raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79238

Galactose epimerase deficiency

Synonyms: GALE deficiency · GALE deficiency galactosemia · Galactose epimerase deficiency galactosemia · Galactosemia type 3 · Galactosemia type III · Type 3 galactosemia · Type III galactosemia · UDP-galactose-4-epimerase deficiency · Uridine diphosphate galactose-4-epimerase deficiency

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

A rare galactosemia characterized by a spectrum of clinical presentations. In the peripheral form, GALE impairment is restricted to circulating red and white blood cells, with normal or near-normal levels in fibroblasts and/or other tissues (liver, EBV transformed fibroblasts). The intermediate form is defined as a deficient GALE enzyme activity in red and white blood cells, and <&nbsp;50% of normal enzyme levels in fibroblasts and/or other tissues. In generalized GALE deficiency, the enzyme activity is profoundly decreased in all tissues.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGalactose epimerase deficiencyGALE deficiency · GALE deficiency galactosemia · Galactose epimerase deficiency galactosemia · Galactosemia type 3 · Galactosemia type III · Type 3 galactosemia · Type III galactosemia · UDP-galactose-4-epimerase deficiency · Uridine diphosphate galactose-4-epimerase deficiency
frDéficit en galactose épiméraseDéficit en GALE · Déficit en UDP-galactose-4-épimérase · Déficit en uridine diphosphate-galactose-4-épimérase · Galactosémie de type 3 · Galactosémie de type III · Galactosémie par déficit en GALE · Galactosémie par déficit en UDP-galactose-4-épimérase · Galactosémie par déficit en uridine diphosphate-galactose-4-épimérase · Galactosémie par déficit en galactose épimerase
deGalaktose-Epimerase-MangelEpimerase-Mangel, galaktosämischer · GALE-Mangel · Galaktosämie Typ 3 · Galaktosämie Typ III · UDP-Galaktose-4-Epimerase-Mangel
esDeficiencia de galactosa epimerasaGalactosemia tipo III · Deficiencia de uridina difosfato galactosa-4-epimerasa · Galactosemia por deficiencia de galactosa epimerasa · Galactosemia tipo 3 · Galactosemia por deficiencia de GALE · Deficiencia de GALE · Deficiencia de UDP-galactosa-4-epimerasa
itDeficit di galattosio epimerasiGalattosemia da deficit di galattosio epimerasi · Deficit di GALE · Galattosemia tipo 3 · Deficit di uridina difosfato galattosio-4-epimerasi · Galattosemia tipo III · Galattosemia con deficit di epimerasi · Galattosemia da deficit di GALE
nlDeficiëntie van galactose-epimeraseType 3 galactosemie · Deficiëntie van UDP-galactose-4-epimerase · Deficiëntie van uridinedifosfaatgalactose-4-epimerase · GALE-deficiëntie · Galactosemie door GALE-deficiëntie · Galactosemie door deficiëntie van galactose-epimerase · Galactosemie type III · Galactosemie type 3 · Type III galactosemie
ptDeficiência de UDP-galactose-4-epimerase
plNiedobór epimerazy galaktozyGalaktozemia typu 3 · Galaktozemia z niedoboru epimerazy · GALE-D · Niedobór GALE · Niedobór UDP-galaktozo-4-epimerazy · Niedobór urydynodifosforogalaktozo-4-epimerazy
csDeficit galaktózaepimerázyDeficit GALE · GALE-D · Galaktosémie, typ 3 · Deficit UDP-galaktóza-4-epimerázy · Deficit uridindifosfát-galaktóza-4-epimerázy · Galaktosémie způsobená deficitem epimerázy
ukДефіцит галактозної епімеразиГалактоземія внаслідок дефіциту епімерази · Галактоземія типу 3 · Дефіцит GALE · GALE-D · Дефіцит УДФ-галактозо-4-епімерази · Дефіцит уридиндифосфат-галактозо-4-епімерази
zh半乳糖表异构酶缺乏尿苷二磷酸半乳糖-4-差向异构酶缺乏症
trGalaktoz epimeraz eksikliğiGALE-D · GALE eksikliği · Galaktozemi tip 3 · Epimeraz eksikliği galaktozemi · UDP-galaktoz-4-epimeraz eksikliği · Üridin difosfat galaktoz-4-epimeraz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM230350Evalidated
ICD-10E74.2NTBTattributedvalidated
ICD-115C51.4YNTBTindexvalidated
MONDO0009257Evalidated
UMLSC0751161Evalidated
GARD5392Evalidated

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):

Children (2):

4

Genes

0 direct · 2 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GALEORPHA:308473Erythrocyte galactose epimerase deficiencyDisease-causing germline mutation(s) inAssessedHGNC:4116ENSG000001173086069531p36.11UDP-galactose-4-epimerase
GALEORPHA:308487Generalized galactose epimerase deficiencyDisease-causing germline mutation(s) inAssessedHGNC:4116ENSG000001173086069531p36.11UDP-galactose-4-epimerase
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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

13 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003355Aminoaciduria
HP:0000518Cataract
HP:0011968Feeding difficulties
HP:0001263Global developmental delay
HP:0001510Growth delay
HP:0002240Hepatomegaly
HP:0001252Hypotonia
HP:0004915Impairment of galactose metabolism
HP:0001249Intellectual disability
HP:0000952Jaundice
HP:0002017Nausea and vomiting
HP:0001744Splenomegaly
HP:0001824Weight loss

Run the differential on the 12 obligate / very frequent terms

Annotation source: 21290786[PMID]

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Sources for this card