raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:570422

Galactose mutarotase deficiency

Synonyms: Galactosemia type IV · Type 4 galactosemia · Type IV galactosemia · GALM deficiency · GALM deficiency galactosemia · Galactose mutarotase deficiency galactosemia · Galactosemia type 4

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

A rare genetic disorder of galactose metabolism characterized by persistent congenital galactosemia due to deficiency of the enzyme galactose mutarotase. Patients may present bilateral cataract, mild liver dysfunction/elevated AST, ALT/hepatomegaly and jaundice in the neonatal period.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGalactose mutarotase deficiencyGalactosemia type IV · Type 4 galactosemia · Type IV galactosemia · GALM deficiency · GALM deficiency galactosemia · Galactose mutarotase deficiency galactosemia · Galactosemia type 4
frDéficit en galactose mutarotaseDéficit en GALM · Galactosémie de type 4 · Galactosémie de type IV · Galactosémie par déficit en GALM · Galactosémie par déficit en galactose mutarotase
deGalaktose-Mutarotase-MangelGALM-Mangel · Galaktosämie Typ IV · GALM-Defizienz · Galaktosämie Typ 4
esDeficiencia de galactosa mutarotasaGalactosemia por deficiencia de galactosa mutarotasa · Galactosemia tipo IV · Galactosemia por deficiencia de GALM · Deficiencia de GALM · Galactosemia tipo 4
itDeficit di galattosio mutarotasiGalattosemia tipo IV · Galattosemia da deficit di GALM · Galattosemia da deficit di galattosio mutarotasi · Defici di GALM · Galattosemia tipo 4
nlDeficiëntie van galactosemutarotaseType IV galactosemie · Type 4 galactosemie · GALM-deficiëntie · Galactosemie door GALM-deficiëntie · Galactosemie door deficiëntie van galactosemutarotase · Galactosemie type IV · Galactosemie type 4
ptDeficiência de galactose mutarotase
plNiedobór mutarotazy galaktozowejGalaktozemia typu 4
csDeficit galaktóza-mutarotázy= en
ukДефіцит галактозо-мутаротазиГалактоземія типу 4 · Дефіцит GALM
zh半乳糖变旋酶缺乏症半乳糖血症4型
trGalaktoz mutarotaz eksikliğiGALM eksikliği · Galaktozemi tip 4

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618881Evalidated
ICD-10E74.2NTBTattributedvalidated
ICD-115C51.4YNTBTattributedvalidated
MONDO30105Evalidated
UMLSC5394377Evalidated

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):

  • ORPHA:352Galactosemia
    rare inborn errors of metabolism; rare genetic diseases; rare renal diseases; rare ophthalmic disorders

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GALMDisease-causing germline mutation(s) inAssessedHGNC:24063ENSG000001438911370302p22.1galactose mutarotase30451973[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—EuropeClass onlyValidatedORPHANET
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET
Annual incidence1-9 / 1 000 0000.4 / 100 000WorldwideValue and classValidated30451973[PMID]
Annual incidence1-9 / 100 0001.2 / 100 000JapanValue and classValidated30451973[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

10 annotations · validated 2021-06-30
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
HP:0012024Hypergalactosemia
HP:0004915Impairment of galactose metabolism
Frequent (79-30%)
HP:0000518Cataract
Occasional (29-5%)
HP:0001396Cholestasis
HP:0001410Decreased liver function
Very rare (<4-1%)
HP:0000707Abnormality of the nervous system
HP:0001508Failure to thrive
HP:0002240Hepatomegaly
HP:0100806Sepsis

Run the differential on the 3 obligate / very frequent terms

Annotation source: 33181226[PMID]_33181226[PMID]

7

Sources for this card