raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:70594

Dopa-responsive dystonia due to sepiapterin reductase deficiency

Synonyms: Autosomal recessive sepiapterin reductase-deficient DRD · DRD due to SRD · SPR deficiency · Sepiapterin reductase deficiency

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

Dopa-responsive dystonia (DRD) due to sepiapterin reductase deficiency (SRD) is a very rare neurometabolic disorder characterized by dystonia with diurnal fluctuations, axial hypotonia, oculogyric crises, and delays in motor and cognitive development.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enDopa-responsive dystonia due to sepiapterin reductase deficiencyAutosomal recessive sepiapterin reductase-deficient DRD · DRD due to SRD · SPR deficiency · Sepiapterin reductase deficiency
frDystonie dopa-sensible par déficit en sépiaptérine réductaseDRD autosomique récessive par déficit en sépiaptérine réductase · DRD par déficit en SPR · Déficit en SPR
deDopa-responsive Dystonie durch Sepiapterin-Reduktase-MangelDRD durch SRD · SPR-Mangel · Sepiapterin-Reduktase-Defizienz · Sepiapterin-Reduktase-defiziente DRD, autosomal-rezessiv
esDistonía dopa-sensible por deficiencia de sepiapterina reductasaDRD deficiente en sepiapterina reductasa autosómica recesiva · DRD por SRD · Deficiencia de SPR · Deficiencia de sepiapterina reductasa
itDistonia Dopa-sensibile da deficit della sepiapterina reduttasiDRD autosomica recessiva da deficit di sepiapterina reduttasi · DRD da SRD · Deficit di SPR · Deficit di sepiapterina reduttasi
nlDoparesponsieve dystonie als gevolg van sepiapterinereductasedeficiëntieAutosomaal recessieve sepiapterinereductasedeficiënte DRD · DRD als gevolg van SRD · SPR-deficiëntie · Sepiapterinereductasedeficiëntie
ptDeficiência de sepiapterina redutase
plDystonia wrażliwa na lewodopę spowodowana niedoborem reduktazy sepiapterynyAutosomalna recesywna DPD z niedoborem reduktazy sepiapteryny · DRD z powodu SRD · Niedobor reduktazy sepiapteryny · Niedobór SPR
csDopa responzivní dystonie způsobená deficitem sepiapterin reduktázyDeficit SPR · Deficit sepiapterin reduktázy · Autozomálně recesivní sepiapterin reduktáza deficientní DRD · DRD způsobená SRD
ukДофа-залежна дистонія, спричинена дефіцитом сепітаперінредуктазиАутосомно-рецесивний дефіцит сепітаперінредуктази DRD · DRD через SRD · Дефіцит сепітаперінредуктази · Дефіцит SPR
zh墨喋呤还原酶缺乏所致多巴反应性肌张力障碍常染色体隐性遗传性墨蝶呤还原酶缺乏型DRD
trSepiapterin redüktaz eksikliğine bağlı dopaya duyarlı distoniSRD nedeniyle DRD · SPR eksikliği · Sepiapterin redüktaz eksikliği · Otozomal Çekinik sepiapterin redüktaz eksikliği olan DRD

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM612716Evalidated
ICD-10G24.1NTBTattributedvalidated
ICD-115C59.01NTBTindexvalidated
MONDO0012994Evalidated
MeSHC562657Evalidated
UMLSC0268468Evalidated
GARD10365Evalidated

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
SPRDisease-causing germline mutation(s) inAssessedHGNC:11257ENSG000001160961821252p13.2sepiapterin reductase
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families43 casesWorldwideCase(s)Validated22522443[PMID]
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

26 annotations · validated 2017-10-05
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0000366Abnormality of the nose
HP:0000708Atypical behavior
HP:0008936Axial hypotonia
HP:0002067Bradykinesia
HP:0100543Cognitive impairment
HP:0000750Delayed speech and language development
HP:0002329Drowsiness
HP:0001332Dystonia
HP:0000975Hyperhidrosis
HP:0001347Hyperreflexia
HP:0000338Hypomimic face
HP:0001249Intellectual disability
HP:0002509Limb hypertonia
HP:0001270Motor delay
HP:0001324Muscle weakness
HP:0010553Oculogyric crisis
HP:0000508Ptosis
HP:0002063Rigidity
HP:0002360Sleep abnormality
HP:0005968Temperature instability
HP:0001337Tremor
Occasional (29-5%)
HP:0100021Cerebral palsy
HP:0001510Growth delay
HP:0000252Microcephaly
HP:0001250Seizure
HP:0001518Small for gestational age

Annotation source: 26131547[PMID]

7

Sources for this card