndrom
esSíndrome de WolframSíndrome DIDMOAD · Síndrome de deficiencia de arginina vasopresina-diabetes mellitus-atrofia óptica-hipoacusia · Síndrome de deficiencia de arginina vasopresina-diabetes mellitus-atrofia óptica-sordera · Síndrome de diabetes insípida-diabetes mellitus-atrofia óptica-hipoacusia · Síndrome de diabetes insípida-diabetes mellitus-atrofia óptica-sordera
itSindrome di WolframDiabete mellito - diabete insipido - atrofia ottica - sordità · Sindrome DIDMOAD · Sindrome deficit di arginina vasopressina-diabete mellito-atrofia ottica-perdita dell'udito · Sindrome deficit di arginina vasopressina-diabete mellito-atrofia ottica-sordità · Sindrome diabete insipido-diabete mellito-atrofia ottica-perdita dell'udito · Sindrome diabete insipido-diabete mellito-atrofia ottica-sordità
nlSyndroom van WolframDIDMOAD-syndroom · Deficiëntie van arginine-vasopressine - diabetes mellitus - opticusatrofie - doofheid-syndroom · Deficiëntie van arginine-vasopressine - diabetes mellitus - opticusatrofie - gehoorverlies-syndroom · Diabetes insipidus - diabetes mellitus - opticusatrofie - doofheid-syndroom · Diabetes insipidus - diabetes mellitus - opticusatrofie - gehoorverlies-syndroom
ptSíndrome WolframSíndrome DIDMOAD · Síndrome de deficiência de arginina vasopressina-diabetes mellitus-atrofia ótica-perda auditiva · Síndrome de deficiência de arginina vasopressina-diabetes mellitus-atrofia ótica-surdez · Síndrome de diabetes insipidus-diabetes mellitus-atrofia ótica-perda auditiva · Síndrome de diabetes insipidus-diabetes mellitus-atrofia ótica-surdez
plZespół WolframaMoczówka prosta - cukrzyca - atrofia nerwu wzrokowego - głuchota · Moczówka prosta, cukrzyca, atrofia nerwu wzrokowego i głuchota · Zespół DIDMOAD
csWolframův syndromDIDMOAD syndrom · Syndrom zahrnující diabetes insipidus, diabetes mellitus, atrofii optiku a hluchotu
ukСиндром ВольфрамаСиндром дефіциту аргінін-вазопресину - цукрового діабету - атрофії зорового нерва - глухоти · Синдром дефіциту аргінін-вазопресину - цукрового діабету - атрофіу зорового нерва - втрати слуху · Синдром нецукрового діабету-цукрового діабету-атрофії зорового нерва- глухоти · Синдром нецукрового діабету-цукрового діабету-атрофії зорового нерва- втрати слуху · Синдром DIDMOAD
zhWolfram综合征尿崩症-糖尿病-视神经萎缩-听力丧失综合征
trWolfram sendromuDIDMOAD sendromu · Diabetes insipidus-diabetes mellitus-optik atrofi-sağırlık sendromu · Diabetes insipidus-diabetes mellitus-optik atrofi-işitme kaybı sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM222300Evalidated
OMIM598500BTNTvalidated
OMIM604928BTNTvalidated
ICD-10E34.8NTBTattributedvalidated
ICD-115A61.5NTBTindexvalidated
MONDO0018105Evalidated
MeSHD014929Evalidated
UMLSC0043207Evalidated
GARD7898Evalidated
MedDRA10078338Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
WFS1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:12762ENSG000001095016062014p16.1wolframin ER transmembrane glycoprotein16806192[PMID]_12913071[PMID]
CISD2Disease-causing germline mutation(s) inAssessedHGNC:24212ENSG000001453546115074q24CDGSH iron sulfur domain 2
5

Prevalence and incidence

6 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.13 / 100 000United KingdomValue and classValidated7490992[PMID]
Point prevalence1-9 / 1 000 0000.12 / 100 000IndiaValue and classValidated21726277[PMID]
Point prevalence1-9 / 1 000 0000.13 / 100 000WorldwideValue and classValidatedORPHANET_7490992[PMID]_21726277[PMID]_25211237[PMID]
Point prevalence1-9 / 100 0001.83 / 100 000Specific populationValue and classValidated24497219[PMID]
Point prevalence1-9 / 1 000 0000.13 / 100 000JapanValue and classValidated25211237[PMID]
Point prevalence1-9 / 1 000 0000.62 / 100 000EuropeValue and classValidated[EXPERT]

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

39 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000873Diabetes insipidus
HP:0000819Diabetes mellitus
HP:0000648Optic atrophy
HP:0001959Polydipsia
HP:0000407Sensorineural hearing impairment
Frequent (79-30%)
HP:0100016Abnormality of mesentery morphology
HP:0000079Abnormality of the urinary system
HP:0001251Ataxia
HP:0001260Dysarthria
HP:0100518Dysuria
HP:0008872Feeding difficulties in infancy
HP:0000112Nephropathy
HP:0000639Nystagmus
HP:0000010Recurrent urinary tract infections
HP:0001250Seizure
Occasional (29-5%)
HP:0012332Abnormal autonomic nervous system physiology
HP:0001903Anemia
HP:0000708Atypical behavior
HP:0001638Cardiomyopathy
HP:0002871Central apnea
HP:0002120Cerebral cortical atrophy
HP:0002019Constipation
HP:0000823Delayed puberty
HP:0000726Dementia
HP:0002376Developmental regression
HP:0002592Gastric ulcer
HP:0002239Gastrointestinal hemorrhage
HP:0000501Glaucoma
HP:0000738Hallucinations
HP:0000135Hypogonadism
HP:0001249Intellectual disability
HP:0001387Joint stiffness
HP:0002024Malabsorption
HP:0000026Male hypogonadism
HP:0003198Myopathy
HP:0000602Ophthalmoplegia
HP:0009830Peripheral neuropathy
HP:0002093Respiratory insufficiency
HP:0002360Sleep abnormality

Run the differential on the 5 obligate / very frequent terms

7

Sources for this card