raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:69723

Tyrosinemia type 3

Synonyms: Tyrosinemia due to 4-hydroxyphenylpyruvate dioxygenase deficiency · Tyrosinemia due to 4-hydroxyphenylpyruvic acid oxidase deficiency · Tyrosinemia due to HPD deficiency · Tyrosinemia type III

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

A rare inborn error of tyrosine metabolism characterized by mild hypertyrosinemia and increased urinary excretion of 4-hydroxyphenylpyruvate, 4-hydroxyphenyllactate and 4-hydroxyphenylacetate.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTyrosinemia type 3Tyrosinemia due to 4-hydroxyphenylpyruvate dioxygenase deficiency · Tyrosinemia due to 4-hydroxyphenylpyruvic acid oxidase deficiency · Tyrosinemia due to HPD deficiency · Tyrosinemia type III
frTyrosinémie type 3Tyrosinémie par déficit en 4-hydroxyphénylpyruvate dioxygénase · Tyrosinémie par déficit en HPD · Tyrosinémie par déficit en acide 4-hydroxyphénylpyruvique oxydase · Tyrosinémie type III
deTyrosinämie Typ 3Tyrosininämie Typ III · Tyrosinämie durch 4-Hydroxyphenylpyruvat-Dioxygenase-Mangel
esTirosinemia tipo 3Tirosinemia por deficiencia de 4-hidroxifenilpiruvato dioxigenasa · Tirosinemia por deficiencia de HPD · Tirosinemia por deficiencia de la oxidasa del ácido 4-hidroxifenilpiruvico · Tirosinemia tipo III
itTirosinemia, tipo 3Tirosinemia da deficit di 4-idrossifenilpiruvato diossigenasi · Tirosinemia da deficit di HPD · Tirosinemia da deficit di acido 4-idrossifenilpiruvico ossidasi · Tirosinemia, tipo III
nlTyrosinemie type 3Tyrosinemie door HPD-deficiëntie · Tyrosinemie door deficiëntie van 4-hydroxyfenylpyrodruivenzuur-oxidase · Tyrosinemie door deficiëntie van 4-hydroxyfenylpyruvaatdioxygenase · Tyrosinemie type III
ptTirosinemia tipo IIIDeficiência de 4-hidroxifenilpiruvato dioxigenase · Deficiência de ácido 4-hidroxifenilpiruvico oxidase
plTyrozynemia typu 3Tyrozynemia spowodowana niedoborem dioksygenazy 4-hydroksyfenylopirogronianu · Tyrozynemia spowodowana niedoborem HPD · Tyrozynemia spowodowana niedoborem oksydazy kwasu 4-hydroksyfenylopirogronowego · Tyrozynemia typu III
csTyrosinémie, typ 3Tyrosinémie typu III · Tyrosinémie způsobená deficitem 4-hydroxyfenypyruvátdioxygenázy · Tyrosinémie způsobená deficitem oxidázy kyseliny 4-hydroxyfenylpyrohroznové · Tyrosinémie způsobená deficitem HPD
ukТирозинемія типу 3Тирозинемія внаслідок дефіциту 4-гідроксифенілпіруватдіоксигенази · Тирозинемія внаслідок дефіциту оксидази 4-гідроксифенілпіровиноградної кислоти · Тирозинемія внаслідок дефіциту HPD · Тирозинемія III типу
zh酪氨酸血症3型4-羟基苯丙酮酸氧化酶缺乏所致酪氨酸血症
trTirozinemi tip 3Tirozinemi tip III · HPD eksikliğine bağlı tirozinemi · 4-hidroksifenilpiruvat dioksijenaz eksikliğine bağlı tirozinemi · 4-hidroksifenilpirüvik asit oksidaz eksikliğine bağlı tirozinemi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM276710Evalidated
ICD-10E70.2NTBTattributedvalidated
ICD-115C50.1YNTBTindexvalidated
MONDO0010162Evalidated
UMLSC0268623Evalidated
GARD10332Evalidated
MedDRA10069461Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
HPDDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:5147ENSG0000015810460969512q24.314-hydroxyphenylpyruvate dioxygenase10942115[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families20 casesWorldwideCase(s)ValidatedORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

19 annotations · validated 2026-03-04
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0003637Reduced circulating 4-Hydroxyphenylpyruvate dioxygenase activity
Very frequent (99-80%)
HP:0003231Hypertyrosinemia
Frequent (79-30%)
HP:00031614-Hydroxyphenylpyruvic aciduria
HP:00036074-hydroxyphenylacetic aciduria
HP:6001004Elevated urine hydroxyphenyllactic acid level
HP:0001249Intellectual disability
HP:0012758Neurodevelopmental delay
HP:0001250Seizure
Occasional (29-5%)
HP:0007879Allergic conjunctivitis
HP:0001251Ataxia
HP:0007018Attention deficit hyperactivity disorder
HP:0000729Autistic behavior
HP:6000479Elevated urine N-acetyltyrosine level
HP:0001097Keratoconjunctivitis sicca
HP:0000613Photophobia
HP:0001328Specific learning disability
HP:0001337Tremor
Very rare (<4-1%)
HP:0000501Glaucoma
Excluded (0%)
HP:6000598Elevated urinary succinylacetone level

Run the differential on the 2 obligate / very frequent terms

Annotation source: 41064053[PMID]_37817461[PMID]_35707594[PMID]_32520295[PMID]

7

Sources for this card