raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:457375

ITPA-related lethal infantile neurological disorder with cataract and cardiac involvement

Synonyms: Martsolf-like syndrome

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

A rare, genetic, neurometabolic disease characterized by early onset encephalopathy with progressive microcephaly, severe global development delay, seizures, hypotonia, feeding difficulties, variable cardiac abnormalities, and cataracts. Brain MRI shows distinct pattern with high T2 signal and restricted diffusion in the posterior limb of the internal capsule in combination with delayed myelination and progressive cerebral atrophy. The disease is typically fatal.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enITPA-related lethal infantile neurological disorder with cataract and cardiac involvementMartsolf-like syndrome
frTrouble neurologique létal infantile avec cataracte et atteinte cardiaque associé à ITPASyndrome de Martsolf-like
deITPA-assoziierte letale infantile neurologische Störung mit Katarakt und kardialer BeteiligungMartsolf-ähnliches-Syndrom
esTrastorno neurológico con cataratas y afectación cardíaca letal infantil asociado al gen ITPASíndrome similar a Martsolf
itEncefalopatia correlata a ITPA
nlITPA-gerelateerde letale infantiele neurologische stoornis met cataract en cardiale betrokkenheidMartsolf-achtig syndroom
ptDoença neurológica com catarata e envolvimento cardíaco letal da infância ITPA-relacionadaSíndrome Martsolf-like
plEncefalopatia związana z ITPA= en
csITPA-vázaná encefalopatie= en
ukЛетальний інфантильний неврологічний розлад, повязаний з ITPA, з катарактою та ураженням серцяСиндром Марцольфа
zhITPA相关的致命性婴儿期神经系统疾病伴白内障和心脏疾病马尔索夫样综合征
trKatarakt ve kalp tutulumu ile seyreden ITPA-ilişkili letal infantil nörolojik bozuklukMartsolf-ilişkili sendrom

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616647Evalidated
ICD-10G40.4NTBTattributedvalidated
ICD-11KB0YNTBTattributedvalidated
MONDO0014719Evalidated
UMLSC4225256Evalidated

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
ITPADisease-causing germline mutation(s) inAssessedHGNC:6176ENSG0000012587714752020p13inosine triphosphatase26224535[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families7 casesWorldwideCase(s)Validated26224535[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26224535[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

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card