raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:502444

Alkaline ceramidase 3 deficiency

Synonyms: ACER3-related early childhood-onset progressive leukodystrophy · Leukodystrophy due to alkaline ceramidase 3 deficiency

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

A rare genetic leukodystrophy characterized by infantile onset of stagnation and regression of motor and language development resulting in complete lack of communication and purposeful movement. Further neurological manifestations include truncal hypotonia, appendicular spasticity, dystonia, optic disc pallor, peripheral neuropathy, and neurogenic bladder. Patients also present multiple contractures, late-onset relative macrocephaly, short stature, and facial dysmorphism (including coarse facial features, sloping forehead, thick eyebrows, low-set ears, prominent nose, flat philtrum, and prominent lower lip). Brain imaging at advanced stages shows diffuse abnormal white matter signal and severe atrophy. Sural nerve biopsy reveals decreased myelination.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAlkaline ceramidase 3 deficiencyACER3-related early childhood-onset progressive leukodystrophy · Leukodystrophy due to alkaline ceramidase 3 deficiency
frDéficit en céramidase alcaline 3Déficit en alkaline ceramidase 3 · Leucodystrophie par déficit en alkaline ceramidase 3 · Leucodystrophie par déficit en céramidase alcaline 3 · Leucodystrophie progressive associée à ACER3
deAlkalische Ceramidase 3-MangelLeukodystrophie durch alkalische Ceramidase 3-Mangel · Leukodystrophie, progressive, mit Beginn in der frühen Kindheit, ACER3-assoziierte
esDeficiencia de ceramidasa alcalina 3Leucodistrofia por deficiencia de ceramidasa alcalina 3 · Leucodistrofia progresiva de inicio en la infancia temprana asociada a ACER3
itDeficit di ceramidasi alcalina 3
nlAlkalisch ceramidase 3-deficiëntieACER3-gerelateerde progressieve leukodystrofie met aanvang in de vroege kindertijd · Leukodystrofie als gevolg van alkalisch ceramidase 3-deficiëntie
ptDeficiência de ceramidase 3 alcalina
plNiedobór ceramidazy alkalicznej 3Lekodystrofia z powodu niedoboru ceramidazy alkalinowej 3
csDeficit alkalické ceramidázy 3Leukodystrophy due to alkaline ceramidase 3 deficiency · ACER3-related early childhood-onset progressive leukodystrophy · Leukodystrofie způsobená deficitem alkalické ceramidázy 3 · Progresivní leukodystrofie v raném dětství související s ACER3
ukДефіцит лужної церамідази 3ACER3-асоційована прогресуюча лейкодистрофія, що починається в ранньому дитячому віці · Лейкодистрофія внаслідок дефіциту лужної церамідази 3
zh碱性神经酰胺酶3缺陷ACER3相关的儿童早期发病的进行性脑白质营养不良症
trAlkali seramidaz 3 eksikliğiAlkalin seramidaz 3 eksikliğine bağlı lökodistrofi · ACER3-ilişkili erken çocukluk dönemi başlangıçlı ilerleyici lökodistrofi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617762Evalidated
ICD-10E75.2NTBTattributedvalidated
MONDO0044718Evalidated
UMLSC4540358Evalidated

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
ACER3Disease-causing germline mutation(s) inAssessedHGNC:16066ENSG0000007812461703611q13.5alkaline ceramidase 326792856[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated26792856[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26792856[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