raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:666

Osteogenesis imperfecta

Synonyms: OI · Brittle bone disease · Glass bone disease · Lobstein disease

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive, X-linked recessive
Age of onset
All ages
Status
active

A rare, genetic, primary bone dysplasias characterized by increased bone fragility, low bone mass, and susceptibility to bone fractures. The clinical severity is heterogeneous.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enOsteogenesis imperfectaOI · Brittle bone disease · Glass bone disease · Lobstein disease
frOstéogenèse imparfaiteMaladie de Lobstein · Maladie des os de verre · OI
deOsteogenesis imperfectaGlasknochenkrankheit · Lobstein-Krankheit · OI · Porak-Durante-Krankheit
esOsteogénesis imperfectaEnfermedad de Lobstein · Enfermedad de los huesos de cristal · OI
itOsteogenesi imperfettaMalattia delle ossa di vetro · Malattia delle ossa fragili · Malattia di Lobstein · OI
nlOsteogenesis imperfectaBrozebottenziekte · Glazenbottenziekte · OI · Ziekte van Lobstein
ptOsteogenesis imperfectaDoença de Lobstein · Doença dos ossos Brittle · Doença dos ossos de vidro · Doença dos ossos quebradiços · OI · Osteogénese imperfeita
plWrodzona łamliwość kościChoroba szklanych kości · Osteopsathyrosis · Choroba kruchych kości · Choroba Lobsteina · Choroba Poraka i Durante · OI
csOsteogenesis imperfectaLobsteinova nemoc · OI · Osteopsathyrosis · Porakova a Durantova nemoc · Nemoc křehkých kostí · Nemoc skleněných kostí
ukНедосконалий остеогенезЗахворювання крихких кісток · Хвороба скляної кістки · Хвороба Лобштейна · OI
zh成骨不全Porak和Durante病
trOsteogenezis imperfektaOI · Lobstein hastalığı · Osteopsatiroz · Cam kemik hastalığı · Kırılgan kemik hastalığı · Porak ve Durante hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM166200BTNTvalidated
OMIM166210BTNTvalidated
OMIM166220BTNTvalidated
OMIM166230BTNTvalidated
OMIM259420BTNTvalidated
OMIM259440BTNTvalidated
OMIM301014BTNTvalidated
OMIM610682BTNTvalidated
OMIM610915BTNTvalidated
OMIM610967BTNTvalidated
OMIM610968BTNTvalidated
OMIM613848BTNTvalidated
OMIM613849BTNTvalidated
OMIM613982BTNTvalidated
OMIM614856BTNTvalidated
OMIM615066BTNTvalidated
OMIM615220BTNTvalidated
OMIM616229BTNTvalidated
OMIM616507BTNTvalidated
OMIM619131BTNTvalidated
OMIM619795BTNTvalidated
ICD-10Q78.0Especificvalidated
ICD-11LD24.K0Especificvalidated
MONDO0019019Evalidated
MeSHD010013Evalidated
UMLSC0029434Evalidated
GARD1017Evalidated
MedDRA10031243Evalidated

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):

Children (5):

4

Genes

0 direct · 36 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MBTPS2ORPHA:216796Osteogenesis imperfecta type 1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:15455ENSG00000012174300294Xp22.12membrane bound transcription factor peptidase, site 227380894[PMID]
MESDORPHA:216804Osteogenesis imperfecta type 2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:13520ENSG0000011789960778315q25.1mesoderm development LRP chaperone33596325[PMID]_31564437[PMID]
TENT5AORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:18345ENSG000001127736113576q14.1terminal nucleotidyltransferase 5A29358272[PMID]
WNT1ORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:12774ENSG0000012508416482012q13.12Wnt family member 123499310[PMID]_25046257[PMID]
WNT1ORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:12774ENSG0000012508416482012q13.12Wnt family member 123434763[PMID]_25046257[PMID]
BMP1ORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:1067ENSG000001684871122648p21.3bone morphogenetic protein 122052668[PMID]
COL1A1ORPHA:216796Osteogenesis imperfecta type 1Disease-causing germline mutation(s) inAssessedHGNC:2197ENSG0000010882112015017q21.33collagen type I alpha 1 chain21438135[PMID]_20301472[PMID]
COL1A1ORPHA:216804Osteogenesis imperfecta type 2Disease-causing germline mutation(s) inAssessedHGNC:2197ENSG0000010882112015017q21.33collagen type I alpha 1 chain21438135[PMID]_20301472[PMID]
COL1A1ORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:2197ENSG0000010882112015017q21.33collagen type I alpha 1 chain21438135[PMID]_20301472[PMID]
COL1A1ORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) inAssessedHGNC:2197ENSG0000010882112015017q21.33collagen type I alpha 1 chain21438135[PMID]_20301472[PMID]
COL1A2ORPHA:216796Osteogenesis imperfecta type 1Disease-causing germline mutation(s) inAssessedHGNC:2198ENSG000001646921201607q21.3collagen type I alpha 2 chain21438135[PMID]_20301472[PMID]
COL1A2ORPHA:216804Osteogenesis imperfecta type 2Disease-causing germline mutation(s) inAssessedHGNC:2198ENSG000001646921201607q21.3collagen type I alpha 2 chain21438135[PMID]_20301472[PMID]
COL1A2ORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:2198ENSG000001646921201607q21.3collagen type I alpha 2 chain21438135[PMID]_20301472[PMID]
COL1A2ORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) inAssessedHGNC:2198ENSG000001646921201607q21.3collagen type I alpha 2 chain21438135[PMID]_20301472[PMID]
CREB3L1ORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:18856ENSG0000015761361621511p11.2cAMP responsive element binding protein 3 like 124079343[PMID]
CRTAPORPHA:216804Osteogenesis imperfecta type 2Disease-causing germline mutation(s) inAssessedHGNC:2379ENSG000001702756054973p22.3cartilage associated protein21438135[PMID]
CRTAPORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:2379ENSG000001702756054973p22.3cartilage associated protein21438135[PMID]
CRTAPORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) inAssessedHGNC:2379ENSG000001702756054973p22.3cartilage associated protein21438135[PMID]
FKBP10ORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:18169ENSG0000014175660706317q21.2FKBP prolyl isomerase 1021438135[PMID]_25046257[PMID]
FKBP10ORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) inAssessedHGNC:18169ENSG0000014175660706317q21.2FKBP prolyl isomerase 1021438135[PMID]_25046257[PMID]
IFITM5ORPHA:216828Osteogenesis imperfecta type 5Disease-causing germline mutation(s) inAssessedHGNC:16644ENSG0000020601361475711p15.5interferon induced transmembrane protein 522863190[PMID]_22863195[PMID]_25046257[PMID]
MBTPS2ORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:15455ENSG00000012174300294Xp22.12membrane bound transcription factor peptidase, site 227380894[PMID]
MBTPS2ORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) inAssessedHGNC:15455ENSG00000012174300294Xp22.12membrane bound transcription factor peptidase, site 227380894[PMID]
P3H1ORPHA:216804Osteogenesis imperfecta type 2Disease-causing germline mutation(s) inAssessedHGNC:19316ENSG000001173856103391p34.2prolyl 3-hydroxylase 121438135[PMID]
P3H1ORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:19316ENSG000001173856103391p34.2prolyl 3-hydroxylase 121438135[PMID]
P4HBORPHA:216796Osteogenesis imperfecta type 1Disease-causing germline mutation(s) inAssessedHGNC:8548ENSG0000018562417679017q25.3prolyl 4-hydroxylase subunit beta30913006[PMID]_30948499[PMID]
PPIBORPHA:216804Osteogenesis imperfecta type 2Disease-causing germline mutation(s) inAssessedHGNC:9255ENSG0000016679412384115q22.31peptidylprolyl isomerase B21438135[PMID]
PPIBORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:9255ENSG0000016679412384115q22.31peptidylprolyl isomerase B21438135[PMID]
PPIBORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) inAssessedHGNC:9255ENSG0000016679412384115q22.31peptidylprolyl isomerase B21282188[PMID]
SEC24DORPHA:216796Osteogenesis imperfecta type 1Disease-causing germline mutation(s) inAssessedHGNC:10706ENSG000001509616071864q26SEC24 homolog D, COPII component25683121[PMID]
SERPINF1ORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:8824ENSG0000013238617286017p13.3serpin family F member 121353196[PMID]_25046257[PMID]
SERPINF1ORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) inAssessedHGNC:8824ENSG0000013238617286017p13.3serpin family F member 125046257[PMID]
SERPINH1ORPHA:216812Osteogenesis imperfecta type 3Disease-causing germline mutation(s) inAssessedHGNC:1546ENSG0000014925760094311q13.5serpin family H member 121438135[PMID]
SP7ORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) inAssessedHGNC:17321ENSG0000017037460663312q13.13Sp7 transcription factor21438135[PMID]
SPARCORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) inAssessedHGNC:11219ENSG000001131401821205q33.1secreted protein acidic and cysteine rich26027498[PMID]
TMEM38BORPHA:216820Osteogenesis imperfecta type 4Disease-causing germline mutation(s) inAssessedHGNC:25535ENSG000000952096112369q31.2transmembrane protein 38B23313006[PMID]_25046257[PMID]
5

Prevalence and incidence

7 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-5 / 10 0008.06 / 100 000WorldwideValue and classValidated31769437[PMID]_25944380[PMID]_24715559[PMID]
Prevalence at birth1-9 / 100 0006.4 / 100 000FranceValue and classValidated2785882[PMID]
Prevalence at birth1-9 / 1 000 0000.4 / 100 000Latin AmericaValue and classValidated3746832[PMID]
Prevalence at birth1-9 / 100 0001.5 / 100 000IrelandValue and classValidated22375084[PMID]
Prevalence at birth1-9 / 100 0006.95 / 100 000United StatesValue and classValidated22461456[PMID]_24715559[PMID]
Prevalence at birth1-9 / 100 0007.4 / 100 000SwedenValue and classValidated25944380[PMID]
Point prevalence1-9 / 1 000 0000.375 / 100 000ChinaValue and classValidated34103049[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

114 annotations · validated 2020-04-08
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000944Abnormal metaphysis morphology
HP:0000772Abnormal rib morphology
HP:0011073Abnormality of dental color
HP:0000682Abnormality of dental enamel
HP:0002992Abnormality of tibia morphology
HP:0000248Brachycephaly
HP:0000670Carious teeth
HP:0000444Convex nasal ridge
HP:0004331Decreased skull ossification
HP:0005019Diaphyseal thickening
HP:0001288Gait disturbance
HP:0000365Hearing impairment
HP:0001511Intrauterine growth retardation
HP:0000256Macrocephaly
HP:0000347Micrognathia
HP:0000410Mixed hearing impairment
HP:0000768Pectus carinatum
HP:0000269Prominent occiput
HP:0000883Thin ribs
Frequent (79-30%)
HP:0030680Abnormal cardiovascular system morphology
HP:0003103Abnormal cortical bone morphology
HP:0003312Abnormal form of the vertebral bodies
HP:0002823Abnormality of femur morphology
HP:0011314Abnormality of long bone morphology
HP:0000164Abnormality of the dentition
HP:0003272Abnormality of the hip bone
HP:0000739Anxiety
HP:0004586Biconcave vertebral bodies
HP:0000592Blue sclerae
HP:0002653Bone pain
HP:0007957Corneal opacity
HP:0000973Cutis laxa
HP:0000689Dental malocclusion
HP:0000703Dentinogenesis imperfecta
HP:0004621Enlarged vertebral pedicles
HP:0003546Exercise intolerance
HP:0012378Fatigue
HP:0002980Femoral bowing
HP:0003084Fractures of the long bones
HP:0002857Genu valgum
HP:0000501Glaucoma
HP:0002150Hypercalciuria
HP:0000975Hyperhidrosis
HP:0002659Increased susceptibility to fractures
HP:0001382Joint hypermobility
HP:0001382Joint hypermobility
HP:0000239Large fontanelles
HP:0002505Loss of ambulation
HP:0006640Multiple ribs fractures
HP:0000774Narrow chest
HP:0000938Osteopenia
HP:0000939Osteoporosis
HP:0001730Progressive hearing impairment
HP:0002757Recurrent fractures
HP:0004349Reduced bone mineral density
HP:0004322Short stature
HP:0003100Slender long bone
HP:0002953Vertebral compression fracture
HP:0000505Visual impairment
Occasional (29-5%)
HP:0004306Abnormality of the endocardium
HP:0002829Arthralgia
HP:0006487Bowing of the long bones
HP:0000978Bruising susceptibility
HP:0030267Calcification of the interosseus membrane of the forearm
HP:0002019Constipation
HP:0000684Delayed eruption of teeth
HP:0003083Dislocated radial head
HP:0002015Dysphagia
HP:0001371Flexion contracture
HP:0001510Growth delay
HP:0030268Hyperplastic callus formation
HP:0000023Inguinal hernia
HP:0005214Intestinal obstruction
HP:0002808Kyphosis
HP:0002983Micromelia
HP:0002011Morphological central nervous system abnormality
HP:0000787Nephrolithiasis
HP:0002758Osteoarthritis
HP:0003401Paresthesia
HP:0000767Pectus excavatum
HP:0003179Protrusio acetabuli
HP:0004482Relative macrocephaly
HP:0002650Scoliosis
HP:0001518Small for gestational age
HP:0003474Somatic sensory dysfunction
HP:0001873Thrombocytopenia
HP:0000325Triangular face
HP:0100661Trigeminal neuralgia
HP:0001537Umbilical hernia
HP:0002119Ventriculomegaly
HP:0100761Visceral angiomatosis
HP:0002645Wormian bones
Very rare (<4-1%)
HP:0004942Aortic aneurysm
HP:0002647Aortic dissection
HP:0001659Aortic regurgitation
HP:0002616Aortic root aneurysm
HP:0005294Arterial dissection
HP:0001251Ataxia
HP:0012366Basilar invagination
HP:0002512Brain stem compression
HP:0001342Cerebral hemorrhage
HP:0002947Cervical kyphosis
HP:0006824Cranial nerve paralysis
HP:0002315Headache
HP:0000238Hydrocephalus
HP:0001634Mitral valve prolapse
HP:0002643Neonatal respiratory distress
HP:0010953Noncommunicating hydrocephalus
HP:0000639Nystagmus
HP:0002089Pulmonary hypoplasia
HP:0008905Rhizomelia
HP:0003396Syringomyelia
HP:0002273Tetraparesis
HP:0005257Thoracic hypoplasia

Run the differential on the 12 obligate / very frequent terms

Annotation source: 20301472[PMID]_25439022[PMID]_36905741[PMID]

7

Sources for this card