raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:363694

Hyperuricemia-pulmonary hypertension-renal failure-alkalosis syndrome

Synonyms: HUPRA syndrome

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

A rare, genetic, mitochondrial disease characterized by early-onset progressive renal failure, manifesting with hyperuricemia, hyponatremia, hypomagnesemia, hypochloremic metabolic alkalosis, elevated BUN and polyuria, associated with systemic manifestations which include pulmonary hypertension, failure to thrive, global developmental delay, hypotonia and ventricular hypertrophy. Additional features include prematurity, elevated serum lactate, diabetes mellitus and, in some, pancytopenia.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHyperuricemia-pulmonary hypertension-renal failure-alkalosis syndromeHUPRA syndrome
frSyndrome d'hyperuricémie-hypertension artérielle pulmonaire-insuffisance rénale-alcaloseSyndrome HUPRA
deHyperurikämie-pulmonale Hypertension- Nierenversagen-Alkalose-SyndromHUPRA-Syndrom
esSíndrome de hiperuricemia-hipertensión pulmonar-insuficiencia renal-alcalosisSíndrome HUPRA
itSindrome iperuricemia-ipertensione polmonare-insufficienza renale-alcalosiSindrome HUPRA
nlHyperurikemie - pulmonale hypertensie - nierfalen - alkalose-syndroomHUPRA-syndroom
ptSíndrome de hiperuricémia – hipertensão pulmonar – falência renal – alcalose
plZespół hiperurykemia-nadciśnienie płucne-niewydolność nerek-zasadowicaZespół HUPRA
csSyndrom zahrnující hyperurikémii, plicní hypertenzi, renální selhání a alkalózuHUPRA syndrom
ukСиндром гіперурикемії-легеневої гіпертензії-ниркової недостатності-алкалозуСиндром HUPRA
zh高尿酸血症-肺动脉高压-肾衰-碱中毒综合征HURPA综合征
trHiperürisemi-pulmoner hipertansiyon-böbrek yetmezliği-alkaloz sendromuHUPRA sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613845Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C53.2YNTBTattributedvalidated
MONDO0013458Evalidated
UMLSC3151209Evalidated

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
SARS2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:17697ENSG0000010483561280419q13.2seryl-tRNA synthetase 2, mitochondrial21255763[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 familiesWorldwideFamily(ies)Validated21255763[PMID]
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

Orphanet has no HPO annotation for this code in this release.

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Sources for this card