raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:403

Familial hyperaldosteronism type I

Synonyms: Dexamethasone-sensitive hypertension · FH-I · FH1 · Familial hyperaldosteronism type 1 · GRA · Glucocorticoid-remediable aldosteronism · Glucocorticoid-sensitive hypertension

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adolescent, Adult, Childhood
Status
active

A rare heritable, glucocorticoid remediable form of primary aldosteronism (PA) characterized by early-onset hypertension, hyperaldosteronism, variable hypokalemia, low plasma renin activity (PRA), and abnormal production of 18-oxocortisol and 18-hydroxycortisol.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFamilial hyperaldosteronism type IDexamethasone-sensitive hypertension · FH-I · FH1 · Familial hyperaldosteronism type 1 · GRA · Glucocorticoid-remediable aldosteronism · Glucocorticoid-sensitive hypertension
frHyperaldostéronisme familial type IFH-I · FH1 · Hyperaldostéronisme familial type 1 · Hypertension sensible aux glucocorticoïdes · Hypertension sensible à la dexaméthasone
deHyperaldosteronismus, familiärer, Typ IFH-I · FH1 · GRA · Glucocorticoid-behandelbarer Aldosteronismus · Hypertension mit Dexamethason-Sensibilität · Hypertension mit Glukokortikoid-Sensibilität
esHiperaldosteronismo familiar tipo IAldosteronismo tratable con glucocorticoides · FH-I · FH1 · GRA · Hiperaldosteronismo familiar tipo 1 · Hipertensión sensible a glucocorticoides · Hipertensión sensible a la dexametasona
itIperaldosteronismo familiare, tipo IAldosteronismo glucocorticoide-rimediabile · FH-I · FH1 · GRA · Iperaldosteronismo familiare, tipo 1 · Ipertensione sensibile ai glucocorticoidi · Ipertensione sensibile al desametazone
nlFamiliaal hyperaldosteronisme type IDexamethasongevoelige hypertensie · FH-I · FH1 · Familiaal hyperaldosteronisme type 1 · GRA · Glucocorticoïdgevoelige hypertensie · Glucocorticoïdherstelbaar aldosteronisme
ptHiperaldosteronismo familiar tipo 1Hipertensão sensível aos glucocorticóides · Hipertensão sensível à dexametasona
plRodzinny hiperaldosteronizm typu 1FH1 · FH-I · GRA · Nadciśnienie wrażliwe na deksametazon · Nadciśnienie wrażliwe na glikokorykosteroidy
csFamiliární hyperaldosteronismus, typu IDexametazon-supresibilní hypertenze · FH-I · FH1 · Familiární hyperaldosteronismus, typ 1 · GRA · Glukokortikoidy supresibilní (hyper)aldosteronizmus · Hypertenze citlivá na glukokortikoidy
ukСімейний гіперальдостеронізм, тип IГіпертензія, чутлива до дексаметазону · Сімейний гіперальдостеронізм типу 1 · FH1 · FH-I · Глюкокортикоїд-регульований альдостеронізм · Гіпертензія, чутлива до глюкокортикоїдів · GRA
zh家族性醛固酮增多症I型糖皮质激素可治性高血压
trAilesel hiperaldosteronizm tip IFH1 · GRA · FH-I · Ailesel hiperaldosteronizm ipucu 1 · Deksametazona duyarlı hipertansiyon · Glukokortikoid duyarlı hipertansiyon · Glukokortikoid ile düzelebilen aldosteronizm

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM103900Evalidated
ICD-10E26.0NTBTattributedvalidated
ICD-115A72.0NTBTindexvalidated
MONDO0007080Evalidated
MeSHC563177Evalidated
UMLSC3838731Evalidated
GARD2790Evalidated

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):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CYP11B1Part of a fusion gene inAssessedHGNC:2591ENSG000001608826106138q24.3cytochrome P450 family 11 subfamily B member 124817817[PMID]_20634641[PMID]
CYP11B2Part of a fusion gene inAssessedHGNC:2592ENSG000001791421240808q24.3cytochrome P450 family 11 subfamily B member 224817817[PMID]_20634641[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidated23610123[PMID]_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

20 annotations · validated 2026-01-26
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003351Decreased circulating renin concentration
HP:0000822Hypertension
Frequent (79-30%)
HP:0008221Adrenal hyperplasia
HP:6000318Elevated aldosterone:renin ratio
HP:0000859Increased circulating aldosterone concentration
Occasional (29-5%)
HP:0004944Dilatation of the cerebral artery
HP:0000421Epistaxis
HP:0002315Headache
HP:0430034Hypertension resistant to conventional therapy
HP:0002900Hypokalemia
HP:0002170Intracranial hemorrhage
HP:0001712Left ventricular hypertrophy
HP:0001324Muscle weakness
HP:0002018Nausea
HP:0001959Polydipsia
HP:0100602Preeclampsia
HP:0000488Retinopathy
HP:0011746Secretory adrenocortical adenoma
HP:0001297Stroke
HP:0000360Tinnitus

Run the differential on the 2 obligate / very frequent terms

Annotation source: 29348113[PMID]_38495792[PMID]_26934393[PMID]_27036860[PMID]_4288576[PMID]_7593610[PMID]_14688810[PMID]_14667264[PMID]_11085685[PMID]_10679515[PMID]_9360508[PMID]

7

Sources for this card