raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:726

Alpers-Huttenlocher syndrome

Synonyms: Alpers progressive sclerosing poliodystrophy · Alpers syndrome · Progressive neuronal degeneration of childhood with liver disease

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

A cerebrohepatopathy and a rare and severe form of mitochondrial DNA (mtDNA) depletion syndrome characterized by the triad of progressive developmental regression, intractable seizures, and hepatic failure.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAlpers-Huttenlocher syndromeAlpers progressive sclerosing poliodystrophy · Alpers syndrome · Progressive neuronal degeneration of childhood with liver disease
frSyndrome d'Alpers-HuttenlocherDégénérescence neuronale progressive de l'enfant avec maladie du foie · Polydystrophie sclérosante progressive d'Alpers · Syndrome d'Alpers
deAlpers-Huttenlocher-SyndromAlpers-Syndrom · Progressive neuronale Degeneration im Kindesalter mit Lebererkrankung · Progressive sklerosierende Poliodystrophie Alpers
esSíndrome de Alpers-HuttenlocherDegeneración neuronal progresiva de la infancia con enfermedad hepática · Polidistrofia esclerosante progresiva de Alpers · Síndrome de Alpers
itSindrome di Alpers-HuttenlocherDegenerazione neuronale progressiva dell'infanzia associata a malatia epatica · Polidistrofia sclerosante progressiva di Alpers · Sindrome di Alpers
nlSyndroom van Alpers-HuttenlocherAlpers progressieve scleroserende poliodystrofie · Alpers-Huttenlochersyndroom · Alperssyndroom · Progressieve neuronale degeneratie in de kinderjaren met leverziekte · Syndroom van Alpers
ptSíndrome Alpers-HuttenlocherSíndrome Alpers
plZespół Alpersa i HuttenlocheraDziecięce postępujące zwyrodnienie neuronalne z chorobą wątroby · Postępująca stwardniająca poliodystrofia Alpersa · Zespół Alpersa
csAlpersův-Huttenlocherův syndromAlpersova progresivní sklerózní poliodystrofie · Progresivní infantilní neuronální degenerace s postižením jater · Alpersův syndrom · Alpers-Huttenlocherův syndrom
ukСиндром Альперса-ГуттенлохераАльпійська прогресуюча склерозуюча поліодистрофія · Синдром Альперса · Прогресуюча дегенерація нейронів у дітей із захворюваннями печінки
zhAlpers-Huttenlocher综合征儿童进行性神经元变性伴肝病
trAlpers-Huttenlocher sendromuAlpers sendromu · Alpers ilerleyici sklerozan poliodistrofi · Karaciğer hastalığı olan çocukluk dönemi ilerleyici nöronal dejenerasyon

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM203700Evalidated
ICD-10G31.8NTBTinclusionvalidated
ICD-115C53.20NTBTindexvalidated
MONDO0008758Evalidated
UMLSC0205710Evalidated
GARD5783Evalidated
MedDRA10062943Evalidated

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 (7):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
POLGDisease-causing germline mutation(s) inAssessedHGNC:9179ENSG0000014052117476315q26.1DNA polymerase gamma, catalytic subunit22237560[PMID]_22000311[PMID]_23545419[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.7 / 100 000EuropeValue and classValidated19766516[PMID]_Pr Robert NAVIAUX[EXPERT]
Point prevalence<1 / 1 000 0000.07 / 100 000EuropeValue and classNot 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

19 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0100022Abnormality of movement
HP:0000478Abnormality of the eye
HP:0000504Abnormality of vision
HP:0001284Areflexia
HP:0001251Ataxia
HP:0002069Bilateral tonic-clonic seizure
HP:0001266Choreoathetosis
HP:0001259Coma
HP:0002376Developmental regression
HP:0007359Focal-onset seizure
HP:0001263Global developmental delay
HP:0001252Hypotonia
HP:0000252Microcephaly
HP:0001336Myoclonus
HP:0002385Paraparesis
HP:0002191Progressive spasticity
HP:0002313Spastic paraparesis
HP:0001257Spasticity
Occasional (29-5%)
HP:0000618Blindness
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Sources for this card