raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:71275

Rh deficiency syndrome

Synonyms: Rh-null syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
No data available
Status
active

A rare constitutional hemolytic anemia due to a red cell membrane anomaly characterized by lack or severe reduction of Rh blood group antigens, resulting in increased osmotic fragility of red blood cells and chronic hemolytic anemia of varying severity with stomatocytosis and spherocytosis. Two types of the syndrome arising from independent genetic mechanisms have been distinguished: the regulator type is caused by defects of the Rh associated glycoprotein (encoded by the <i>RHAG</i> gene), while the amorph type is due to mutations at the <i>RH</i> locus itself.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enRh deficiency syndromeRh-null syndrome
frSyndrome de déficit Rh
deRh-null-SyndromRh-Mangel-Syndrom
esSíndrome de deficiencia de Rh
itSindrome da deficit di RhSindrome del Rh null
nlRh-deficiëntiesyndroomRh-nulsyndroom
ptSíndrome de deficiência de RhSíndrome de Rh nulo
plZespół niedoboru Rh= en
csSyndrom deficitu Rh antigenůSyndrom nepřítomnosti Rh antigenů
ukСиндром резус-дефіцитуСиндром резус-негативності
zhRh缺乏综合征Rh因子缺乏综合征
trRh eksikliği sendromuRh-null sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM268150NTBTvalidated
OMIM617970BTNTvalidated
OMIM619462BTNTvalidated
ICD-10D58.8NTBTattributedvalidated
ICD-113A10.YNTBTindexvalidated
MONDO0019107Evalidated
MeSHC562717Evalidated
UMLSC0272052Evalidated
GARD12916Evalidated

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):

No children.

4

Genes

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RHAGDisease-causing germline mutation(s) inAssessedHGNC:10006ENSG000001120771802976p12.3Rh associated glycoprotein8563755[PMID]_9716608[PMID]
RHCEDisease-causing germline mutation(s) inAssessedHGNC:10008ENSG000001886721117001p36.11Rh blood group CcEe antigens9657766[PMID]_9657769[PMID]
RHDDisease-causing germline mutation(s) inAssessedHGNC:10009ENSG000001870101116801p36.11Rh blood group D antigen9657769[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

20 annotations · validated 2021-09-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001878Hemolytic anemia
HP:0005502Increased red cell osmotic fragility
HP:0032366Positive direct antiglobulin test
HP:0020181Reduced haptoglobin level
HP:0001923Reticulocytosis
Frequent (79-30%)
HP:0002904Hyperbilirubinemia
HP:0032231Hypochromia
HP:0025435Increased circulating lactate dehydrogenase concentration
HP:0004444Spherocytosis
HP:0004446Stomatocytosis
Occasional (29-5%)
HP:0011273Anisocytosis
HP:0001433Hepatosplenomegaly
HP:0012418Hypoxemia
HP:0001511Intrauterine growth retardation
HP:0000952Jaundice
HP:0001562Oligohydramnios
HP:0005268Spontaneous abortion
HP:0001649Tachycardia
HP:0002789Tachypnea
Very rare (<4-1%)
HP:0001972Macrocytic anemia

Run the differential on the 5 obligate / very frequent terms

Annotation source: 32378229[PMID]_25413218[PMID]_32484254[PMID]

7

Sources for this card