raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79277

Congenital erythropoietic porphyria

Synonyms: CEP · Günther disease

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
All ages
Status
active

A rare erythropoietic porphyria characterized by a non-photoalgesic, polymorphic, mutilating and very severe photodermatosis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCongenital erythropoietic porphyriaCEP · Günther disease
frPorphyrie érythropoïétique congénitaleCEP · Maladie de Günther
dePorphyrie, erythropoetische kongenitaleCEP · Günther-Krankheit
esPorfiria eritropoyética congénitaCEP · Enfermedad de Günther
itPorfiria eritropoietica congenitaCEP · Malattia di Günther
nlCongenitale erytropoëtische porfyrieCEP · Ziekte van Günther
ptPorfiria eritropoiética congénita
plWrodzona porfiria erytropoetycznaCEP · Choroba Günthera
csVrozená erytropoetická porfyrieCEP · Güntherova choroba
ukВроджена еритропоетична порфіріяCEP · Хвороба Гюнтера
zh先天性红细胞生成性卟啉病Günther病
trDoğumsal eritropoietik porfiriCEP · Günther hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM263700Evalidated
ICD-10E80.0NTBTinclusionvalidated
ICD-115C58.12NTBTindexvalidated
MONDO9902Evalidated
MeSHD017092Evalidated
UMLSC5886774Evalidated
GARD4446Evalidated

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):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
UROSDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:12592ENSG0000018869060693810q26.2uroporphyrinogen III synthase24027798[PMID]
GATA1Disease-causing germline mutation(s) inAssessedHGNC:4170ENSG00000102145305371Xp11.23GATA binding protein 124027798[PMID]_17148589[PMID]
5

Prevalence and incidence

3 records
TypeClassValueAreaQualificationValidationSource
Cases/families200 casesWorldwideCase(s)ValidatedORPHANET
Annual incidence<1 / 1 000 0000.065 / 100 000EuropeValue and classNot yet validated23114748[PMID]
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

50 annotations · validated 2021-05-14
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008066Abnormal blistering of the skin
HP:0010472Abnormal circulating porphyrin concentration
HP:0001030Fragile skin
HP:0012187Increased erythrocyte protoporphyrin concentration
HP:0500115Increased stool urobilinogen concentration
HP:0012217Increased urinary porphobilinogen
HP:0010473Porphyrinuria
HP:0007537Severe photosensitivity
Frequent (79-30%)
HP:0030756Erythrodontia
HP:0000953Hyperpigmentation of the skin
HP:0001010Hypopigmentation of the skin
HP:0033009Increased fecal coproporphyrin 1
HP:0001790Nonimmune hydrops fetalis
HP:0040322Purple urine
HP:0005406Recurrent bacterial skin infections
HP:0040320Red-brown urine
HP:0100699Scarring
HP:0200041Skin erosion
HP:0001072Thickened skin
HP:0008282Unconjugated hyperbilirubinemia
Occasional (29-5%)
HP:0001892Abnormal bleeding
HP:0001560Abnormality of the amniotic fluid
HP:0011273Anisocytosis
HP:0012804Corneal ulceration
HP:0000656Ectropion
HP:0012132Erythroid hyperplasia
HP:0002219Facial hypertrichosis
HP:0001878Hemolytic anemia
HP:0009025Increased connective tissue
HP:0001882Leukopenia
HP:0011457Loss of eyelashes
HP:0100512Low levels of vitamin D
HP:0000938Osteopenia
HP:0000939Osteoporosis
HP:0004447Poikilocytosis
HP:0020181Reduced haptoglobin level
HP:0001923Reticulocytosis
HP:0004552Scarring alopecia of scalp
HP:0001744Splenomegaly
HP:0001873Thrombocytopenia
Very rare (<4-1%)
HP:0000618Blindness
HP:0000969Edema
HP:0001096Keratoconjunctivitis
HP:0008069Neoplasm of the skin
HP:0002797Osteolysis
HP:0003401Paresthesia
HP:0000989Pruritus
HP:0100532Scleritis
HP:0500046Seborrhoeic blepharitis
HP:0002860Squamous cell carcinoma

Run the differential on the 8 obligate / very frequent terms

Annotation source: 28329491[PMID]_24027798[PMID]

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Sources for this card