Imerslund-Gräsbeck syndrome
Synonyms: Familial megaloblastic anemia · Selective cobalamin malabsorption with proteinuria
- Type
- Disease
- Group
- Disorder
- Inheritance
- Autosomal recessive
- Age of onset
- Childhood
- Status
- active
Imerslund-Grasbeck syndrome (IGS) or selective vitamin B12 (cobalamin) malabsorption with proteinuria is a rare autosomal recessive disorder characterized by vitamin B12 deficiency commonly resulting in megaloblastic anemia, which is responsive to parenteral vitamin B12 therapy and appears in childhood.
Names in Orphadata languages
12 of 12 languages| Lang | Name | Synonyms |
|---|---|---|
| en | Imerslund-Gräsbeck syndrome | Familial megaloblastic anemia · Selective cobalamin malabsorption with proteinuria |
| fr | Syndrome d'Imerslund-Gräsbeck | Anémie mégaloblastique congénitale · Maladie d'Imerslund · Syndrome de malabsorption sélective de la cobalamine-protéinurie |
| de | Imerslund-Gräsbeck-Syndrom | Cobalamin-Malabsorption, selektive mit Proteinurie · Megaloblasten-Anämie, familiäre |
| es | Síndrome de Imerslund-Gräsbeck | Anemia megaloblástica familiar · Malabsorción selectiva de cobalamina con proteinuria |
| it | Sindrome di Imerslund-Gräsbeck | Anemia megaloblastica familiare · Malassorbimento selettivo di cobalamina associato a proteinuria · Malattia di Gräsbeck-Imerslund |
| nl | Syndroom van Imerslund-Gräsbeck | Familiale megaloblastaire anemie · Familiale megaloblastische anemie · Selectieve malabsorptie van cobalamine met proteïnurie |
| pt | Anemia megaloblástica familiar | Doença de Imerslund-Gräsbeck |
| pl | Choroba Gräsbecka i Imerslunda | Rodzinna niedokrwistość megaloblastyczna · Selektywne złe wchłanianie kobalaminy z białkomoczem |
| cs | Nemoc Gräsbeckova-Imerslundové | Familiární megaloblastická anémie · Selektivní malabsorpce kobalaminu s proteinurií · Nemoc Gräsbeck-Imerslundové |
| uk | Синдром Імерслунда-Грасбека | Сімейна мегалобластична анемія · Селективна мальабсорбція кобаламіну з протеїнурією |
| zh | Imerslund-Grõsbeck综合征 | 选择性钴胺吸收不良伴蛋白尿 |
| tr | Imerslund-Grõsbeck sendromu | Ailesel megaloblastik anemi · Proteinüri ile seçici kobalamin malabsorpsiyonu |
Definition in:
Cross-references
qualifier = Orphanet mapping relation| Source | Code | Qualifier | ICD relation | Validation |
|---|---|---|---|---|
| OMIM | 261100 | BTNT | validated | |
| OMIM | 618882 | BTNT | validated | |
| ICD-10 | D51.1 | NTBT | attributed | validated |
| ICD-11 | 3A01.Y | NTBT | index | validated |
| MONDO | 0009853 | E | validated | |
| MeSH | C538556 | E | validated | |
| UMLS | C4551825 | E | validated | |
| GARD | 7006 | E | validated |
E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.
Classification
Preferential parent (Orphanet linearisation):
Parents in the classifications (4):
- ORPHA:98396Constitutional megaloblastic anemia due to vitamin B12 metabolism disorder
rare genetic diseases; rare hematological diseases - ORPHA:79171Disorder of cobalamin metabolism and transport
rare inborn errors of metabolism; rare genetic diseases - ORPHA:104004Intestinal disease due to vitamin absorption anomaly
rare gastroenterological diseases; rare genetic diseases - ORPHA:93593Nephropathy secondary to a storage or other metabolic disease
rare genetic diseases; rare renal diseases
No children.
Genes
2 direct| Gene | Association | Status | HGNC | Ensembl | OMIM | Locus | Name | Source of validation |
|---|---|---|---|---|---|---|---|---|
| AMN | Disease-causing germline mutation(s) in | Assessed | HGNC:14604 | ENSG00000166126 | 605799 | 14q32.32 | amnion associated transmembrane protein | 21750092[PMID]_26040326[PMID] |
| CUBN | Disease-causing germline mutation(s) in | Assessed | HGNC:2548 | ENSG00000107611 | 602997 | 10p13 | cubilin | 10080186[PMID] |
Prevalence and incidence
4 records| Type | Class | Value | Area | Qualification | Validation | Source |
|---|---|---|---|---|---|---|
| Point prevalence | 1-9 / 1 000 000 | 0.5 / 100 000 | Finland | Value and class | Validated | Pr Ralph GRÄSBECK[EXPERT] |
| Point prevalence | 1-9 / 1 000 000 | 0.5 / 100 000 | Norway | Value and class | Validated | Pr Ralph GRÄSBECK[EXPERT] |
| Point prevalence | Unknown | — | Worldwide | Class only | Not yet validated | ORPHANET |
| Point prevalence | 1-9 / 1 000 000 | 0.5 / 100 000 | Europe | Value and class | Validated | Pr Ralph GRÄSBECK[EXPERT]_ORPHANET |
Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.
HPO phenotypes
30 annotations · validated 2021-09-01| HPO | Term (as annotated by Orphanet) | Diagnostic |
|---|---|---|
| Obligate (100%) | ||
| HP:0410216 | Abnormal blood 5-methyltetrahydrofolate level | |
| HP:0100502 | Decreased circulating vitamin B12 concentration | |
| HP:0200118 | Malabsorption of Vitamin B12 | |
| Very frequent (99-80%) | ||
| HP:0004821 | Hypersegmentation of neutrophil nuclei | |
| HP:0001972 | Macrocytic anemia | |
| HP:0001889 | Megaloblastic anemia | |
| Frequent (79-30%) | ||
| HP:0020061 | Abnormal hemoglobin concentration | |
| HP:0004823 | Anisopoikilocytosis | |
| HP:0001875 | Decreased total neutrophil count | |
| HP:0032566 | Oval macrocytosis | |
| HP:0000980 | Pallor | |
| HP:0000093 | Proteinuria | |
| HP:0001923 | Reticulocytosis | |
| Occasional (29-5%) | ||
| HP:0001892 | Abnormal bleeding | |
| HP:0000707 | Abnormality of the nervous system | |
| HP:0030318 | Angular cheilitis | |
| HP:0002019 | Constipation | |
| HP:0031936 | Delayed ability to walk | |
| HP:0000750 | Delayed speech and language development | |
| HP:0002376 | Developmental regression | |
| HP:0001508 | Failure to thrive | |
| HP:0000206 | Glossitis | |
| HP:0001252 | Hypotonia | |
| HP:0001876 | Pancytopenia | |
| HP:0004396 | Poor appetite | |
| HP:0001649 | Tachycardia | |
| HP:0001873 | Thrombocytopenia | |
| HP:0002013 | Vomiting | |
| HP:0001824 | Weight loss | |
| Very rare (<4-1%) | ||
| HP:0002721 | Immunodeficiency | |
Run the differential on the 6 obligate / very frequent terms
Annotation source: 33491342[PMID]_32412981[PMID]_24044590[PMID]_32613615[PMID]
Sources for this card
- Orphanet page: orpha.net/en/disease/detail/35858
- This record as JSON: /data/d/35858.json