raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:423

Malignant hyperthermia of anesthesia

Synonyms: Hyperthermia of anesthesia

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

Malignant hyperthermia (MH) is a pharmacogenetic disorder of skeletal muscle that presents as a hypermetabolic response to potent volatile anesthetic gases such as halothane, sevoflurane, desflurane and the depolarizing muscle relaxant succinylcholine, and rarely, to stresses such as vigorous exercise and heat.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMalignant hyperthermia of anesthesiaHyperthermia of anesthesia
frHyperthermie maligne de l'anesthésie
deMaligne HyperthermieHyperthermie bei Allgemeinnarkose
esHipertermia maligna de la anestesiaHiperpirexia maligna · Hipertermia de la anestesia
itIpertermia malignaIperpiressia maligna · Ipertermia da anestesia
nlMaligne hyperthermie door anesthesieHyperthermie door anesthesie
ptHipertermia maligna da anestesiaHiperpirexia maligna · Hipertermia da anestesia · Miopatia farmacogenética da anestesia
plHipertermia złośliwa przy znieczuleniuHipertermia przy znieczuleniu
csMaligní hypertermieHypertermie vyvolaná anestezií · Maligní hyperpyrexie
ukЗлоякісна гіпертермія при анестезіїГіпертермія анестезії
zh麻醉诱发恶性高热麻醉性体温过高
trAnestezinin habis hipertermisiAnestezi hipertermisi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM145600Evalidated
OMIM154275BTNTvalidated
OMIM154276BTNTvalidated
OMIM600467BTNTvalidated
OMIM601887BTNTvalidated
OMIM601888BTNTvalidated
ICD-10T88.3Especificvalidated
ICD-118C78Especificvalidated
MONDO0018493Evalidated
MeSHD008305Evalidated
UMLSC0024591Evalidated
GARD6964Evalidated
MedDRA10020844Evalidated

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 (2):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RYR1Disease-causing germline mutation(s) inAssessedHGNC:10483ENSG0000019621818090119q13.2ryanodine receptor 120301325[PMID]
CACNA1SMajor susceptibility factor inAssessedHGNC:1397ENSG000000812481142081q32.1calcium voltage-gated channel subunit alpha1 S9175745[PMID]_9199552[PMID]_20301325[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

23 annotations · validated 2018-07-11
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0031320Cardiomyocyte mitochondrial proliferation
HP:0001945Fever
HP:0012416Hypercapnia
HP:0002905Hyperphosphatemia
HP:0011964Intermittent painful muscle spasms
HP:0002047Malignant hyperthermiaDiagnostic criterion
HP:0001942Metabolic acidosis
HP:0003552Muscle stiffness
HP:0004755Supraventricular tachycardiaDiagnostic criterion
HP:0002789Tachypnea
HP:0004756Ventricular tachycardia
Occasional (29-5%)
HP:3000005Abnormality of masseter muscle
HP:0003256Abnormality of the coagulation cascade
HP:0006554Acute hepatic failure
HP:0001919Acute kidney injury
HP:0008942Acute rhabdomyolysis
HP:0008331Elevated creatine kinase after exercise
HP:0009045Exercise-induced rhabdomyolysis
HP:0001722High-output congestive heart failure
HP:0002153Hyperkalemia
HP:0002913Myoglobinuria
HP:0008978Necrotizing myopathy
HP:0006682Ventricular extrasystoles

Annotation source: 26238698[PMID]_13885389[PMID]_9508059[PMID]_7951247[PMID]_7887423[PMID]_9175745[PMID]_9175745[PMID]_2121248738[PMID]_6072352[PMID]

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Sources for this card