raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:35664

ALDH18A1-related De Barsy syndrome

Synonyms: Neurocutaneous syndrome, Bicknell type · P5CS deficiency · Delta-1-pyrroline 5-carboxylate synthetase deficiency

Type
Etiological subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive, Not applicable
Age of onset
Infancy, Neonatal
Status
active

A rare, genetic, neurometabolic disease characterized by prenatal and postnatal growth retardation, hypotonia, failure to thrive, large and late-closing fontanel, development delay, cutis laxa, joint laxity, progeroid appearance, and dysmorphic facial features. In addition, corneal opacities, cataracts, myopia, seizures, hyperreflexia and athetoid movements have also been associated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enALDH18A1-related De Barsy syndromeNeurocutaneous syndrome, Bicknell type · P5CS deficiency · Delta-1-pyrroline 5-carboxylate synthetase deficiency
frSyndrome de De Barsy associé à ALDH18A1Déficit en P5CS · Déficit en delta-1-pyrroline 5-carboxylate synthétase · Syndrome neurocutané type Bicknell
deDeBarsy-Syndrom, ALDH18A1-abhängigesDelta-1-Pyrrolin-5-Carboxylat-Synthetase-Mangel · Neurokutanes Syndrom Typ Bicknell · P5CS-Mangel
esSíndrome de De Barsy asociado a ALDH18A1Deficiencia de Delta-1-pirrolina 5-carboxilato sintetasa · Deficiencia de P5CS · Síndrome neurocutáneo tipo Bicknell
itSindrome di De Barsy correlata a ALDH18A1Deficit di P5CS · Deficit di delta-1-pirrolina 5-carbossilato sintetasi · Sindrome neurocutanea, tipo Bicknell
nlALDH18A1-gerelateerd syndroom van De BarsyDelta-1-pyrroline 5-carboxylaatsynthetasedeficiëntie · Neurocutaan syndroom, Bicknell-type · P5CS-deficiëntie
ptSíndrome De Barsy ALDH18A1-relacionadaDeficiência de delta-1-pirrolina-5-carboxilato sintetase
plZespół De Barsy'ego związany z ALDH18A1Delta-1-pyrroline 5-carboxylate synthetase deficiency Niedobór syntetazy karboksylanu delta-1-piroliny · Niedobór P5CS · Zespół nerwowo-skórny, typ Bicknella
csALDH18A1-vázaný De Barsyho syndromDeficit delta 1-pyrrolin-5-karboxylátsyntetázy · Deficit P5CS · Neurokutánní syndrom, Bicknellův typ
ukСиндром де Барсі, повязаний з ALDH18A1Дефіцит дельта-1-піролін-5-карбоксилатсинтетази · Нейрошкірний синдром, тип Бікнелла · Дефіцит P5CS
zhALDH18A1相关De Barsy综合征δ1-二氢吡咯5-羧酸合成酶缺乏症
trALDH18A1--ilişkili De Barsy sendromuP5CS eksikliği · Nörokutanöz sendrom, Bicknell tipi · Delta-1-pirrolin 5-karboksilat sentetaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM219150Evalidated
ICD-10Q87.8NTBTattributedvalidated
ICD-115C50.8NTBTindexvalidated
MONDO0009053Evalidated
UMLSC5234852Evalidated

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 (1):

  • ORPHA:2962De Barsy syndrome
    rare developmental anomalies during embryogenesis; rare inborn errors of metabolism; rare genetic diseases; rare neurological diseases; rare abdominal surgical diseases; rare surgical thoracic diseases; rare skin diseases; rare ophthalmic disorders

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ALDH18A1Disease-causing germline mutation(s) inAssessedHGNC:9722ENSG0000005957313825010q24.1aldehyde dehydrogenase 18 family member A121739576[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families32 casesWorldwideCase(s)ValidatedORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

5 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000518Cataract
HP:0001263Global developmental delay
HP:0000974Hyperextensible skin
HP:0001249Intellectual disability
HP:0001382Joint hypermobility

Run the differential on the 5 obligate / very frequent terms

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Sources for this card