raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:465

Congenital plasminogen activator inhibitor type 1 deficiency

Synonyms: Congenital PAI-1 deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Adult, Childhood, Elderly
Status
active

A rare hemorrhagic disorder due to a constitutional haemostatic factors defect characterized by premature lysis of hemostatic clots and a moderate bleeding tendency.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCongenital plasminogen activator inhibitor type 1 deficiencyCongenital PAI-1 deficiency
frDéficit congénital en inhibiteur 1 de l'activateur du plasminogèneDéficit congénital en PAI-1
dePlasminogenaktivator-Inhibitor Typ 1-Mangel, kongenitalerPAI-1-Mangel, kongenitaler
esDeficiencia congénita del inhibidor del activador del plasminógeno tipo 1
itDeficit congenito dell'inibitore dell'attivatore del plasminogeno tipo 1Deficit congenito di PAI-1
nlCongenitale deficiëntie van plasminogeenactivator-inhibitor type 1Congenitale PAI-1-deficiëntie
ptDeficiência de inibidor 1 do ativador do plasminogénio congénita
plWrodzony Niedobór inhibitora aktywacji plazminogenu typu 1Wrodzony Niedobór PAI-1
csVrozený deficit inhibitoru plasminogenového aktivátoru, typ 1Vrozený deficit PAI-1
ukВроджений дефіцит інгібітора активатора плазміногену, тип 1Вроджений дефіцит PAI-1
zh先天性纤溶酶原激活物抑制剂1型缺乏症先天性PAI-1型缺乏症
trDoğumsal plazminojen aktivatör inhibitörü tip 1 eksikliğiDoğumsal PAI-1 eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613329Evalidated
ICD-10D68.8NTBTattributedvalidated
ICD-113B50.1Especificvalidated
MONDO0013227Evalidated
UMLSC4273899Evalidated
GARD4381Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SERPINE1Disease-causing germline mutation(s) inAssessedHGNC:8583ENSG000001063661733607q22.1serpin family E member 19207454[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET

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

25 annotations · validated 2021-01-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0040228Decreased level of plasminogen
HP:0040230Decreased level of tissue plasminogen activator
HP:0001934Persistent bleeding after trauma
HP:0004846Prolonged bleeding after surgery
HP:0040245Reduced alpha-2-antiplasmin activity
HP:0040248Reduced plasminogen activator inhibitor 1 activity
HP:0040249Reduced plasminogen activator inhibitor 1 antigen
Frequent (79-30%)
HP:0000132Menorrhagia
HP:0001622Premature birth
HP:0005268Spontaneous abortion
HP:0001933Subcutaneous hemorrhage
Occasional (29-5%)
HP:0000421Epistaxis
HP:0002239Gastrointestinal hemorrhage
HP:0002170Intracranial hemorrhage
HP:0040184Oral bleeding
HP:0011891Post-partum hemorrhage
HP:0006298Prolonged bleeding after dental extraction
HP:0030657Umbilical cord hematoma
Very rare (<4-1%)
HP:0100310Epidural hemorrhage
HP:0011854Hemoperitoneum
HP:0012233Intramuscular hematoma
HP:0005261Joint hemorrhage
HP:0001685Myocardial fibrosis
HP:0001058Poor wound healing
Excluded (0%)
HP:0007420Spontaneous hematomas

Run the differential on the 7 obligate / very frequent terms

Annotation source: 31427261[PMID]_28771291[PMID]_31469483[PMID]

7

Sources for this card