raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:742

Prolidase deficiency

Synonyms: Hyperimidodipeptiduria

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

Prolidase deficiency is an inherited disorder of peptide metabolism characterized by severe skin lesions, recurrent infections (involving mainly the skin and respiratory system), dysmorphic facial features, variable cognitive impairment, and splenomegaly.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enProlidase deficiencyHyperimidodipeptiduria
frDéficit en prolidaseHyperimidodipeptidurie
deProlidase-MangelHyperimidodipeptidurie
esDeficiencia de prolidasa
itDeficit di prolidasiIperimidodipeptiduria
nlProlidasedeficiëntieHyperimidodipeptidurie
ptDeficiência de prolidaseHiperimidopeptidúria
plNiedobór prolidazyHiperimidodipeptiduria
csDeficit prolidázyHyperimidodipeptidurie
ukДефіцит пролідазиГіперімідодипептидурія
zh氨酰基脯氨酸二肽酶缺乏症氨酰基脯氨酸二肽酶缺乏症
trProlidaz eksikliğiHiperimidodipeptidüri

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM170100Evalidated
ICD-10E72.8NTBTattributedvalidated
ICD-115C50.F0Especificvalidated
MONDO0008221Evalidated
MeSHD056732Evalidated
UMLSC0268532Evalidated
GARD7473Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PEPDDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:8840ENSG0000012429961323019q13.11peptidase D18340504[PMID]
5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Cases/families90 casesWorldwideCase(s)Validated26110198[PMID]
Point prevalenceUnknown—WorldwideClass onlyValidatedDr Heng Wang[EXPERT]_ORPHANET
Prevalence at birth<1 / 1 000 0000.08 / 100 000CanadaValue and classValidatedISBN:978-2-550-55181-2[OTHER]

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

39 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0003272Abnormality of the hip bone
HP:0002715Abnormality of the immune system
HP:0000370Abnormality of the middle ear
HP:0008065Aplasia/Hypoplasia of the skin
HP:0000670Carious teeth
HP:0007473Crusting erythematous dermatitis
HP:0000992Cutaneous photosensitivity
HP:0005280Depressed nasal bridge
HP:0000958Dry skin
HP:0010783Erythema
HP:0000365Hearing impairment
HP:0000962Hyperkeratosis
HP:0000982Palmoplantar keratoderma
HP:0200034Papule
HP:0000989Pruritus
HP:0002205Recurrent respiratory infections
HP:0200042Skin ulcer
HP:0000963Thin skin
Frequent (79-30%)
HP:0001231Abnormal fingernail morphology
HP:0007703Abnormality of retinal pigmentation
HP:0001166Arachnodactyly
HP:0007598Bilateral single transverse palmar creases
HP:0000457Depressed nasal ridge
HP:0002230Generalized hirsutism
HP:0002857Genu valgum
HP:0001007Hirsutism
HP:0000316Hypertelorism
HP:0000294Low anterior hairline
HP:0000347Micrognathia
HP:0000505Visual impairment
HP:0002211White forelock
Occasional (29-5%)
HP:0002240Hepatomegaly
HP:0010669Hypoplasia of the zygomatic bone
HP:0001249Intellectual disability
HP:0000520Proptosis
HP:0012786Recurrent cystitis
HP:0004349Reduced bone mineral density
HP:0001744Splenomegaly

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card