raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79157

2-methylbutyryl-CoA dehydrogenase deficiency

Synonyms: 2-methylbutyric aciduria · Developmental delay due to 2-methylbutyryl-CoA dehydrogenase deficiency · SBCAD deficiency · Short/branched-chain acyl-coA dehydrogenase deficiency

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

A rare organic aciduria characterized by impaired isoleucine degradation with increased plasma or whole blood C5 acylcarnitine levels (typically observed in newborn screening) and increased urinary excretion of N-methylbutyrylglycine. The condition is usually clinically asymptomatic, although patients with muscular hypotonia, developmental delay, and seizures (among others) have been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
en2-methylbutyryl-CoA dehydrogenase deficiency2-methylbutyric aciduria · Developmental delay due to 2-methylbutyryl-CoA dehydrogenase deficiency · SBCAD deficiency · Short/branched-chain acyl-coA dehydrogenase deficiency
frDéficit en 2-méthylbutyryl-CoA déshydrogénaseAcidurie 2-méthylbutyrique · Déficit en acyl-CoA déshydrogénase des acides gras à chaîne courte ou ramifiée · Retard de développement par déficit en 2-méthylbutyryl-CoA déshydrogénase
de2-Methylbutyryl-CoA-Dehydrogenase-MangelSBCAD-Mangel · 2-Methylbutyrazidurie · Acyl-CoA-Dehydrogenase-Mangel, kurz/verzweigtkettige · Entwicklungsverzögerung durch 2-Methylbutyryl-CoA-Dehydrogenase-Mangel
esDeficiencia de 2-metilbutiril-CoA deshidrogenasaAciduria 2-metilbutírica · Deficiencia de SBCAD · Deficiencia de acil-CoA deshidrogenasa de cadena corta/ramificada · Retraso del desarrollo por deficiencia de 2-metilbutiril-CoA-deshidrogenasa
itDeficit di 2-metilbutirril-CoA deidrogenasiAciduria 2-metilbutirrica · Deficit di SBCAD · Deficit di acil-CoA deidrogenasi a catena corta/ramificata · Ritardo dello sviluppo da deficit di 2-metilbutirril-CoA deidrogenasi
nl2-methylbutyryl-CoA-dehydrogenasedeficiëntie2-methylboterzuuracidurie · Korte/vertakte keten acyl-CoA-dehydrogenasedeficiëntie · Ontwikkelingsachterstand als gevolg van 2-methylbutyryl-CoA-dehydrogenasedeficiëntie · SBCAD-deficiëntie
ptDeficiência de 2-metilbutiril-coA desidrogenaseAcidúria 2-metilbutírica · Deficiência de acil-coA desidrogenase de cadeias curtas/ramificadas · Perturbação do desenvolvimento por deficiência de 2-metilbutiril-coA desidrogenase
plNiedobór dehydrogenazy 2-metylobutyrylo-CoAAcyduria 2-metylobutyrylowa · Niedobór dehydrogenazy krótkich/rozgałęzionych łańcuchów acylo-CoA · Niedobór SBCAD · Opóźnienie rozwoju z powodu niedoboru dehydrogenazy 2-metylobutyrylo-CoA
csDeficit 2-methylbutyryl-CoA dehydrogenázy2-methylmáselná acidurie · Deficit SBCAD · Opožděný vývoj způsobený deficitem 2-methylbutyryl-CoA dehydrogenázy · Deficit dehydrogenázy acyl-CoA s krátkými/větvenými řetězci
ukДефіцит 2-метилбутирил-КоА-дегідрогенази2-метилмасляна ацидурія · Затримка розвитку через дефіцит 2-метилбутирил-КоА-дегідрогенази · Дефіцит SBCAD · Дефіцит ацил-коА-дегідрогенази з коротким/розгалуженим ланцюгом
zh2-甲基丁酰辅酶A脱氢酶缺陷症2-甲基丁酰基辅酶A脱氢酶缺乏所致发育迟缓
tr2-metilbütiril-KoA dehidrojenaz eksikliğiSBCAD eksikliği · 2-metilbütirik asidüri · Kısa/dallı zincirli açil-coA dehidrojenaz eksikliği · 2-metilbütiril-CoA dehidrojenaz eksikliğine bağlı gelişme geriliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM610006Evalidated
ICD-10E71.1NTBTattributedvalidated
ICD-115C50.E0NTBTindexvalidated
MONDO0012392Evalidated
MeSHC566487Evalidated
UMLSC1864912Evalidated
GARD10322Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ACADSBDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:91ENSG0000019617760030110q26.13acyl-CoA dehydrogenase short/branched chain20547083[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families30 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

9 annotations · validated 2025-08-26
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:00332202-ethylhydracylic aciduria
HP:0035019Elevated circulating C5 acylcarnitine concentration
Occasional (29-5%)
HP:0001531Failure to thrive in infancy
HP:0001263Global developmental delay
HP:0001252Hypotonia
HP:0001250Seizure
Very rare (<4-1%)
HP:0000717Autism
HP:0000750Delayed speech and language development
HP:0000252Microcephaly

Annotation source: 30730842[PMID]_40835664[PMID]_31555323[PMID]_36147814[PMID]

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Sources for this card