raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:438178

Fatty acyl-CoA reductase 1 deficiency

Synonyms: FAR1 deficiency · PFCRD · Peroxisomal fatty acyl-CoA reductase 1 disorder

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

A rare disorder of plasmalogen biosynthesis characterized by syndromic severe intellectual disability with congenital cataracts, early-onset epilepsy, microcephaly, global developmental delay, growth retardation and short stature, and spastic quadriparesis. Dysmorphic facial features may be present, including high-arched eyebrows, flattened nasal root, hypertelorism, and long and smooth philtrum. Rhizomelia is not part of the syndrome. Cerebellar atrophy, white matter abnormalities, and Dandy-Walker malformation have been described on brain imaging.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFatty acyl-CoA reductase 1 deficiencyFAR1 deficiency · PFCRD · Peroxisomal fatty acyl-CoA reductase 1 disorder
frDéficit en acyl-CoA réductase 1Déficit en FAR1 · Maladie peroxysomale par déficit en acyl-CoA réductase 1
deFettsäure Acyl-CoA-Reduktase 1-MangelFAR1-Defizienz · FAR1-Mangel · PFCRD · Peroxisomale Fettsäure Acyl-CoA-Reduktase 1-Krankheit
esDeficiencia de la Acil-CoA reductasa 1 de ácidos grasosDeficiencia del gen FAR1 · PFCRD · Trastorno de acil-CoA reductasa 1 de ácidos grasos peroxisomal
itDeficit di acil-CoA reduttasi 1 grassaDeficit di FAR1 · Malattia perossisomiale da deficit di acil-CoA reduttasi 1 grassa · PFCRD · Sindrome disabilità cognitiva grave-epilessia-cataratta, da deficit di FAR1 · Sindrome disabilità cognitiva grave-epilessia-cataratta, da deficit perossisomiale
nlDeficiëntie van vetzuur-acyl-CoA-reductase 1FAR1-deficiëntie · PFCRD · Stoornis van peroxisomaal vetzuur-acyl-CoA-reductase 1
ptDeficiência de acil-CoA redutase 1 dos ácidos gordosDeficiência FAR-1
plNiedobór reduktazy 1 acetylo-CoA kwasów tłuszczowychZespół ciężkiej niepełnosprawności intelektualnej, padaczki i zaćmy spowodowany niedoborem FAR1 · Zespół ciężkiej niepełnosprawności intelektualnej, padaczki i zaćmy spowodowany zaburzeniami peroksysomalnymi
csSyndrom zahrnující těžkou mentální retardaci, epilepsii a kataraktu, způsobený deficitem acyl-CoA reduktázy 1 mastných kyselinSyndrom zahrnující těžké mentální postižení, epilepsii a kataraktu, způsobený deficitem FAR1 · Syndrom zahrnující těžké mentální postižení, epilepsii a kataraktu, způsobený peroxisomální poruchou
ukДефіцит жирної ацил-КоА-редуктази 1Дефіцит FAR1 · Порушення пероксисомної жирної ацил-КоА-редуктази 1 · PFCRD
zh脂酰基辅酶A还原酶1缺乏症FAR1缺乏
trYağlı açil-CoA redüktaz 1 eksikliğiFAR1 eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616154Evalidated
ICD-10E71.3NTBTattributedvalidated
ICD-115C57.YNTBTattributedvalidated
MONDO0014510Evalidated
UMLSC4015344Evalidated

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
FAR1Disease-causing germline mutation(s) inAssessedHGNC:26222ENSG0000019760161610711p15.3fatty acyl-CoA reductase 125439727[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated25439727[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_25439727[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

22 annotations · validated 2019-12-05
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0001999Abnormal facial shape
HP:0001263Global developmental delay
HP:0001510Growth delay
HP:0001249Intellectual disability
HP:0001118Juvenile cataract
HP:0000253Progressive microcephaly
HP:0001250Seizure
HP:0004322Short stature
HP:0001285Spastic tetraparesis
Occasional (29-5%)
HP:0001272Cerebellar atrophy
HP:0001305Dandy-Walker malformation
HP:0005280Depressed nasal bridge
HP:0003698Difficulty standing
HP:0002553Highly arched eyebrow
HP:0000316Hypertelorism
HP:0002540Inability to walk
HP:0000343Long philtrum
HP:0000400Macrotia
HP:0000508Ptosis
HP:0003196Short nose
HP:0000319Smooth philtrum
HP:0000219Thin upper lip vermilion

Annotation source: 25439727[PMID]

7

Sources for this card