raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79283

Methylmalonic acidemia with homocystinuria, type cblD

Synonyms: CblD defect · Cobalamin D defect · Combined defect in adenosylcobalamin and methylcobalamin synthesis, type cblD · Methylmalonic aciduria with homocystinuria, type cblD

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

<i>cblD</i> type methylmalonic acidemia with homocystinuria is a form of methylmalonic acidemia with homocystinuria, an inborn error of vitamin B12 (cobalamin) metabolism characterized by variable biochemical, neurological and hematological manifestations.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMethylmalonic acidemia with homocystinuria, type cblDCblD defect · Cobalamin D defect · Combined defect in adenosylcobalamin and methylcobalamin synthesis, type cblD · Methylmalonic aciduria with homocystinuria, type cblD
frAcidémie méthylmalonique avec homocystinurie type cblDAcidurie méthylmalonique avec homocystinurie type cblD · Déficit combiné de synthèse de l'adénosylcobalamine et de la méthylcobalamine type cblD · Déficit en cblD · Déficit en cobalamine D
deMethylmalonazidämie mit Homocystinurie Typ cbl DCblD-Defekt · Cobalamin D-Defekt · Kombinierter Defekt der Adenosylcobalamin und Methylcobalamin-Synthese Typ cblD · Methylmalonazidurie mit Homocystinurie Typ cblD
esAcidemia metilmalónica con homocistinuria tipo cblDAciduria metilmalónica con homocistinuria tipo cblD · Defecto CblD · Defecto combinado en la síntesis de adenosilcobalamina y metilcobalamina tipo cblD · Defecto de cobalamina D
itAcidemia metilmalonica con omocistinuria, tipo cblDAciduria metilmalonica con omocistinuria, tipo cblD · Deficit di CblD · Deficit di cobalamina D · Difetto combinato della sintesi dell'adenosilcobalamina e della metilcobalamina, tipo cblD
nlMethylmalonacidurie met homocystinurie, type cblDCblD-defect · Cobalamine D-defect · Gecombineerd defect in adenosylcobalamine- en methylcobalaminesynthese, type cblD · Methylmalonacidemie met homocystinurie, type cblD · Methylmalonzuuracidemie met homocystinurie, type cblD · Methylmalonzuuracidurie met homocystinurie, type cblD
ptAcidemia metilmalónica com homocistinúria, tipo cblDAcidúria metilmalónica com homocistinúria tipo cblD
plKwasica metylomalonowa z homocystynurią typu cblDAcyduria metylomalonowa z homocystynurią, typu cblD · Defekt CblD · Defekt kobalaminy D · Złożony defekt syntezy adenozylkobalaminy i metylkobalaminy, typu cblD
csMethylmalonová acidémie s homocystinurií, typ cbIDCbID defekt · Defekt kobalaminu D · Kombinovaný defekt syntézy adenosylkobalaminu a methylkobalaminu, typ cbID · Methylmalonová acidurie s homocystinurií, typ cbID
ukМетилмалонова ацидемія з гомоцистинурією, тип cblDДефект CblD · Дефіцит кобаламіну D · Комбінований дефект синтезу аденозилкобаламіну та метилкобаламіну, тип cblD · Метилмалоновий ацидоз з гомоцистинурією, тип cblD
zh甲基丙二酸血症伴同型半胱氨酸尿症cbID型腺苷钴胺素和甲基钴胺素合成联合缺陷,cbID型
trHomosistinüri ile seyreden metilmalonik asidemi, tip cblDCblD defekti · Kobalamin D defekti · Homosistinüri ile birlikte metilmalonik asidüri, tip cblD · Adenosilkobalamin ve metilkobalamin sentezinde kombine defekt, cblD tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM277410Evalidated
ICD-10E72.1NTBTattributedvalidated
ICD-115C50.E0NTBTindexvalidated
MONDO0010185Evalidated
MeSHC564743Evalidated
UMLSC1848552Evalidated

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
MMADHCDisease-causing germline mutation(s) inAssessedHGNC:25221ENSG000001682886119352q23.2metabolism of cobalamin associated D20301409[PMID]_20301503[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families17 casesWorldwideCase(s)ValidatedORPHANET
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

12 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0100022Abnormality of movement
HP:0002039Anorexia
HP:0000708Atypical behavior
HP:0001508Failure to thrive
HP:0012378Fatigue
HP:0001288Gait disturbance
HP:0001263Global developmental delay
HP:0001249Intellectual disability
HP:0001254Lethargy
HP:0001980Megaloblastic bone marrow
HP:0000980Pallor
HP:0001250Seizure

Run the differential on the 12 obligate / very frequent terms

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Sources for this card