raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:565612

Primary triglyceride deposit cardiomyovasculopathy

Synonyms: P-TGCV · Primary neutral lipid storage disease with severe cardiovascular involvement

Type
Etiological subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Adult
Status
active

A rare inborn error of metabolism characterized by massive accumulation of triglycerides in the myocardium and coronary arteries, while plasma triglyceride levels are normal. Patients present in adulthood with signs and symptoms of coronary artery disease and severe heart failure. Concomitant skeletal myopathy is common. Vacuole formation in polymorphonuclear leukocytes is typically observed.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPrimary triglyceride deposit cardiomyovasculopathyP-TGCV · Primary neutral lipid storage disease with severe cardiovascular involvement
frCardiomyovasculopathie primaire à surcharge lipidiqueMaladie à surcharge lipidique avec atteinte cardiovasculaire primaire sévère · P-TGCV
dePrimäre Neutralfett-Speicherkrankheit mit KardiomyovaskulopathieP-TGCV · Primäre Neutralfett-Speicherkrankheit mit schwerer kardiovaskulärer Beteiligung · Triglycerid-Speicher-Kardiomyovaskulopathie, primäre
esVasculopatía miocárdica primaria por depósito de triglicéridosP-TGCV · Enfermedad primaria por depósito de lípidos neutros con afectación cardiovascular grave
itCardiomiovasculopatia primitiva da deposito di trigliceridiMalattia da accumulo di lipidi neutri con grave coinvolgimento cardiovascolare
nlPrimaire cardiomyovasculopathie door depositie van triglyceridenP-TGCV · Primaire neutrale lipidestapelingsziekte met ernstige cardiovasculaire betrokkenheid
ptCardiomiovasculopatia primária por deposição de triglicerídeosDoença de armazenamento de lípidos neutros com envolvimento cardiovascular grave · TGCV
plKardiomiowaskulopatia z depozytem trójglicerydówWaskulopatia serca i mięśni ze złogami trójglicerydów · Pierwotna kardiomiowaskulopatia ze złogami trójglicerydów
csKardiomyovaskulopatie s primárními triglyceridovými depozity= en
ukПервинна кардіоміоваскулопатія з відкладенням тригліцеридівХвороба накопичення нейтральних ліпідів з тяжким ураженням серцево-судинної системи · TGCV
zh甘油三酯沉积型心肌病中性脂质贮积病伴重度心血管受累
trTrigliserid deposu kardiyomiyovasküleropatiTGCV · Ağır kardiyovasküler tutulumu ile seyreden nötr lipid depo hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10E75.5NTBTattributedvalidated
MONDO0035423Evalidated
UMLSC5680124Evalidated

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
PNPLA2Disease-causing germline mutation(s) inAssessedHGNC:30802ENSG0000017766660905911p15.5patatin like domain 2, triacylglycerol lipase29539587[PMID]_31186072[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families200 casesWorldwideCase(s)Validated[EXPERT]
Point prevalenceUnknown—WorldwideClass onlyValidated[EXPERT]_31186072[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

29 annotations · validated 2021-06-11
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0031331Abnormal cardiomyocyte morphology
HP:0012379Abnormal enzyme/coenzyme activity
HP:0009058Increased muscle lipid content
HP:0003756Skeletal myopathy
HP:0001922Vacuolated lymphocytes
Frequent (79-30%)
HP:0001430Abnormality of the calf musculature
HP:0001435Abnormality of the shoulder girdle musculature
HP:0001681Angina pectoris
HP:0011675Arrhythmia
HP:0001638Cardiomyopathy
HP:0005145Coronary artery stenosis
HP:0001677Coronaryartery atherosclerosis
HP:0000819Diabetes mellitus
HP:0002094Dyspnea
HP:0003236Elevated circulating creatine kinase concentration
HP:0002240Hepatomegaly
HP:0003077Hyperlipidemia
HP:0009805Low-output congestive heart failure
HP:0001962Palpitations
HP:0032141Precordial pain
Occasional (29-5%)
HP:0011123Inflammatory abnormality of the skin
HP:0001249Intellectual disability
HP:0001733Pancreatitis
HP:0031684Renal artery atherosclerosis
HP:0003805Rimmed vacuoles
HP:0000407Sensorineural hearing impairment
Very rare (<4-1%)
HP:0000478Abnormality of the eye
HP:0001744Splenomegaly
Excluded (0%)
HP:0008064Ichthyosis

Run the differential on the 5 obligate / very frequent terms

Annotation source: 32564019[PMID]_31186072[PMID]_24836204[PMID]

7

Sources for this card