raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:619953

Familial hyperinflammatory lymphoproliferative immunodeficiency

Synonyms: HEM1 deficiency syndrome · NCKAP1L-associated hyperinflammatory disorder

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

A rare autoinflammatory syndrome with immune deficiency characterized by recurrent infections (bacterial and viral) due to <i>NCKAP1L</i> mutations. Patients are present with recurrent respiratory tract infections and recurrent pneumonia mostly causing bronchiectasis, bacteremia, and meningitis. Patients also have systemic hyperinflammation which mostly presents with an atopic disease, hepatosplenomegaly, and lymphoproliferation. Cytokine overproduction, antibody abnormalities, elevated IgE levels and increased B cells are observed.

1

Names in Orphadata languages

10 of 12 languages
LangNameSynonyms
enFamilial hyperinflammatory lymphoproliferative immunodeficiencyHEM1 deficiency syndrome · NCKAP1L-associated hyperinflammatory disorder
frImmunodéficience hyper-inflammatoire lymphoproliférative familialeMaladie hyper-inflammatoire associée à NCKAP1L · Syndrome de déficit en HEM1
deFamiliärer hyperinflammatorischer lymphoproliferativer ImmundefektHEM1-Mangel-Syndrom · NCKAP1L-assoziierte hyperinflammatorische Störung
esInmunodeficiencia linfoproliferativa hiperinflamatoria familiarSíndrome de deficiencia de HEM1 · Trastorno hiperinflamatorio asociado a NCKAP1L
itImmunodeficienza familiare iper-infiammatoria linfoproliferativaSindrome da deficit di HEM1 · Malattia iper-infiammatoria correlata a NCKAP1L
nlFamiliale hyperinflammatoire lymfoproliferatieve immuundeficiëntieDeficiëntie van HEM1-syndroom · NCKAP1L-geassocieerde hyperinflammatoire aandoening
ptImunodeficiência linfoproliferativa hiperinflamatória familiarDoença hiperinflamatória NCKAP1L-associada · Síndrome de deficiência HEM1
plRodzinny limfoproliferacyjny niedobór odporności z nadmierną reakcją zapalną= en
csFamiliární hyperinflamatorní lymfoproliferativní imunodeficience= en
ukСімейний гіперзапальний лімфопроліферативний імунодефіцитСиндром дефіциту HEM1 · NCKAP1L-асоційоване гіперзапальне захворювання

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM618982Evalidated
ICD-10D89.8NTBTattributedvalidated
MONDO0850069Evalidated
UMLSC5680415Evalidated

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
NCKAP1LDisease-causing germline mutation(s) inAssessedHGNC:4862ENSG0000012333814118012q13.13-q13.2NCK associated protein 1 like32766723[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families7 casesWorldwideCase(s)Validated32646852[PMID]_32647003[PMID]_32766723[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated32646852[PMID]_32647003[PMID]_32766723[PMID]_ORPHANET

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

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

7

Sources for this card