raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79282

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.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMethylmalonic acidemia with homocystinuria, type cblCCblC defect · Cobalamin C defect · Combined defect in adenosylcobalamin and methylcobalamin synthesis, type cblC · Methylmalonic aciduria with homocystinuria, type cblC
frAcidémie méthylmalonique avec homocystinurie type cblCAcidurie 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
deMethylmalonazidämie mit Homocystinurie Typ cbl CCblC-Defekt · Cobalamin C-Defekt · Kombinierter Defekt der Adenosylcobalamin und Methylcobalamin-Synthese Typ cblC · Methylmalonazidurie mit Homocystinurie Typ cblC
esAcidemia metilmalónica con homocistinuria tipo cblCAciduria metilmalónica con homocistinuria tipo cblC · Defecto CblC · Defecto combinado en la síntesis de adenosilcobalamina y metilcobalamina tipo cblC · Defecto de cobalamina C
itAcidemia metilmalonica con omocistinuria, tipo cblCDeficit di cobalamina C · Difetto combinato della sintesi dell'adenosilcobalamina e della metilcobalamina, tipo cblC · Aciduria metilmalonica con omocistinuria, tipo cblC · Deficit di CblC
nlMethylmalonacidurie met homocystinurie, type cblCCblC-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
ptAcidemia metilmalónica com homocistinúria, tipo cblCAcidúria metilmalónica e homocistinúria tipo cblC
plKwasica metylomalonowa z homocystynurią typu cblCAcyduria metylomalonowa z homocystynurią, typu cblC · Defekt CblC · Defekt kobalaminy C · Złożony defekt syntezy adenozylkobalaminy i metylkobalaminy, typu cblD
csMethylmalonová acidémie s homocystinurií, typ cbICCbIC defekt · Defekt kobalaminu C · Kombinovaný defekt syntézy adenosylkobalaminu a metylkobalaminu, typ cbIC · Metylmalonová acidurie s homocystinurií, typ cbIC
ukМетилмалонова ацидемія з гомоцистинурією, тип cblCДефект 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
trHomosistinüri ile seyreden metilmalonik asidemi, tip cblCCblC defekti · Kobalamin C defekti · Homosistinüri ile birlikte metilmalonik asidüri, tip cblC · Adenosilkobalamin ve metilkobalamin sentezinde kombine defekt, tip cblC

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM277400Evalidated
ICD-10D58.8NTBTattributedvalidated
ICD-115C50.E0NTBTindexvalidated
MONDO0010184Evalidated
UMLSC1848561Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
MMACHCDisease-causing germline mutation(s) inAssessedHGNC:24525ENSG000001327636098311p34.1metabolism of cobalamin associated C16311595[PMID]_21497120[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families500 casesWorldwideCase(s)ValidatedORPHANET
Point prevalenceUnknown—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.

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HPO phenotypes

76 annotations · validated 2020-11-03
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0031544Elevated propionylcarnitine level
HP:0002160Hyperhomocystinemia
HP:0001249Intellectual disability
HP:0001889Megaloblastic anemia
HP:0002912Methylmalonic acidemia
HP:0012120Methylmalonic aciduria
Frequent (79-30%)
HP:0008002Abnormality of macular pigmentation
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0100820Glomerulopathy
HP:0000206Glossitis
HP:0001510Growth delay
HP:0001116Macular coloboma
HP:0000252Microcephaly
HP:0000639Nystagmus
HP:0000648Optic atrophy
HP:0000580Pigmentary retinopathy
HP:0000546Retinal degeneration
HP:0010280Stomatitis
HP:0001873Thrombocytopenia
HP:0000505Visual impairment
Occasional (29-5%)
HP:0001627Abnormal heart morphology
HP:0002167Abnormality of speech or vocalization
HP:0000707Abnormality of the nervous system
HP:0001251Ataxia
HP:0006827Atrophy of the spinal cord
HP:0000708Atypical behavior
HP:0008765Auditory hallucinations
HP:0002059Cerebral atrophy
HP:0001875Decreased total neutrophil count
HP:0002625Deep venous thrombosis
HP:0001944Dehydration
HP:0001644Dilated cardiomyopathy
HP:0001298Encephalopathy
HP:0001789Hydrops fetalis
HP:0001987Hyperammonemia
HP:0001943Hypoglycemia
HP:0003658Hypomethioninemia
HP:0002045Hypothermia
HP:0001252Hypotonia
HP:0033051Impaired executive functioning
HP:0012469Infantile spasms
HP:0001511Intrauterine growth retardation
HP:0000952Jaundice
HP:0002919Ketonuria
HP:0001254Lethargy
HP:0002352Leukoencephalopathy
HP:0002354Memory impairment
HP:0001268Mental deterioration
HP:0012758Neurodevelopmental delay
HP:0011096Peripheral demyelination
HP:0030891Periventricular white matter hyperintensities
HP:0000751Personality changes
HP:0007010Poor fine motor coordination
HP:0002092Pulmonary arterial hypertension
HP:0000083Renal insufficiency
HP:0002098Respiratory distress
HP:0001250Seizure
HP:0100309Subdural hemorrhage
HP:0001907Thromboembolism
Very rare (<4-1%)
HP:0001999Abnormal facial shape
HP:0012443Abnormality of brain morphology
HP:0031258Delirium
HP:0000726Dementia
HP:0002376Developmental regression
HP:0005575Hemolytic-uremic syndrome
HP:0000348High forehead
HP:0000238Hydrocephalus
HP:0000276Long face
HP:0000369Low-set ears
HP:0001942Metabolic acidosis
HP:0000709Psychosis
HP:0002204Pulmonary embolism
HP:0007258Severe demyelination of the white matter
HP:0000319Smooth philtrum
HP:0001297Stroke

Run the differential on the 6 obligate / very frequent terms

Annotation source: 28151490[PMID]_20301503[PMID]

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Sources for this card