raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:416

Primary hyperoxaluria

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
All ages
Status
active

A disorder of glyoxylate metabolism characterized by an excess of oxalate resulting in kidney stones, nephrocalcinosis and ultimately renal failure and systemic oxalosis. There are 3 types of PH, types 1-3, all caused by liver-specific enzyme defects.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPrimary hyperoxaluria
frHyperoxalurie primitive
deHyperoxalurie, primäre
esHiperoxaluria primaria
itIperossaluria primitiva
nlPrimaire hyperoxalurie
ptHiperoxalúria primária
plPierwotna hiperoksaluria
csPrimární hyperoxalurie
ukПервинна гіпероксалурія
zh原发性高草酸尿症
trPrimer hiperoksalüri

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM259900BTNTvalidated
OMIM260000BTNTvalidated
OMIM613616BTNTvalidated
ICD-10E74.8NTBTinclusionvalidated
ICD-115C51.2NTBTattributedvalidated
MONDO0002474Evalidated
MeSHD006960Evalidated
UMLSC0020501Evalidated
MedDRA10020703Evalidated

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):

Children (3):

4

Genes

0 direct · 3 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AGXTORPHA:93598Primary hyperoxaluria type 1Disease-causing germline mutation(s) inAssessedHGNC:341ENSG000001724826042852q37.3alanine--glyoxylate aminotransferase
GRHPRORPHA:93599Primary hyperoxaluria type 2Disease-causing germline mutation(s) inAssessedHGNC:4570ENSG000001371066042969p13.2glyoxylate and hydroxypyruvate reductase
HOGA1ORPHA:93600Primary hyperoxaluria type 3Disease-causing germline mutation(s) inAssessedHGNC:25155ENSG0000024193561359710q24.24-hydroxy-2-oxoglutarate aldolase 1
5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.2 / 100 000GermanyValue and classValidated15961947[PMID]
Point prevalence1-9 / 1 000 000—WorldwideClass onlyValidatedORPHANET_15961947[PMID]
Annual incidence<1 / 1 000 000—WorldwideClass onlyValidated19225556[PMID]

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

33 annotations · validated 2019-04-29
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008672Calcium oxalate nephrolithiasis
HP:0003159Hyperoxaluria
Frequent (79-30%)
HP:0006479Abnormality of the dental pulp
HP:0000164Abnormality of the dentition
HP:0012072Aciduria
HP:0025324Arterial occlusion
HP:0002653Bone pain
HP:0011506Choroidal neovascularization
HP:0012622Chronic kidney disease
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0031981Elevated urine glycolate
HP:0001508Failure to thrive
HP:0100758Gangrene
HP:0005789Generalized osteosclerosis
HP:0012722Heart block
HP:0000790Hematuria
HP:0004417Intermittent claudication
HP:0001942Metabolic acidosis
HP:0000121Nephrocalcinosis
HP:0000648Optic atrophy
HP:0000543Optic disc pallor
HP:0009830Peripheral neuropathy
HP:0030880Raynaud phenomenon
HP:0002757Recurrent fractures
HP:0007663Reduced visual acuity
HP:0000488Retinopathy
HP:0011072Rootless teeth
Occasional (29-5%)
HP:0001063Acrocyanosis
HP:0002150Hypercalciuria
HP:0003774Stage 5 chronic kidney disease
Very rare (<4-1%)
HP:0025520Calcinosis cutis
HP:0001638Cardiomyopathy
HP:0000965Cutis marmorata

Run the differential on the 2 obligate / very frequent terms

Annotation source: 28402768[PMID]_23944302[PMID]_23167815[PMID]_5635456[PMID]_2297338[PMID]_2925788[PMID]_9243228[PMID]_26340091[PMID]_20797690[PMID]_24140676[PMID]

7

Sources for this card