raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79301

Congenital bile acid synthesis defect type 1

Synonyms: 3-beta-hydroxy-delta-5-C27-steroid oxidoreductase deficiency · BASD1

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

Congenital bile acid synthesis defect type 1 (BAS defect type 1) is the most common anomaly of bile acid synthesis characterized by variable manifestations of progressive cholestatic liver disease, and fat malabsorption.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCongenital bile acid synthesis defect type 13-beta-hydroxy-delta-5-C27-steroid oxidoreductase deficiency · BASD1
frDéficit congénital de synthèse des acides biliaires type 1Déficit en 3-bêta-hydroxy-delta-5-C27-steroïde oxydoréductase · DSAB1
deGallensäuresynthesedefekt, kongenitaler, Typ 13-beta-Hydroxy-Delta-5-C27-Steroid-Oxidoreduktase-Mangel · BASD1
esDefecto congénito de la síntesis de ácidos biliares tipo 1BASD1 · Deficiencia de 3-beta-hidroxi-delta-5-C27-esteroide oxidorreductasa
itDifetto congenito della sintesi degli acidi biliari, tipo 1
nlCongenitaal defect van galzuursynthese type 1BASD1 · Deficiëntie van 3-bèta-hydroxy-delta-5-C27-steroïd-oxidoreductase
ptDefeito congénito da síntese de ácidos biliares tipo 1BASD1 · Deficiência de 3-beta-hidroxi-delta-5-C27-esteroide oxidoreductase
plWrodzony defekt syntezy kwasów żółciowych typu 1BASD1 · Niedobór oksydoreduktazy 3-beta-hydroksy-delta-5-C27-steroidowej
csVrozený defekt syntézy žlučových kyselin, typ 1Deficit 3-beta-hydroxy-delta-5-C27-steroid-oxidoreduktázy
ukВроджений дефект синтезу жовчних кислот, тип 1Дефіцит 3-бета-гідрокси-дельта-5-С27-стероїдооксидоредуктази · BASD1
zh先天性胆汁酸合成缺陷1型3-β-羟基-δ-5-C27-类固醇氧化还原酶缺乏症
trDoğumsal safra asidi sentez bozukluğu tip 1BASD1 · 3-beta-hidroksi-delta-5-C27-steroid oksidoredüktaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM607765Evalidated
ICD-10K76.8NTBTattributedvalidated
ICD-115C52.11NTBTindexvalidated
MONDO0011906Evalidated
MeSHC535442Evalidated
UMLSC1843116Evalidated
GARD9813Evalidated

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
HSD3B7Disease-causing germline mutation(s) inAssessedHGNC:18324ENSG0000009937760776416p11.2hydroxy-delta-5-steroid dehydrogenase, 3 beta- and steroid delta-isomerase 712679481[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

16 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001080Biliary tract abnormality
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0001508Failure to thrive
HP:0002240Hepatomegaly
HP:0000952Jaundice
HP:0002024Malabsorption
HP:0006566Neonatal cholestatic liver disease
Frequent (79-30%)
HP:0001928Abnormality of coagulation
HP:0002239Gastrointestinal hemorrhage
HP:0001744Splenomegaly
Occasional (29-5%)
HP:0001892Abnormal bleeding
HP:0001394Cirrhosis
HP:0000662Nyctalopia
HP:0000939Osteoporosis
HP:0009830Peripheral neuropathy
HP:0000989Pruritus

Run the differential on the 7 obligate / very frequent terms

7

Sources for this card