raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:391428

HSD10 disease, infantile type

Synonyms: 2-methyl-3-hydroxybutyric aciduria, classic type · 2-methyl-3-hydroxybutyric aciduria, infantile type · 2-methyl-3-hydroxybutyryl-CoA dehydrogenase deficiency, classic type · 2-methyl-3-hydroxybutyryl-CoA dehydrogenase deficiency, infantile type · HSD10 deficiency, classic type · HSD10 deficiency, infantile type · HSD10 disease, classic type · MHBD deficiency, classic type · MHBD deficiency, infantile type

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
X-linked dominant
Age of onset
Infancy, Neonatal
Status
active

A clinical subtype of HSD10 disease, a rare neurometabolic disorder. Affected boys may show lethargy, poor feeding and evidence of mitochondrial dysfunction in the newborn period, with subsequent mild developmental delay and abnormal muscle tone. Hallmark of the disease is progressive neurodegeneration and cardiomyopathy, which usually manifests between ages 6 months and 2 years with developmental regression, progressive visual and hearing loss, epilepsy and other neurological symptoms, and severe cardiomyopathy. Laboratory investigations show signs of mitochondrial dysfunction, and increased urinary excretion of specific isoleucine metabolites. The disease is often fatal around 2-4 years of age.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHSD10 disease, infantile type2-methyl-3-hydroxybutyric aciduria, classic type · 2-methyl-3-hydroxybutyric aciduria, infantile type · 2-methyl-3-hydroxybutyryl-CoA dehydrogenase deficiency, classic type · 2-methyl-3-hydroxybutyryl-CoA dehydrogenase deficiency, infantile type · HSD10 deficiency, classic type · HSD10 deficiency, infantile type · HSD10 disease, classic type · MHBD deficiency, classic type · MHBD deficiency, infantile type
frMaladie HSD10 type infantileAcidurie 2-méthyl-3-hydroxybutyrique type classique · Acidurie 2-méthyl-3-hydroxybutyrique type infantile · Déficit en 2-méthyl-3-hydroxybutyryl-CoA déshydrogénase type classique · Déficit en 2-méthyl-3-hydroxybutyryl-CoA déshydrogénase type infantile · Déficit en HSD10 type classique · Déficit en HSD10 type infantile · Déficit en MHBD type classique · Déficit en MHBD type infantile · Maladie HSD10 type classique
deHSD10-Krankheit, infantiler Typ2-Methyl-3-Hydroxybutyrazidurie, infantiler Typ · 2-Methyl-3-Hydroxybutyrazidurie, klassischer Typ · 2-Methyl-3-Hydroxybutyryl-CoA-Dehydrogenase-Mangel, infantiler Typ · 2-Methyl-3-Hydroxybutyryl-CoA-Dehydrogenase-Mangel, klassischer Typ · HSD10-Krankheit, klassischer Typ · HSD10-Mangel, infantiler Typ · HSD10-Mangel, klassischer Typ · MHBD-Mangel, infantiler Typ · MHBD-Mangel, klassischer Typ
esEnfermedad de HSD10 tipo infantilAciduria 2-metil-3-hidroxibutírica tipo clásico · Aciduria 2-metil-3-hidroxibutírica tipo infantil · Deficiencia de 2-metil-3-hidroxibutiril-CoA deshidrogenasa tipo clásico · Deficiencia de 2-metil-3-hidroxibutiril-CoA deshidrogenasa tipo infantil · Deficiencia de HSD10 tipo clásico · Deficiencia de HSD10 tipo infantil · Deficiencia de MHBD tipo clásico · Deficiencia de MHBD tipo infantil · Enfermedad de HSD10 tipo clásico
itMalattia HSD10, forma infantileAciduria 2-metil-3-idrossibutirril-CoA deidrogenasi, forma classica · Aciduria 2-metil-3-idrossibutirril-CoA deidrogenasi, forma infantile · Deficit di 2-metil-3-idrossibutirril-CoA deidrogenasi, forma classica · Deficit di 2-metil-3-idrossibutirril-CoA deidrogenasi, forma infantile · Deficit di HSD10, forma classica · Deficit di HSD10, forma infantile · Deficit di MHBD, forma classica · Deficit di MHBD, forma infantile · Malattia HSD10, forma classica
nlHSD10-ziekte, infantiel type2-methyl-3-hydroxybutaanzuuracidurie, infantiel type · 2-methyl-3-hydroxybutaanzuuracidurie, klassiek type · 2-methyl-3-hydroxybutyryl-CoA dehydrogenasedeficiëntie, infantiel type · 2-methyl-3-hydroxybutyryl-CoA dehydrogenasedeficiëntie, klassiek type · HSD10-deficiëntie, infantiel type · HSD10-deficiëntie, klassiek type · HSD10-ziekte, klassiek type · MHBD-deficiëntie, klassiek type · MHDB-deficiëntie, infantiel type
ptDoença HSD10, tipo infantil
plChoroba HSD10 typ dziecięcyAcyduria 2-metylo-3-hydroksymasłowa, typ dziecięcy · Acyduria 2-metylo-3-hydroksymasłowa, typ klasyczny · Choroba HSD10, typ klasyczny · Niedobór dehydrogenazy 2-metylo-3-hydroksymasłowego-CoA, typ dziecięcy · Niedobór dehydrogenazy 2-metylo-3-hydroksymasłowego-CoA, typ klasyczny · Niedobór HSD10, typ dziecięcy · Niedobór HSD10, typ klasyczny · Niedobór MHBD, typ dziecięcy · Niedobór MHBD, typ klasyczny
csDeficit 2-methyl-3-hydroxybutyryl-CoA dehydrogenázy, infantilní typ2-methyl-3-hydroxymáselná acidurie, klasický typ · 2-methyl-3-hydroxymáselná acidurie, infantilní typ · Deficit 2-methyl-3-hydroxybutyryl-CoA dehydrogenázy, klasický typ · Deficit 2-methyl-3-hydroxybutyryl-CoA deyhdrogenázy, infantilní typ · HSD10 deficit, klasický typ · HSD10 deficit, infantilní typ · Deficit MHBD, klasický typ · Deficit MHBD, infantilní typ
ukХвороба HSD10, інфантильний тип2-метил-3-гідроксимасляна ацидурія, класичний тип · 2-метил-3-гідроксимасляна ацидурія, інфантильний тип · Дефіцит 2-метил-3-гідроксибутирил-КоА-дегідрогенази, класичний тип · Дефіцит 2-метил-3-гідроксибутирил-КоА-дегідрогенази, інфантильний тип · Дефіцит HSD10, класичний тип · Дефіцит HSD10, інфантильний тип · Хвороба HSD10, класичний тип · Дефіцит MHBD, класичний тип · Дефіцит MHBD, інфантильний тип
zh婴儿型HSD10病婴儿型2-甲基-3-羟丁酰辅酶A脱氢酶缺乏症
trHSD10 hastalığı, infantil tipHSD10 hastalığı, klasik tip · MHBD eksikliği, klasik tip · HSD10 eksikliği, klasik tip · MHBD eksikliği, infantil tip · HSD10 eksikliği, infantil tip · 2-metil-3-hidroksibütirik asidüri, klasik tip · 2-metil-3-hidroksibütirik asidüri, infantil tip · 2-metil-3-hidroksibütiril-CoA dehidrojenaz eksikliği, klasik tip · 2-metil-3-hidroksibütiril-CoA dehidrojenaz eksikliği, infantil tip

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300438NTBTvalidated
ICD-10E72.8NTBTattributedvalidated
ICD-115C52.01NTBTattributedvalidated
MONDO0018322Evalidated
UMLSC5680025Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HSD17B10Disease-causing germline mutation(s) inAssessedHGNC:4800ENSG00000072506300256Xp11.22hydroxysteroid 17-beta dehydrogenase 1022127393[PMID]
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Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

51 annotations · validated 2020-10-20
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
HP:0003287Abnormality of mitochondrial metabolism
HP:0002490Increased CSF lactate
HP:0002151Increased circulating lactate concentration
Frequent (79-30%)
HP:0500170Abnormal concentration of acylcarnitine in the urine
HP:0000618Blindness
HP:0002059Cerebral atrophy
HP:0000750Delayed speech and language development
HP:0002376Developmental regression
HP:0001263Global developmental delay
HP:0001943Hypoglycemia
HP:0001252Hypotonia
HP:0003128Lactic acidosis
HP:0001942Metabolic acidosis
HP:0011343Moderate global developmental delay
HP:0002180Neurodegeneration
HP:0001250Seizure
Occasional (29-5%)
HP:0002134Abnormal basal ganglia morphology
HP:0001999Abnormal facial shape
HP:0010936Abnormality of the lower urinary tract
HP:0001344Absent speech
HP:0001640Cardiomegaly
HP:0001266Choreoathetosis
HP:0000961Cyanosis
HP:0002506Diffuse cerebral atrophy
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0001332Dystonia
HP:0012707Elevated brain lactate level by MRS
HP:0006892Frontotemporal cerebral atrophy
HP:0002579Gastrointestinal dysmotility
HP:0000365Hearing impairment
HP:0001987Hyperammonemia
HP:0002487Hyperkinetic movements
HP:0001639Hypertrophic cardiomyopathy
HP:0010864Intellectual disability, severe
HP:0002505Loss of ambulation
HP:0000252Microcephaly
HP:0007030Nonprogressive encephalopathy
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0000749Paroxysmal bursts of laughter
HP:0002370Poor coordination
HP:0002421Poor head control
HP:0000711Restlessness
HP:0000546Retinal degeneration
HP:0000510Rod-cone dystrophy
HP:0001264Spastic diplegia
HP:0001285Spastic tetraparesis
HP:0030391Spoken Word Recognition Deficit
HP:0000572Visual loss

Run the differential on the 4 obligate / very frequent terms

Annotation source: 11102558[PMID]_26950678[PMID]_16148061[PMID]

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Sources for this card