Methylmalonic acidemia with homocystinuria, type cblC
Synonyms: CblC defect · Cobalamin C defect · Combined defect in adenosylcobalamin and methylcobalamin synthesis, type cblC · Methylmalonic aciduria with homocystinuria, type cblC
- Type
- Clinical subtype
- Group
- Subtype of disorder
- Inheritance
- Autosomal recessive
- Age of onset
- All ages
- Status
- active
<i>cblC</i> type methylmalonic acidemia with homocystinuria is a form of methylmalonic acidemia with homocystinuria, an inborn error of vitamin B12 (cobalamin) metabolism characterized by megaloblastic anemia, lethargy, failure to thrive, developmental delay, intellectual deficit and seizures.
Names in Orphadata languages
12 of 12 languages| Lang | Name | Synonyms |
|---|---|---|
| en | Methylmalonic acidemia with homocystinuria, type cblC | CblC defect · Cobalamin C defect · Combined defect in adenosylcobalamin and methylcobalamin synthesis, type cblC · Methylmalonic aciduria with homocystinuria, type cblC |
| fr | Acidémie méthylmalonique avec homocystinurie type cblC | Acidurie méthylmalonique avec homocystinurie type cblC · Déficit combiné de synthèse de l'adénosylcobalamine et de la méthylcobalamine type cblC · Déficit en cblC · Déficit en cobalamine C |
| de | Methylmalonazidämie mit Homocystinurie Typ cbl C | CblC-Defekt · Cobalamin C-Defekt · Kombinierter Defekt der Adenosylcobalamin und Methylcobalamin-Synthese Typ cblC · Methylmalonazidurie mit Homocystinurie Typ cblC |
| es | Acidemia metilmalónica con homocistinuria tipo cblC | Aciduria metilmalónica con homocistinuria tipo cblC · Defecto CblC · Defecto combinado en la síntesis de adenosilcobalamina y metilcobalamina tipo cblC · Defecto de cobalamina C |
| it | Acidemia metilmalonica con omocistinuria, tipo cblC | Deficit di cobalamina C · Difetto combinato della sintesi dell'adenosilcobalamina e della metilcobalamina, tipo cblC · Aciduria metilmalonica con omocistinuria, tipo cblC · Deficit di CblC |
| nl | Methylmalonacidurie met homocystinurie, type cblC | CblC-defect · Cobalamine C-defect · Gecombineerd defect in adenosylcobalamine- en methylcobalaminesynthese, type cblC · Methylmalonacidemie met homocystinurie, type cblC · Methylmalonzuuracidemie met homocystinurie, type cblC · Methylmalonzuuracidurie met homocystinurie, type cblC |
| pt | Acidemia metilmalónica com homocistinúria, tipo cblC | Acidúria metilmalónica e homocistinúria tipo cblC |
| pl | Kwasica metylomalonowa z homocystynurią typu cblC | Acyduria metylomalonowa z homocystynurią, typu cblC · Defekt CblC · Defekt kobalaminy C · Złożony defekt syntezy adenozylkobalaminy i metylkobalaminy, typu cblD |
| cs | Methylmalonová acidémie s homocystinurií, typ cbIC | CbIC defekt · Defekt kobalaminu C · Kombinovaný defekt syntézy adenosylkobalaminu a metylkobalaminu, typ cbIC · Metylmalonová acidurie s homocystinurií, typ cbIC |
| uk | Метилмалонова ацидемія з гомоцистинурією, тип cblC | Дефект CblC · Дефіцит кобаламіну С · Поєднаний дефект синтезу аденозилкобаламіну та метилкобаламіну, тип cblC · Метилмалоновий ацидоз з гомоцистинурією, тип cblC |
| zh | 甲基丙二酸血症伴同型半胱氨酸尿症cbIC型 | 腺苷钴胺素和甲基钴胺素合成联合缺陷,cbIC型 |
| tr | Homosistinüri ile seyreden metilmalonik asidemi, tip cblC | CblC defekti · Kobalamin C defekti · Homosistinüri ile birlikte metilmalonik asidüri, tip cblC · Adenosilkobalamin ve metilkobalamin sentezinde kombine defekt, tip cblC |
Definition in:
Cross-references
qualifier = Orphanet mapping relation| Source | Code | Qualifier | ICD relation | Validation |
|---|---|---|---|---|
| OMIM | 277400 | E | validated | |
| ICD-10 | D58.8 | NTBT | attributed | validated |
| ICD-11 | 5C50.E0 | NTBT | index | validated |
| MONDO | 0010184 | E | validated | |
| UMLS | C1848561 | E | validated |
E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.
Classification
Preferential parent (Orphanet linearisation):
Parents in the classifications (5):
- ORPHA:576742Genetic hemolytic uremic syndrome
rare genetic diseases; rare hematological diseases - ORPHA:544458Hemolytic uremic syndrome
rare renal diseases; rare transplant-related disorders - ORPHA:26Methylmalonic acidemia with homocystinuria
rare inborn errors of metabolism; rare genetic diseases; rare neurological diseases; rare hematological diseases - ORPHA:716405Rare disorder with progressive generalized retinal disorder as a major feature
rare genetic diseases; rare ophthalmic disorders - ORPHA:207018Rare hereditary metabolic disease with peripheral neuropathy
rare genetic diseases; rare neurological diseases
No children.
Genes
1 direct| Gene | Association | Status | HGNC | Ensembl | OMIM | Locus | Name | Source of validation |
|---|---|---|---|---|---|---|---|---|
| MMACHC | Disease-causing germline mutation(s) in | Assessed | HGNC:24525 | ENSG00000132763 | 609831 | 1p34.1 | metabolism of cobalamin associated C | 16311595[PMID]_21497120[PMID] |
Prevalence and incidence
2 records| Type | Class | Value | Area | Qualification | Validation | Source |
|---|---|---|---|---|---|---|
| Cases/families | 500 cases | Worldwide | Case(s) | Validated | ORPHANET | |
| Point prevalence | Unknown | — | Worldwide | Class only | Validated | ORPHANET |
Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.
HPO phenotypes
76 annotations · validated 2020-11-03| HPO | Term (as annotated by Orphanet) | Diagnostic |
|---|---|---|
| Very frequent (99-80%) | ||
| HP:0031544 | Elevated propionylcarnitine level | |
| HP:0002160 | Hyperhomocystinemia | |
| HP:0001249 | Intellectual disability | |
| HP:0001889 | Megaloblastic anemia | |
| HP:0002912 | Methylmalonic acidemia | |
| HP:0012120 | Methylmalonic aciduria | |
| Frequent (79-30%) | ||
| HP:0008002 | Abnormality of macular pigmentation | |
| HP:0001508 | Failure to thrive | |
| HP:0011968 | Feeding difficulties | |
| HP:0100820 | Glomerulopathy | |
| HP:0000206 | Glossitis | |
| HP:0001510 | Growth delay | |
| HP:0001116 | Macular coloboma | |
| HP:0000252 | Microcephaly | |
| HP:0000639 | Nystagmus | |
| HP:0000648 | Optic atrophy | |
| HP:0000580 | Pigmentary retinopathy | |
| HP:0000546 | Retinal degeneration | |
| HP:0010280 | Stomatitis | |
| HP:0001873 | Thrombocytopenia | |
| HP:0000505 | Visual impairment | |
| Occasional (29-5%) | ||
| HP:0001627 | Abnormal heart morphology | |
| HP:0002167 | Abnormality of speech or vocalization | |
| HP:0000707 | Abnormality of the nervous system | |
| HP:0001251 | Ataxia | |
| HP:0006827 | Atrophy of the spinal cord | |
| HP:0000708 | Atypical behavior | |
| HP:0008765 | Auditory hallucinations | |
| HP:0002059 | Cerebral atrophy | |
| HP:0001875 | Decreased total neutrophil count | |
| HP:0002625 | Deep venous thrombosis | |
| HP:0001944 | Dehydration | |
| HP:0001644 | Dilated cardiomyopathy | |
| HP:0001298 | Encephalopathy | |
| HP:0001789 | Hydrops fetalis | |
| HP:0001987 | Hyperammonemia | |
| HP:0001943 | Hypoglycemia | |
| HP:0003658 | Hypomethioninemia | |
| HP:0002045 | Hypothermia | |
| HP:0001252 | Hypotonia | |
| HP:0033051 | Impaired executive functioning | |
| HP:0012469 | Infantile spasms | |
| HP:0001511 | Intrauterine growth retardation | |
| HP:0000952 | Jaundice | |
| HP:0002919 | Ketonuria | |
| HP:0001254 | Lethargy | |
| HP:0002352 | Leukoencephalopathy | |
| HP:0002354 | Memory impairment | |
| HP:0001268 | Mental deterioration | |
| HP:0012758 | Neurodevelopmental delay | |
| HP:0011096 | Peripheral demyelination | |
| HP:0030891 | Periventricular white matter hyperintensities | |
| HP:0000751 | Personality changes | |
| HP:0007010 | Poor fine motor coordination | |
| HP:0002092 | Pulmonary arterial hypertension | |
| HP:0000083 | Renal insufficiency | |
| HP:0002098 | Respiratory distress | |
| HP:0001250 | Seizure | |
| HP:0100309 | Subdural hemorrhage | |
| HP:0001907 | Thromboembolism | |
| Very rare (<4-1%) | ||
| HP:0001999 | Abnormal facial shape | |
| HP:0012443 | Abnormality of brain morphology | |
| HP:0031258 | Delirium | |
| HP:0000726 | Dementia | |
| HP:0002376 | Developmental regression | |
| HP:0005575 | Hemolytic-uremic syndrome | |
| HP:0000348 | High forehead | |
| HP:0000238 | Hydrocephalus | |
| HP:0000276 | Long face | |
| HP:0000369 | Low-set ears | |
| HP:0001942 | Metabolic acidosis | |
| HP:0000709 | Psychosis | |
| HP:0002204 | Pulmonary embolism | |
| HP:0007258 | Severe demyelination of the white matter | |
| HP:0000319 | Smooth philtrum | |
| HP:0001297 | Stroke | |
Run the differential on the 6 obligate / very frequent terms
Annotation source: 28151490[PMID]_20301503[PMID]
Sources for this card
- Orphanet page: orpha.net/en/disease/detail/79282
- This record as JSON: /data/d/79282.json