raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:63

Alport syndrome

Synonyms: Alport deafness-nephropathy · Alport hearing loss-nephropathy

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive, X-linked dominant
Age of onset
Adolescent, Adult, Childhood, Elderly
Status
active

A rare renal disease characterized by glomerular nephropathy with hematuria progressing to end-stage renal disease (ESRD), frequently associated with sensorineural deafness, and occasionally with ocular anomalies.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAlport syndromeAlport deafness-nephropathy · Alport hearing loss-nephropathy
frSyndrome d'AlportSyndrome de surdité-néphropathie
deAlport-SyndromNephropathie-Taubheit-Syndrom
esSíndrome de AlportHipoacusia-nefropatía de Alport · Sordera-nefropatía de Alport
itSindrome di AlportSordità - nefropatia di Alport
nlSyndroom van AlportAlport-doofheid - nefropathie · Alport-gehoorverlies - nefropathie
ptSíndrome Alport
plZespół AlportaGłuchota Alporta - nefropatia
csAlportův syndromAlportův syndrom s hluchotou a nefropatií
ukСиндром АльпортаГлухота-нефропатія Альпорта · Втрата слуху - нефропатія Альпорта
zhAlport综合征Alport听力丧失-肾病
trAlport sendromuAlport sağırlık-nefropati · Alport işitme kaybı-nefropati

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM104200BTNTvalidated
OMIM203780BTNTvalidated
OMIM301050BTNTvalidated
ICD-10Q87.8NTBTinclusionvalidated
ICD-11LD2H.YNTBTindexvalidated
MONDO0018965Evalidated
MeSHD009394Evalidated
UMLSC1567741Evalidated
GARD5785Evalidated
MedDRA10001843Evalidated

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 (5):

Children (5):

4

Genes

0 direct · 10 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
COL4A3ORPHA:88918Autosomal dominant Alport syndromeDisease-causing germline mutation(s) inAssessedHGNC:2204ENSG000001690311200702q36.3collagen type IV alpha 3 chain20301386[PMID]
COL4A3ORPHA:88919Autosomal recessive Alport syndromeDisease-causing germline mutation(s) inAssessedHGNC:2204ENSG000001690311200702q36.3collagen type IV alpha 3 chain20301386[PMID]
COL4A3ORPHA:653722Digenic Alport syndromeDisease-causing germline mutation(s) inAssessedHGNC:2204ENSG000001690311200702q36.3collagen type IV alpha 3 chain5675912[PMID]_34930753[PMID]_35547199[PMID]
COL4A4ORPHA:88918Autosomal dominant Alport syndromeDisease-causing germline mutation(s) inAssessedHGNC:2206ENSG000000810521201312q36.3collagen type IV alpha 4 chain9269635[PMID]_20301386[PMID]_15086897[PMID]_11572889[PMID]_19129241[PMID]
COL4A4ORPHA:88919Autosomal recessive Alport syndromeDisease-causing germline mutation(s) inAssessedHGNC:2206ENSG000000810521201312q36.3collagen type IV alpha 4 chain20301386[PMID]
COL4A4ORPHA:653722Digenic Alport syndromeDisease-causing germline mutation(s) inAssessedHGNC:2206ENSG000000810521201312q36.3collagen type IV alpha 4 chain5675912[PMID]_34930753[PMID]_35547199[PMID]
COL4A5ORPHA:88917X-linked Alport syndromeDisease-causing germline mutation(s) inAssessedHGNC:2207ENSG00000188153303630Xq22.3collagen type IV alpha 5 chain20301386[PMID]
COL4A5ORPHA:653722Digenic Alport syndromeDisease-causing germline mutation(s) inAssessedHGNC:2207ENSG00000188153303630Xq22.3collagen type IV alpha 5 chain5675912[PMID]_34930753[PMID]_35547199[PMID]
COL4A5ORPHA:1018X-linked Alport syndrome-diffuse leiomyomatosisRole in the phenotype ofAssessedHGNC:2207ENSG00000188153303630Xq22.3collagen type IV alpha 5 chain20951201[PMID]
COL4A6ORPHA:1018X-linked Alport syndrome-diffuse leiomyomatosisRole in the phenotype ofAssessedHGNC:2208ENSG00000197565303631Xq22.3collagen type IV alpha 6 chain20951201[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—EuropeClass onlyValidated[EXPERT]
Prevalence at birth1-9 / 100 0001.9 / 100 000FinlandValue and classValidated8955456[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

34 annotations · validated 2026-04-29
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0030034Glomerular basement membrane lamellation
HP:0000790Hematuria
Frequent (79-30%)
HP:0008619Bilateral sensorineural hearing impairment
HP:0000822Hypertension
HP:0012574Mesangial hypercellularity
HP:0000093Proteinuria
HP:0007663Reduced visual acuity
HP:0000083Renal insufficiency
HP:0012045Retinal flecks
HP:0003774Stage 5 chronic kidney disease
HP:0012577Thin glomerular basement membrane
Occasional (29-5%)
HP:0011488Abnormal corneal endothelium morphology
HP:0011501Anterior lenticonus
HP:0200020Corneal erosion
HP:0000969Edema
HP:0000097Focal segmental glomerulosclerosis
HP:0002907Microscopic hematuria
HP:0000545Myopia
HP:0000495Recurrent corneal erosions
HP:0032583Renal glomerular foam cells
HP:0025005Thickening of glomerular capillary wall
HP:0004722Thickening of the glomerular basement membrane
HP:0005576Tubulointerstitial fibrosis
Very rare (<4-1%)
HP:0001131Corneal dystrophy
HP:0012735Cough
HP:0006756Diffuse leiomyomatosis
HP:0002015Dysphagia
HP:0002094Dyspnea
HP:0410019Epigastric pain
HP:0000608Macular degeneration
HP:0007787Posterior subcapsular cataract
HP:0002837Recurrent bronchitis
HP:0010307Stridor
HP:0002013Vomiting

Run the differential on the 2 obligate / very frequent terms

Annotation source: 20301386[PMID]_30212818[PMID]_30128941[PMID]_27281700[PMID]_37122389[PMID]_33854215[PMID]

7

Sources for this card