raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:35

Propionic acidemia

Synonyms: Ketotic hyperglycinemia · Propionic aciduria · Propionyl-CoA carboxylase deficiency

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

Propionic acidemia (PA) is an organic aciduria caused by the deficient activity of the propionyl Coenzyme A carboxylase and is characterized by life threatening episodes of metabolic decompensation, neurological dysfunction and that may be complicated by cardiomyopathy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPropionic acidemiaKetotic hyperglycinemia · Propionic aciduria · Propionyl-CoA carboxylase deficiency
frAcidémie propioniqueAcidurie propionique · Déficit en propionyl-CoA carboxylase · Glycinémie cétosique
dePropionazidämieGlycinämie, ketotische · Propionazidurie · Propionyl-CoA-Carboxylase-Mangel
esAcidemia propiónicaAciduria propiónica · Deficiencia de propionil-CoA carboxilasa · Hiperglicinemia cetósica
itAcidemia propionicaAciduria propionica · Deficit di propionil-CoA carbossilasi · Iperglicinemia chetosica
nlPropionacidemieDeficiëntie van propionyl-CoA-carboxylase · Ketotische hyperglycinemie · Propionacidurie · Propionzuuracidemie · Propionzuuracidurie
ptAcidemia propiónicaDeficiência de propionil-CoA carboxilase · Glicinemia cetótica
plKwasica propionowaAcyduria propionowa · Hiperglicynemia ketonowa · Niedobór karboksylazy propionylo-CoA
csPropionová acidémieKetotická hyperglycinémie · Propionová acidurie · Deficit propionyl-CoA karboxylázy
ukПропіонова ацидеміяКетозна гіперглікемія · Пропіонова ацидурія · Дефіцит пропіоніл-КоА-карбоксилази
zh丙酸血症丙酰辅酶A羧化酶缺乏
trPropiyonik asidemiPropiyonik asidüri · Ketotik hiperglisinemi · Propionyl-CoA karboksilaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM606054Evalidated
ICD-10E71.1NTBTinclusionvalidated
ICD-115C50.E0NTBTindexvalidated
MONDO0011628Evalidated
MeSHD056693Evalidated
UMLSC0268579Evalidated
GARD467Evalidated

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 (2):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PCCADisease-causing germline mutation(s) inAssessedHGNC:8653ENSG0000017519823200013q32.3propionyl-CoA carboxylase subunit alpha22593918[PMID]
PCCBDisease-causing germline mutation(s) inAssessedHGNC:8654ENSG000001140542320503q22.3propionyl-CoA carboxylase subunit beta22593918[PMID]
5

Prevalence and incidence

9 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth>1 / 1000100 / 100 000CanadaValue and classValidated10820128[PMID]_23509210[PMID]
Annual incidence1-9 / 100 0001.5 / 100 000WorldwideValue and classValidated22593918[PMID]_14586648[PMID]
Point prevalence1-9 / 1 000 0000.2 / 100 000EuropeValue and classValidated23509210[PMID]
Prevalence at birth1-9 / 1 000 0000.6 / 100 000ItalyValue and classValidated11953730[PMID]
Prevalence at birth1-9 / 100 0004 / 100 000GermanyValue and classValidated23509210[PMID]
Prevalence at birth1-5 / 10 00033 / 100 000Saudi ArabiaValue and classValidated23509210[PMID]
Prevalence at birth1-9 / 100 0005.7 / 100 000JapanValue and classValidated12189489[PMID]_23509210[PMID]
Prevalence at birth1-9 / 100 0001.23 / 100 000Korea, Republic ofValue and classValidated24101962[PMID]
Point prevalence<1 / 1 000 0000.0278 / 100 000ChinaValue and classValidated34103049[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

11 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002019Constipation
HP:0001987Hyperammonemia
HP:0001943Hypoglycemia
HP:0001992Organic aciduria
HP:0003353Propionyl-CoA carboxylase deficiency
Frequent (79-30%)
HP:0010978Abnormality of immune system physiology
HP:0011675Arrhythmia
HP:0001263Global developmental delay
HP:0002240Hepatomegaly
HP:0001249Intellectual disability
Occasional (29-5%)
HP:0001638Cardiomyopathy

Run the differential on the 5 obligate / very frequent terms

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Sources for this card