raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79278

Autosomal erythropoietic protoporphyria

Synonyms: EPP

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

A rare hereditary disorder of the heme metabolic pathway characterized by accumulation of protoporphyrin in blood, erythrocytes and tissues, with photosensitive skin manifestations.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal erythropoietic protoporphyriaEPP
frProtoporphyrie érythropoïétique autosomique= en
deProtoporphyrie, erythropoetische, autosomale Form= en
esProtoporfiria eritropoyética autosómicaPPE
itProtoporfiria eritropoietica autosomica= en
nlAutosomale erytropoëtische protoporfyrieEPP · Erythropoietische protoporfyrie
ptProtoporfiria eritropoiética autossómica= en
plAutosomalna protoporfiria erytropoetyczna= en
csAutozomální erytropoetická protoporfyrie= en
ukАутосомна еритропоетична протопорфірія= en
zh常染色体遗传红细胞生成性原卟啉病= en
trOtozomal eritropoietik protoporfiri= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM177000Evalidated
ICD-10E80.0NTBTinclusionvalidated
ICD-115C58.12NTBTindexvalidated
MONDO0019263Evalidated
MeSHD046351Evalidated
UMLSC0162568Evalidated
GARD4527Evalidated
MedDRA10015289Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
FECHDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:3647ENSG0000006692661238618q21.31ferrochelatase23016163[PMID]
5

Prevalence and incidence

22 records
TypeClassValueAreaQualificationValidationSource
Annual incidence<1 / 1 000 0000.012 / 100 000EuropeValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.92 / 100 000EuropeValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.006 / 100 000FranceValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.46 / 100 000FranceValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.007 / 100 000ItalyValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.62 / 100 000IrelandValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.018 / 100 000NetherlandsValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.54 / 100 000ItalyValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.036 / 100 000NorwayValue and classValidated23114748[PMID]
Point prevalence1-9 / 100 0001.39 / 100 000NetherlandsValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.003 / 100 000PolandValue and classValidated23114748[PMID]
Point prevalence1-9 / 100 0002.77 / 100 000NorwayValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.003 / 100 000SpainValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.15 / 100 000PolandValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.018 / 100 000SwedenValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.23 / 100 000SpainValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.035 / 100 000SwitzerlandValue and classValidated23114748[PMID]
Point prevalence1-9 / 100 0001.39 / 100 000SwedenValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.033 / 100 000United KingdomValue and classValidated17994169[PMID]
Point prevalence1-9 / 100 0002.7 / 100 000SwitzerlandValue and classValidated23114748[PMID]
Point prevalence1-9 / 100 0002.54 / 100 000United KingdomValue and classValidated17994169[PMID]
Point prevalence1-9 / 100 0001.75 / 100 000SloveniaValue and classValidated23114748[PMID]

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

10 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0010472Abnormal circulating porphyrin concentration
HP:0000992Cutaneous photosensitivity
HP:0010783Erythema
HP:0000989Pruritus
Occasional (29-5%)
HP:0001081Cholelithiasis
HP:0001394Cirrhosis
HP:0001410Decreased liver function
HP:0000964Eczematoid dermatitis
HP:0000969Edema
HP:0001935Microcytic anemia

Run the differential on the 4 obligate / very frequent terms

7

Sources for this card