raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:562509

Heme oxygenase-1 deficiency

Synonyms: HO-1 deficiency

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

A rare inborn error of metabolism characterized by congenital asplenia and childhood or adolescent onset of generalized inflammation, persistent intravascular hemolysis and anemia, severe endothelial injury with abnormal coagulation, bleeding diathesis, and nephropathy. Additional reported manifestations include growth retardation, mild facial dysmorphism, and hepatomegaly.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHeme oxygenase-1 deficiencyHO-1 deficiency
frDéficit en hème oxygénase-1Déficit en HO-1
deHämoxygenase 1-MangelHO-1-Defizienz
esDeficiencia de hemo oxigenasa 1Deficiencia de HO-1
itDeficit di eme ossigenasi-1Deficit di HO-1
nlHeem-oxygenase-1-deficiëntieHO-1-deficiëntie
ptDeficiência de heme oxigenase-1
plNiedobór oksygenazy hemowej-1= en
csDeficit hem oxygenázy-1= en
ukДефіцит гемоксигенази-1Дефіцит HO-1
zh血红素加氧酶-1缺乏症= en
trHem oksijenaz-1 eksikliğiHO-1 eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM614034Evalidated
ICD-10E88.8NTBTattributedvalidated
ICD-115C58.YNTBTattributedvalidated
MONDO0013536Evalidated
MeSHC564200Evalidated
UMLSC1841651Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HMOX1Disease-causing germline mutation(s) inAssessedHGNC:5013ENSG0000010029214125022q12.3heme oxygenase 131216709[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 casesWorldwideCase(s)Validated9884342[PMID]_21088618[PMID]_22023467[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_22023467[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

28 annotations · validated 2026-01-19
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001878Hemolytic anemia
HP:0002240Hepatomegaly
HP:0033480Hypobilirubinemia
HP:0003281Increased circulating ferritin concentration
HP:0001954Recurrent fever
Frequent (79-30%)
HP:0001903Anemia
HP:0001746Asplenia
HP:0011227Elevated circulating C-reactive protein concentration
HP:0033106Elevated circulating D-dimer concentration
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0020180Elevated haptoglobin level
HP:0001510Growth delay
HP:0003077Hyperlipidemia
HP:0000822Hypertension
HP:0011900Hypofibrinogenemia
HP:0025435Increased circulating lactate dehydrogenase concentration
HP:0001974Increased total leukocyte count
HP:0000093Proteinuria
HP:0001894Thrombocytosis
Occasional (29-5%)
HP:0006530Abnormal pulmonary interstitial morphology
HP:0005280Depressed nasal bridge
HP:0002007Frontal bossing
HP:0032550Howell-Jolly bodies
HP:0006270Hypoplastic spleen
HP:0002170Intracranial hemorrhage
HP:0000123Nephritis
HP:0002878Respiratory failure
HP:0001981Schistocytosis

Run the differential on the 5 obligate / very frequent terms

Annotation source: 38178812[PMID]_38178812[PMID]_33546372[PMID]

7

Sources for this card