raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:506334

Familial steroid-resistant nephrotic syndrome with adrenal insufficiency

Synonyms: Primary adrenal insufficiency-steroid-resistant nephrotic syndrome due to SGPL1 deficiency · SPLIS · Sphingosine phosphate lyase insufficiency syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Status
active

A rare disorder with multisystemic involvement and glomerulopathy characterized by progressive steroid-resistant nephrotic syndrome typically associated with focal segmental glomerulosclerosis, as well as primary adrenal insufficiency with adrenal calcifications. Age of onset and disease course are variable, with some cases presenting as severe fetal hydrops, while most patients present in infancy or early childhood and progress to end-stage renal disease within a few years. Additional features include ichthyosis, primary hypothyroidism, hypogonadism, immunodeficiency, and neurological manifestations (such as cognitive impairment, ataxia, sensorineural hearing loss, or seizures).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFamilial steroid-resistant nephrotic syndrome with adrenal insufficiencyPrimary adrenal insufficiency-steroid-resistant nephrotic syndrome due to SGPL1 deficiency · SPLIS · Sphingosine phosphate lyase insufficiency syndrome
frSyndrome néphrotique familial corticorésistant avec insuffisance surrénalienneSPLIS
deFamiliäres steroidresistentes nephrotisches Syndrom mit NebenniereninsuffizienzPrimäre adrenale Insuffizienz mit steroidresistentem nephrotischen Syndrom durch SGPL1-Mangel · SPLIS · Sphingosinphosphatlyase-Insuffizienzsyndrom
esSíndrome nefrótico resistente a esteroides con insuficiencia suprarrenal familiarSPLIS · Síndrome de insuficiencia de liasa de fosfato de esfingosina · Síndrome nefrótico resistente a esteroides-insuficiencia suprarrenal primaria por deficiencia de SGPL1
itSindrome nefrosica familiare resistente agli steroidi con insufficienza surrenalicaSPLIS · Sindrome da insufficienza della sfingosina fosfato liasi · Sindrome nefrosica steroido-resistente primaria da insufficienza surrenalica dovuta a deficit di SGPL1
nlFamiliaal steroïdresistent nefrotisch syndroom met adrenale insufficiëntiePrimaire adrenale insufficiëntie - steroïderesistent nefrotisch syndroom door SGPL1-deficiëntie · SPLIS · Sfingosinefosfaatlyase-insufficiëntiesyndroom
ptSíndrome nefrótica corticorresistente familiar com insuficiência supra-renalSPLIS · Síndrome de insuficiência de esfingosina fosfatase liase · Síndrome nefrótica corticorresistente-insuficiência supra-renal primária por deficiência de SGPL1
plRodzinny zespół nerczycowy oporny na sterydy z niewydolnością nadnerczyPierwotny zespół nerczycowy oporny na sterydy z powodu niedoboru SGPL1 · Rodzinny steroidooporny zespół nerczycowy z niedoczynnością kory nadnerczy
csFamiliární nefrotický syndrom rezistentní vůči steroidům s adrenální insuficiencíPrimární nedostatecnost nadledvin a nefrotický syndrom rezistentní vuci steroidum na podklade deficitu SGPL1 · Primární nedostatečnost nadledvin a nefrotický syndrom rezistentní vůči steroidům na podkladě deficitu SGPL1
ukСімейний стероїдорезистентний нефротичний синдром з наднирковою недостатністюПервинна надниркова недостатність - стероїдорезистентний нефротичний синдром, зумовлений дефіцитом SGPL1 · Синдром недостатності сфінгозинфосфатліази · SPLIS
zh家族性激素抵抗性肾病综合征伴肾上腺功能不全SGPL1缺乏引起的原发性肾上腺功能不全-激素抵抗性肾病综合征
trAdrenal yetmezlik ile seyreden ailesel steroide dirençli nefrotik sendromSGPL1 eksikliğine bağlı primer adrenal yetersizlik-steroide dirençli nefrotik sendrom

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617575Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C52.YNTBTattributedvalidated
MONDO33203Evalidated
UMLSC5568768Evalidated
GARD13818Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SGPL1Disease-causing germline mutation(s) inAssessedHGNC:10817ENSG0000016622460372910q22.1sphingosine-1-phosphate lyase 128181337[PMID]_24777844[PMID]_28218265[PMID]
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Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

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

7

Sources for this card