raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:51208

Formiminoglutamic aciduria

Synonyms: FTCD deficiency · Formiminotransferase cyclodeaminase deficiency · Glutamate formiminotransferase deficiency

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

A rare disorder of folate metabolism and transport characterized, biochemically, by elevated formiminoglutamate in urine and plasma due to glutamate formiminotransferase deficiency, associated with a highly variable clinical phenotype, ranging from developmental delay, intellectual disability and anemia to normal development without anemia. Increased hydantoin-5-propionic acid and/or folate in plasma may also be associated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enFormiminoglutamic aciduriaFTCD deficiency · Formiminotransferase cyclodeaminase deficiency · Glutamate formiminotransferase deficiency
frAcidurie formiminoglutamiqueDéficit en FTCD · Déficit en formiminotransférase cyclodésaminase · Déficit en glutamate formiminotransférase
deFormiminoglutaminsäure-AzidurieFTCD-Mangel · Formimidoyltransferase-Cyclodeaminase-Mangel · Formiminoglutaminsäure-Krankheit · Glutamat-Formiminotransferase-Mangel
esAciduria formiminoglutámicaDeficiencia de FTCD · Deficiencia de formiminotransferasa ciclodeaminasa · Deficiencia de glutamato formiminotransferasa
itAciduria formiminoglutamicaDeficit di FTCD · Deficit di formiminotransferasi ciclodeaminasi · Deficit di glutammato formiminotransferasi
nlFormiminoglutaminezuuracidurieFTCD-deficiëntie · Formiminotransferase cyclodeaminasedeficiëntie · Glutamaat formiminotransferasedeficiëntie
ptAcidúria formiminoglutâmicaDeficiência de glutamato formiminotransferase
plKwasica formiminoglutaminowaGlutamate formiminotransferase deficiency · Niedobór cyklodeaminazy formiminotransferazy · Niedobór FTCD
csFormiminoglutamová acidurieDeficit FTCD · Deficit formiminotransferáza-cyklodeaminázy · Deficit glutamát formimidoyltransferázy
ukФорміноглутамінова ацидуріяДефіцит формімінотрансферази циклоамінотрансферази · Дефіцит FTCD · Дефіцит глутаматформимінотрансферази
zh亚胺基甲基谷氨酸尿症亚胺甲基转移环脱氨酶缺乏症
trFormiminoglutamik asidüriFTCD eksikliği · Glutamat formiminotransferaz eksikliği · Formiminotransferaz siklodeaminaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM229100Evalidated
ICD-10E70.8NTBTattributedvalidated
ICD-113A02.YNTBTindexvalidated
MONDO0009240Evalidated
MeSHC537425Evalidated
UMLSC0268609Evalidated
GARD9279Evalidated

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
FTCDDisease-causing germline mutation(s) inAssessedHGNC:3974ENSG0000016028260680621q22.3formimidoyltransferase cyclodeaminase12815595[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass 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

13 annotations · validated 2021-09-07
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0010904Abnormal circulating histidine concentration
HP:0012379Abnormal enzyme/coenzyme activity
HP:0012335Abnormality of folate metabolism
Frequent (79-30%)
HP:0500170Abnormal concentration of acylcarnitine in the urine
HP:0032164Increased blood folate concentration
Occasional (29-5%)
HP:0001903Anemia
HP:0000750Delayed speech and language development
HP:0010864Intellectual disability, severe
HP:0001889Megaloblastic anemia
HP:0011342Mild global developmental delay
HP:0012758Neurodevelopmental delay
Very rare (<4-1%)
HP:0001631Atrial septal defect
HP:0000717Autism

Run the differential on the 3 obligate / very frequent terms

Annotation source: 29178637[PMID]_30740726[PMID]

7

Sources for this card