raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:349

Fucosidosis

Synonyms: Alpha-L-fucosidase deficiency

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

A rare lysosomal storage disease characterized by widespread tissue buildup of glycolipids and oligosaccharides rich in fucose. Patients present with broad clinical characteristics such as intellectual disability, developmental delay associated with psychomotor regression and bone abnormalities, visceromegaly, hyperhidrosis, and dermatological abnormalities.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFucosidosisAlpha-L-fucosidase deficiency
frFucosidoseDéficit en alpha-L-fucosidase
deFukosidoseAlpha-L-Fucosidase-Mangel
esFucosidosisDeficiencia de alfa-L-fucosidasa
itFucosidosiDeficit di alfa-L-fucosidasi
nlFucosidoseDeficiëntie van alfa-L-fucosidase
ptFucosidoseDeficiência de alfa-L-fucosidase
plFukozydozaNiedobór alfa-L-fukozydazy
csFukosidózaDeficit alfa-L-fukosidázy
ukФукозидозДефіцит альфа-L-фукозидази
zh岩藻糖苷贮积病α-L-岩藻糖苷酶缺乏症
trFukosidozAlfa-L-fukozidaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM230000Evalidated
ICD-10E77.1NTBTinclusionvalidated
ICD-115C56.21NTBTindexvalidated
MONDO0009254Evalidated
MeSHD005645Evalidated
UMLSC0016788Evalidated
GARD6473Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
FUCA1Disease-causing germline mutation(s) inAssessedHGNC:4006ENSG000001791636122801p36.11alpha-L-fucosidase 110094192[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Cases/families161 casesWorldwideCase(s)Validated36082656[PMID]
Point prevalence<1 / 1 000 0000.06 / 100 000WorldwideValue and classValidated33266441[PMID]_31886074[PMID]_ORPHANET
Prevalence at birth1-9 / 1 000 0000.1 / 100 000SwedenValue and classValidated25274184[PMID]
Prevalence at birth1-9 / 1 000 0000.63 / 100 000CubaValue and classValidated27706744[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

31 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0008430Anterior beaking of lumbar vertebrae
HP:0000248Brachycephaly
HP:0000280Coarse facial features
HP:0000943Dysostosis multiplex
HP:0001508Failure to thrive
HP:0005595Generalized hyperkeratosis
HP:0001263Global developmental delay
HP:0000365Hearing impairment
HP:0002240Hepatomegaly
HP:0000975Hyperhidrosis
HP:0000821Hypothyroidism
HP:0010864Intellectual disability, severe
HP:0002808Kyphosis
HP:0100578Lipoatrophy
HP:0008155Mucopolysacchariduria
HP:0011220Prominent forehead
Frequent (79-30%)
HP:0001626Abnormality of the cardiovascular system
HP:0005264Abnormality of the gallbladder
HP:0007957Corneal opacity
HP:0003199Decreased muscle mass
HP:0001252Hypotonia
HP:0001250Seizure
HP:0002510Spastic tetraplegia
HP:0001257Spasticity
HP:0011276Vascular skin abnormality
Occasional (29-5%)
HP:0001597Abnormal nail morphology
HP:0007256Abnormal pyramidal sign
HP:0000164Abnormality of the dentition
HP:0001063Acrocyanosis
HP:0001640Cardiomegaly

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card