raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:653880

Mitochondrial short-chain enoyl-CoA hydratase 1 deficiency

Synonyms: Crotonase deficiency · ECHS1D

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

A rare neurometabolic disorder characterized typically by severe neonatal or early-infantile encephalopathy, lactic acidosis and basal ganglia involvement. Majority of the patients present with severe developmental delay, hypotonia, dystonia, seizures, failure to thrive, cardiomyopathy, liver steatosis and/or hepatomegaly and sensorineural hearing loss. Optic atrophy and nystagmus may also be present. A subset of patients (mostly with an onset in infancy) may present with a milder phenotype including paroxymal dystonia, subtle gait abnormalities. In these patients motor and cognitive development is near normal and usually no major cardiomyopathy, liver failure or severe lactic crises are present.

1

Names in Orphadata languages

10 of 12 languages
LangNameSynonyms
enMitochondrial short-chain enoyl-CoA hydratase 1 deficiencyCrotonase deficiency · ECHS1D
frDéficit mitochondrial en énoyl-CoA hydratase 1 à chaîne courteDéficit en crotonase
deDefizienz der mitochondrialen kurzkettigen Enoyl-CoA-Hydratase 1Crotonase-Defizienz · Crotonase-Mangel · ECHS1D · Mitochondriale kurzkettige Enoyl-CoA-Hydratase-1-Mangel
esDeficiencia mitocondrial de enoil-CoA hidratasa 1 de cadena cortaDeficiencia de crotonasa · ECHS1D
itDeficit mitocondriale di enoil-CoA idratasi 1 a catena cortaDeficit di crotonasi · ECHS1D
nlDeficiëntie van mitochondriaal korteketen enoyl-CoA-hydratase 1Deficiëntie van crotonase · ECHS1D
ptDeficiência de enoil-CoA hidratase 1 de cadeia curta mitocondrialDeficiência de crotonase · ECHS1D
plNiedobór mitochondrialnej hydratazy 1 krótkołańcuchowego enoilo-CoA= en
csDeficit mitochondriální enoyl-CoA hydratázy 1 s krátkým řetězcem= en
ukДефіцит мітохондріальної коротколанцюгової енойл-КоА-гідратази 1Дефіцит кротонази · ECHS1D

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616277Evalidated
ICD-10E71.1NTBTattributedvalidated
ICD-115C50.E1NTBTattributedvalidated
MONDO0014563Evalidated
MONDO14563Evalidated
UMLSC4225391Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ECHS1Disease-causing germline mutation(s) inAssessedHGNC:3151ENSG0000012788460229210q26.3enoyl-CoA hydratase, short chain 126506407[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families23 casesWorldwideCase(s)Validated25125611[PMID]_25393721[PMID]_26251176[PMID]_26000322[PMID]_26099313[PMID]_29575569[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated25125611[PMID]_25393721[PMID]_26251176[PMID]_26000322[PMID]_26099313[PMID]_29575569[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.

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Sources for this card