raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79312

Vitamin B12-unresponsive methylmalonic acidemia type mut-

Synonyms: Partial deficiency of methylmalonyl-CoA mutase · Vitamin B12-unresponsive methylmalonic aciduria type mut-

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

Vitamin B12-unresponsive methylmalonic acidemia type mut- is an inborn error of metabolism characterized by recurrent ketoacidotic comas or transient vomiting, dehydration, hypotonia and intellectual deficit, which does not respond to administration of vitamin B12.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enVitamin B12-unresponsive methylmalonic acidemia type mut-Partial deficiency of methylmalonyl-CoA mutase · Vitamin B12-unresponsive methylmalonic aciduria type mut-
frAcidémie méthylmalonique isolée résistante à la vitamine B12 type mut-Acidurie méthylmalonique résistante à la vitamine B12 type mut- · Déficit partiel en méthylmalonyl-CoA mutase
deMethylmalonazidämie, Vitamin B12-resistente, Typ mut-Methylmalonazidurie, Vitamin B12-unabhängige, Typ mut- · Methylmalonyl-CoA-Mutase, partieller Mangel
esAcidemia metilmalónica resistente a la vitamina B12 tipo mut-Aciduria metilmalónica resistente a la vitamina B12 tipo mut- · Deficiencia parcial de metilmalonil-CoA mutasa
itAcidemia metilmalonica resistente alla vitamina B12, tipo mut-Aciduria metilmalonica resistente alla vitamina B12, tipo mut- · Deficit parziale di metilmalonil-CoA mutasi
nlVitamine B12-resistente methylmalonacidemie type mut-Partiële deficiëntie van methylmalonyl-CoA-mutase · Vitamine B12-resistente methylmalonacidurie type mut- · Vitamine B12-resistente methylmalonzuuracidemie type mut- · Vitamine B12-resistente methylmalonzuuracidurie type mut-
ptAcidemia metilmalónica sensível à vitamina B12 tipo mut-
plKwasica metylomalonowa nie reagująca na witaminę B12 typu mut-Acyduria metylomalonowa nie reagująca na witaminę B12 typu mut- · Częściowy Niedobór mutazy metylomalonylo-CoA
csMethylmalonová acidémie nonresponsivní na vitamin B12, typ mut-Parciální deficit methylmalonyl-CoA-mutázy · Methylmalonová acidurie nonresponsivní na vitamin B12, typ mut-
ukМетилмалоновий ацидоз, що не чутливий до вітаміну В12, тип mut-Частковий дефіцит метилмалоніл-КоА мутази · Метилмалонова ацидурія, що не реагує на вітамін В12, тип mut-
zh维生素B12无反应性甲基丙二酸血症变异型维生素B12 -无反应性甲基丙二酸尿变异型
trB12 vitaminine-tepkisiz metilmalonik asidemi tipi mut-Metilmalonil-CoA mutazının kısmi eksikliği · B12 vitamini-yanıtsız metilmalonik asidüri tipi mut-

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM251000NTBTvalidated
ICD-10E71.1NTBTattributedvalidated
ICD-115C50.E0NTBTindexvalidated
MONDO0019267Evalidated
UMLSC0342719Evalidated

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
MMUTDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:7526ENSG000001460856090586p12.3methylmalonyl-CoA mutase
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families450 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.

6

HPO phenotypes

29 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002039Anorexia
HP:0001259Coma
HP:0001944Dehydration
HP:0001508Failure to thrive
HP:0001987Hyperammonemia
HP:0001254Lethargy
HP:0002098Respiratory distress
Frequent (79-30%)
HP:0001260Dysarthria
HP:0001332Dystonia
HP:0011968Feeding difficulties
HP:0001263Global developmental delay
HP:0001252Hypotonia
HP:0002721Immunodeficiency
HP:0001249Intellectual disability
HP:0002017Nausea and vomiting
HP:0001744Splenomegaly
Occasional (29-5%)
HP:0002027Abdominal pain
HP:0100022Abnormality of movement
HP:0001903Anemia
HP:0001638Cardiomyopathy
HP:0001266Choreoathetosis
HP:0001875Decreased total neutrophil count
HP:0002240Hepatomegaly
HP:0000648Optic atrophy
HP:0001733Pancreatitis
HP:0000083Renal insufficiency
HP:0001250Seizure
HP:0001297Stroke
HP:0001873Thrombocytopenia

Run the differential on the 7 obligate / very frequent terms

7

Sources for this card