raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:44

Neonatal adrenoleukodystrophy

Synonyms: Intermediate PBD-ZSD · Intermediate peroxisome biogenesis disorder-Zellweger spectrum disorder · NALD

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

A variant of intermediate severity of the PBD-Zellweger syndrome spectrum (PBD-ZSS) characterized by hypotonia, leukodystrophy, and vision and sensorineural hearing deficiencies. Phenotypic overlap is seen between NALD and infantile Refsum disease (IRD).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enNeonatal adrenoleukodystrophyIntermediate PBD-ZSD · Intermediate peroxisome biogenesis disorder-Zellweger spectrum disorder · NALD
frAdrénoleucodystrophie néonataleABP-MSZ, forme intermédiaire · Anomalie de la biogenèse du péroxysome-maladie du spectre de Zellweger, forme intermédiaire · NALD
deAdrenoleukodystrophie, neonatale FormIntermediäres PBD-ZSD · NALD · Peroxisomenbiogenesedefekt-Zellweger-Spektrum-Störung, intermediäre Form
esAdrenoleucodistrofia neonatalNALD · PBD-ZSD intermedio · Trastorno de la biogénesis del peroxisoma-trastorno del espectro Zellweger intermedio
itAdrenoleucodistrofia neonataleDifetto intermedio della biogenesi dei perossisomi-spettro della sindrome di Zellweger · NALD · PBD-ZSD intermedio
nlNeonatale adrenoleukodystrofieIntermediaire PBD-ZSD · Intermediaire peroxisomale biogenesestoornis - Zellweger spectrum stoornis · NALD
ptAdrenoleucodistrofia neonatalDoença do espectro Zellweger-disfunção intermédia da biogénese dos peroxissomas · NALD · PBD-ZSD intermédio
plAdrenoleukodystrofia noworodkowaNALD
csNeonatální adrenoleukodystrofieNALD
ukНеонатальна адренолейкодистрофіяПроміжний PBD-ZSD · Порушення біогенезу проміжних пероксисом - розлад спектра Целльвегера · NALD
zh新生儿肾上腺脑白质营养不良NALD
trYenidoğan adrenolökodistrofiNALD

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM202370BTNTvalidated
OMIM266510BTNTvalidated
OMIM601539NTBTvalidated
OMIM614863NTBTvalidated
OMIM614867BTNTvalidated
OMIM614871BTNTvalidated
OMIM614873BTNTvalidated
OMIM614877BTNTvalidated
OMIM614885BTNTvalidated
OMIM614920BTNTvalidated
OMIM617370NTBTvalidated
ICD-10E71.3NTBTattributedvalidated
ICD-115A74.YNTBTindexvalidated
MONDO0018598Evalidated
UMLSC0282525Evalidated
GARD559Evalidated

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 (6):

No children.

4

Genes

13 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PEX1Disease-causing germline mutation(s) inAssessedHGNC:8850ENSG000001279806021367q21.2peroxisomal biogenesis factor 1
PEX10Disease-causing germline mutation(s) inAssessedHGNC:8851ENSG000001579116028591p36.32peroxisomal biogenesis factor 10
PEX11BDisease-causing germline mutation(s) inAssessedHGNC:8853ENSG000001317796038671q21.1peroxisomal biogenesis factor 11 beta
PEX12Disease-causing germline mutation(s) inAssessedHGNC:8854ENSG0000010873360175817q12peroxisomal biogenesis factor 12
PEX13Disease-causing germline mutation(s) inAssessedHGNC:8855ENSG000001629286017892p15peroxisomal biogenesis factor 13
PEX14Disease-causing germline mutation(s) inAssessedHGNC:8856ENSG000001426556017911p36.22peroxisomal biogenesis factor 14
PEX16Disease-causing germline mutation(s) inAssessedHGNC:8857ENSG0000012168060336011p11.2peroxisomal biogenesis factor 16
PEX19Disease-causing germline mutation(s) inAssessedHGNC:9713ENSG000001627356002791q23.2peroxisomal biogenesis factor 19
PEX2Disease-causing germline mutation(s) inAssessedHGNC:9717ENSG000001647511709938q21.13peroxisomal biogenesis factor 2
PEX26Disease-causing germline mutation(s) inAssessedHGNC:22965ENSG0000021519360866622q11.21peroxisomal biogenesis factor 26
PEX3Disease-causing germline mutation(s) inAssessedHGNC:8858ENSG000000346936031646q24.2peroxisomal biogenesis factor 3
PEX5Disease-causing germline mutation(s) inAssessedHGNC:9719ENSG0000013919760041412p13.31peroxisomal biogenesis factor 5
PEX6Disease-causing germline mutation(s) inAssessedHGNC:8859ENSG000001245876014986p21.1peroxisomal biogenesis factor 6
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0001.2 / 100 000ItalyValue and classValidated11953730[PMID]
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

29 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000174Abnormal palate morphology
HP:0001939Abnormality of metabolism/homeostasis
HP:0100022Abnormality of movement
HP:0001392Abnormality of the liver
HP:0000463Anteverted nares
HP:0002376Developmental regression
HP:0000268Dolichocephaly
HP:0002353EEG abnormality
HP:0000348High forehead
HP:0001347Hyperreflexia
HP:0001252Hypotonia
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0000358Posteriorly rotated ears
HP:0008207Primary adrenal insufficiency
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment
HP:0011344Severe global developmental delay
HP:0004322Short stature
HP:0000486Strabismus
HP:0000431Wide nasal bridge
Frequent (79-30%)
HP:0002269Abnormality of neuronal migration
HP:0007703Abnormality of retinal pigmentation
HP:0007598Bilateral single transverse palmar creases
HP:0000518Cataract
HP:0000256Macrocephaly
HP:0000508Ptosis
HP:0000505Visual impairment
HP:0000260Wide anterior fontanel

Run the differential on the 12 obligate / very frequent terms

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Sources for this card