raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79239

Classic galactosemia

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

A rare genetic disorder of galactose metabolism characterized by onset of life-threatening disease triggered by breastfeeding or the ingestion of lactose/galactose-containing formula. Infants usually develop feeding difficulties, lethargy, and severe liver disease.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enClassic galactosemia
frGalactosémie classique
deGalaktosämie, klassische
esGalactosemia clásica
itGalattosemia classica
nlKlassieke galactosemie
ptDeficiência de galactose-1-fosfate uridiltransferase
plGalaktozemia klasycznaGalaktozemia typu 1 · Niedobór GALT · Niedobór urydylotransferazy galaktozo-1-fosforanowej
csKlasická galaktosémieDeficit GALT · Deficit galaktóza-1-fosfát uridyltransferázy · Galaktosémie, typ 1
ukКласична галактоземіяДефіцит галактозо-1-фосфат-уридилтрансферази · Галактоземія типу 1 · Дефіцит ГАЛТ
zh典型半乳糖血症半乳糖-1-磷酸尿苷酰转移酶缺乏
trKlasik galaktozemiGALT eksikliği · Galaktozemi tip 1 · Galaktoz-1-fosfat üridiltransferaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM230400Evalidated
ICD-10E74.2NTBTattributedvalidated
ICD-115C51.40Especificvalidated
MONDO0009258Evalidated
UMLSC0268151Evalidated
GARD13639Evalidated

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
GALTDisease-causing germline mutation(s) inAssessedHGNC:4135ENSG000002139306069999p13.3galactose-1-phosphate uridylyltransferase20301691[PMID]
5

Prevalence and incidence

8 records
TypeClassValueAreaQualificationValidationSource
Annual incidence1-9 / 100 0002.1 / 100 000EuropeValue and classValidated[EXPERT]
Prevalence at birth1-9 / 100 0003 / 100 000NetherlandsValue and classValidated15841485[PMID]
Prevalence at birth1-9 / 100 0002.3 / 100 000United KingdomValue and classValidated8215542[PMID]
Prevalence at birth1-9 / 100 0004.3 / 100 000IrelandValue and classValidated8215542[PMID]
Prevalence at birth1-9 / 1 000 0000.13 / 100 000JapanValue and classValidated6468444[PMID]
Prevalence at birth1-9 / 1 000 0000.25 / 100 000ChinaValue and classValidated10457302[PMID]
Prevalence at birth1-5 / 10 00020.8 / 100 000Iran, Islamic Republic ofValue and classValidated23113108[PMID]
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

54 annotations · validated 2021-01-18
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
HP:0030272Abnormal erythrocyte enzyme activity
HP:0000707Abnormality of the nervous system
HP:0003251Male infertility
Frequent (79-30%)
HP:0001928Abnormality of coagulation
HP:0002345Action tremor
HP:0000518Cataract
HP:0000868Decreased fertility in females
HP:0030353Decreased serum insulin-like growth factor 1
HP:0000823Delayed puberty
HP:0000750Delayed speech and language development
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0012537Food intolerance
HP:0001263Global developmental delay
HP:0006977Grammar-specific speech disorder
HP:0001399Hepatic failure
HP:0002240Hepatomegaly
HP:0001256Intellectual disability, mild
HP:0000952Jaundice
HP:0001268Mental deterioration
HP:0000876Oligomenorrhea
HP:0002174Postural tremor
HP:0008209Premature ovarian insufficiency
HP:0000786Primary amenorrhea
HP:0000869Secondary amenorrhea
HP:0001328Specific learning disability
HP:0009088Speech articulation difficulties
HP:0002013Vomiting
Occasional (29-5%)
HP:0011446Abnormality of higher mental function
HP:0000739Anxiety
HP:0001251Ataxia
HP:0007018Attention deficit hyperactivity disorder
HP:0000729Autistic behavior
HP:0020110Bone fracture
HP:0002312Clumsiness
HP:0000028Cryptorchidism
HP:0000716Depression
HP:0002014Diarrhea
HP:0001260Dysarthria
HP:0001332Dystonia
HP:0001298Encephalopathy
HP:0011968Feeding difficulties
HP:0001288Gait disturbance
HP:0002141Gait imbalance
HP:0001943Hypoglycemia
HP:0002311Incoordination
HP:0001254Lethargy
HP:0100512Low levels of vitamin D
HP:0000939Osteoporosis
HP:0004349Reduced bone mineral density
HP:0001250Seizure
HP:0100806Sepsis
HP:0011098Speech apraxia
Very rare (<4-1%)
HP:0001541Ascites

Run the differential on the 4 obligate / very frequent terms

Annotation source: 31029175[PMID]_20301691[PMID]

7

Sources for this card