raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79244

Pyruvate dehydrogenase E2 deficiency

Synonyms: Dihydrolipoamide acetyltransferase component of pyruvate dehydrogenase complex deficiency · Dihydrolipoyllysine-residue acetyltransferase component of pyruvate dehydrogenase complex deficiency · Pyruvate dehydrogenase complex component E2 deficiency

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

A very rare form of pyruvate dehydrogenase deficiency (PDHD) characterized by variable lactic acidosis and neurological dysfunction, mainly appearing during childhood.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPyruvate dehydrogenase E2 deficiencyDihydrolipoamide acetyltransferase component of pyruvate dehydrogenase complex deficiency · Dihydrolipoyllysine-residue acetyltransferase component of pyruvate dehydrogenase complex deficiency · Pyruvate dehydrogenase complex component E2 deficiency
frDéficit en pyruvate déshydrogénase E2Déficit en acétyltransférase des résidus dihydrolipoyllysine du complexe pyruvate déshydrogénase · Déficit en composé E2 du complexe pyruvate déshydrogenase · Déficit en composé dihydrolipoamide acétyltransférase du complexe pyruvate déshydrogénase
dePyruvat-Dehydrogenase E2-MangelDihydrolipoamid-S-Acetyltransferase-Mangel · PDH-E2-Mangel
esDeficiencia de piruvato deshidrogenasa E2Deficiencia de componente E2 del complejo piruvato deshidrogenasa · Deficiencia de componente dihidrolipoamida acetiltransferasa del complejo piruvato deshidrogenasa · Deficiencia de componente dihidrolipoil-lisina-residuo acetiltransferasa del complejo piruvato deshidrogenasa · Deficiencia de dihidrolipoamida acetiltransferasa del complejo piruvato deshidrogenasa · Deficiencia del componente E2 del complejo piruvato deshidrogenasa
itDeficit di E2 della piruvato deidrogenasiDeficit dell'acetiltransferasi del residuo di diidrolipoilisina, componente del complesso della piruvato deidrogenasi · Deficit della componente E2 del complesso della piruvato deidrogenasi · Deficit della diidrolipoamide acetiltransferasi, componente del complesso della piruvato deidrogenasi
nlPyruvaatdehydrogenase E2-deficiëntieDeficiëntie van component E2 van het pyruvaatdehydrogenasecomplex · Deficiëntie van de dihydrolipoamide-acetyltransferasecomponent van het pyruvaatdehydrogenasecomplex · Deficiëntie van de dihydrolipoyllysineresidu-acetyltransferasecomponent van het pyruvaatdehydrogenasecomplex
ptDeficiência de piruvato desidrogenase E2Deficiência da subunidade E2 de piruvato desidrogenase
plNiedobór dehydrogenazy pirogronianowej E2Dihydrolipoamide acetyltransferase component of pyruvate dehydrogenase complex deficiency · Dihydrolipoyllysine-residue acetyltransferase component of pyruvate dehydrogenase complex deficiency · Niedobór dehydrogenazy pirogronianowej kompleksu komponentu E2
csDeficit pyruvátdehydrogenázy E2Deficit dihydrolipoamid-acetyltransferázového komponentu komplexu pyruvátdehydrogenázy · Deficit dihydrolipoyllysinového-acetyltransferázového komponentu komplexu pyruvátdehydrogenázy · Deficit komponenty E2 komplexu pyruvátdehydrogenázy
ukДефіцит піруватдегідрогенази Е2Дефіцит дигідроліпоамідацетилтрансфераза - компонента піруватдегідрогеназного комплексу · Дефіцит дигідроліпоілізин-залишкового ацетилтрансферазного компонента піруватдегідрогеназного комплексу · Дефіцит компонента Е2 піруватдегідрогеназного комплексу
zh丙酮酸脱氢酶E2-α缺陷症丙酮酸脱氢酶复合物二氢脂酰胺乙酰转移酶组分缺乏
trPirüvat dehidrojenaz E2 eksikliğiPiruvat dehidrojenaz kompleksi eksikliğinin dihidrolipoililizin kalıntı asetiltransferaz bileşeni · Piruvat dehidrojenaz kompleks bileşeni E2 eksikliği · Piruvat dehidrojenaz kompleksi eksikliğinin dihidrolipoamid asetiltransferaz bileşeni

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM245348Evalidated
ICD-10E74.4NTBTattributedvalidated
ICD-115C53.02NTBTindexvalidated
MONDO0009502Evalidated
MeSHC565448Evalidated
UMLSC1855565Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
DLATDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:2896ENSG0000015076860877011q23.1dihydrolipoamide S-acetyltransferase16049940[PMID]
5

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

32 annotations · validated 2020-10-13
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0500231Abnormal CSF pyruvate family amino acid concentration
HP:0012379Abnormal enzyme/coenzyme activity
HP:0001288Gait disturbance
HP:0100503Low levels of vitamin B1
Frequent (79-30%)
HP:0000496Abnormality of eye movement
HP:0000707Abnormality of the nervous system
HP:0031960Arm dystonia
HP:0000708Atypical behavior
HP:0003487Babinski sign
HP:0002136Broad-based gait
HP:0025335Delayed ability to stand
HP:0031936Delayed ability to walk
HP:0001260Dysarthria
HP:0002454Eye of the tiger anomaly of globus pallidus
HP:0031139Frog-leg posture
HP:0001288Gait disturbance
HP:0001263Global developmental delay
HP:0001276Hypertonia
HP:0010864Intellectual disability, severe
HP:0002395Lower limb hyperreflexia
HP:0002180Neurodegeneration
HP:0002268Paroxysmal dystonia
HP:0005656Positional foot deformity
HP:0000546Retinal degeneration
HP:0025331Upgaze palsy
Occasional (29-5%)
HP:0000739Anxiety
HP:0000726Dementia
HP:0004302Functional motor deficit
HP:0000252Microcephaly
HP:0007994Peripheral visual field loss
HP:0011098Speech apraxia
HP:0000486Strabismus

Run the differential on the 4 obligate / very frequent terms

Annotation source: 29093066[PMID]_20022530[PMID]

7

Sources for this card