raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:486

Autosomal dominant severe congenital neutropenia

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

A rare primary immunodeficiency disorder characterized by autosomal dominant inheritance, absolute neutrophil counts below 0.5x10E9/L in the peripheral blood (on three separate occasions over a six month period), granulopoiesis maturation arrest at the promyelocyte/myelocyte stage and early-onset, severe, recurrent bacterial infections.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal dominant severe congenital neutropenia
frNeutropénie congénitale sévère autosomique dominante
deNeutropenie, kongenitale schwere, autosomal-dominante
esNeutropenia congénita grave autosómica dominante
itNeutropenia congenita grave autosomica dominante
nlAutosomaal dominante ernstige congenitale neutropenie
ptNeutropenia congénita grave autossómica dominante
plAutosomalna dominująca ciężka wrodzona neutropenia
csAutozomálně dominantní těžká vrozená neutropenie
ukАутосомно-домінантна тяжка вроджена нейтропенія
zh常染色体显性严重先天性中性粒细胞减少症
trOtozomal dominant ağır doğumsal nötropeni

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM202700Evalidated
OMIM257100BTNTvalidated
OMIM613107BTNTvalidated
OMIM619813BTNTvalidated
ICD-10D70NTBTattributedvalidated
ICD-114B00.00NTBTindexvalidated
MONDO0008742Evalidated
UMLSC4749612Evalidated
GARD9558Evalidated

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 (1):

No children.

4

Genes

5 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CLPBDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:30664ENSG0000016212961625411q13.4ClpB family mitochondrial disaggregase34115842[PMID]
ELANEDisease-causing germline mutation(s) inAssessedHGNC:3309ENSG0000019756113013019p13.3elastase, neutrophil expressed
GFI1Disease-causing germline mutation(s) inAssessedHGNC:4237ENSG000001626766008711p22.1growth factor independent 1 transcriptional repressor12778173[PMID]
SRP19Disease-causing germline mutation(s) inAssessedHGNC:11300ENSG000001530371821755q22.2signal recognition particle 1936223592[PMID]
TCIRG1Disease-causing germline mutation(s) inAssessedHGNC:11647ENSG0000011071960459211q13.2T cell immune regulator 1, ATPase H+ transporting V0 subunit a324753205[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—EuropeClass 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

31 annotations · validated 2019-04-16
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0001875Decreased total neutrophil count
Very frequent (99-80%)
HP:0002718Recurrent bacterial infections
HP:0004429Recurrent viral infections
Frequent (79-30%)
HP:0002027Abdominal pain
HP:0002014Diarrhea
HP:0001945Fever
HP:0000230Gingivitis
HP:0012311Increased total monocyte count
HP:0001888Lymphopenia
HP:0000155Oral ulcer
HP:0000704Periodontitis
HP:0025439Pharyngitis
HP:0002090Pneumonia
HP:0011107Recurrent aphthous stomatitis
HP:0410018Recurrent ear infections
HP:0004798Recurrent infection of the gastrointestinal tract
HP:0005425Recurrent sinopulmonary infections
HP:0001581Recurrent skin infections
HP:0012384Rhinitis
Occasional (29-5%)
HP:0006721Acute lymphoblastic leukemia
HP:0004808Acute myeloid leukemia
HP:0003453Antineutrophil antibody positivity
HP:0001915Aplastic anemia
HP:0100658Cellulitis
HP:0001028Hemangioma
HP:0001880Increased total eosinophil count
HP:0001909Leukemia
HP:0002863Myelodysplasia
HP:0000938Osteopenia
HP:0006480Premature loss of teeth
HP:0025452Pyoderma gangrenosum

Run the differential on the 3 obligate / very frequent terms

Annotation source: 28593997[PMID]_28875503[PMID]

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Sources for this card