raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:35858

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.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enImerslund-Gräsbeck syndromeFamilial megaloblastic anemia · Selective cobalamin malabsorption with proteinuria
frSyndrome d'Imerslund-GräsbeckAnémie mégaloblastique congénitale · Maladie d'Imerslund · Syndrome de malabsorption sélective de la cobalamine-protéinurie
deImerslund-Gräsbeck-SyndromCobalamin-Malabsorption, selektive mit Proteinurie · Megaloblasten-Anämie, familiäre
esSíndrome de Imerslund-GräsbeckAnemia megaloblástica familiar · Malabsorción selectiva de cobalamina con proteinuria
itSindrome di Imerslund-GräsbeckAnemia megaloblastica familiare · Malassorbimento selettivo di cobalamina associato a proteinuria · Malattia di Gräsbeck-Imerslund
nlSyndroom van Imerslund-GräsbeckFamiliale megaloblastaire anemie · Familiale megaloblastische anemie · Selectieve malabsorptie van cobalamine met proteïnurie
ptAnemia megaloblástica familiarDoença de Imerslund-Gräsbeck
plChoroba Gräsbecka i ImerslundaRodzinna niedokrwistość megaloblastyczna · Selektywne złe wchłanianie kobalaminy z białkomoczem
csNemoc Gräsbeckova-ImerslundovéFamiliární megaloblastická anémie · Selektivní malabsorpce kobalaminu s proteinurií · Nemoc Gräsbeck-Imerslundové
ukСиндром Імерслунда-ГрасбекаСімейна мегалобластична анемія · Селективна мальабсорбція кобаламіну з протеїнурією
zhImerslund-Grõsbeck综合征选择性钴胺吸收不良伴蛋白尿
trImerslund-Grõsbeck sendromuAilesel megaloblastik anemi · Proteinüri ile seçici kobalamin malabsorpsiyonu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM261100BTNTvalidated
OMIM618882BTNTvalidated
ICD-10D51.1NTBTattributedvalidated
ICD-113A01.YNTBTindexvalidated
MONDO0009853Evalidated
MeSHC538556Evalidated
UMLSC4551825Evalidated
GARD7006Evalidated

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
AMNDisease-causing germline mutation(s) inAssessedHGNC:14604ENSG0000016612660579914q32.32amnion associated transmembrane protein21750092[PMID]_26040326[PMID]
CUBNDisease-causing germline mutation(s) inAssessedHGNC:2548ENSG0000010761160299710p13cubilin10080186[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.5 / 100 000FinlandValue and classValidatedPr Ralph GRÄSBECK[EXPERT]
Point prevalence1-9 / 1 000 0000.5 / 100 000NorwayValue and classValidatedPr Ralph GRÄSBECK[EXPERT]
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET
Point prevalence1-9 / 1 000 0000.5 / 100 000EuropeValue and classValidatedPr 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.

6

HPO phenotypes

30 annotations · validated 2021-09-01
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0410216Abnormal blood 5-methyltetrahydrofolate level
HP:0100502Decreased circulating vitamin B12 concentration
HP:0200118Malabsorption of Vitamin B12
Very frequent (99-80%)
HP:0004821Hypersegmentation of neutrophil nuclei
HP:0001972Macrocytic anemia
HP:0001889Megaloblastic anemia
Frequent (79-30%)
HP:0020061Abnormal hemoglobin concentration
HP:0004823Anisopoikilocytosis
HP:0001875Decreased total neutrophil count
HP:0032566Oval macrocytosis
HP:0000980Pallor
HP:0000093Proteinuria
HP:0001923Reticulocytosis
Occasional (29-5%)
HP:0001892Abnormal bleeding
HP:0000707Abnormality of the nervous system
HP:0030318Angular cheilitis
HP:0002019Constipation
HP:0031936Delayed ability to walk
HP:0000750Delayed speech and language development
HP:0002376Developmental regression
HP:0001508Failure to thrive
HP:0000206Glossitis
HP:0001252Hypotonia
HP:0001876Pancytopenia
HP:0004396Poor appetite
HP:0001649Tachycardia
HP:0001873Thrombocytopenia
HP:0002013Vomiting
HP:0001824Weight loss
Very rare (<4-1%)
HP:0002721Immunodeficiency

Run the differential on the 6 obligate / very frequent terms

Annotation source: 33491342[PMID]_32412981[PMID]_24044590[PMID]_32613615[PMID]

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Sources for this card