raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79314

L-2-hydroxyglutaric aciduria

Synonyms: L-2-HGA · L-2-hydroxyglutaric acidemia

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

L-2-hydroxyglutaric aciduria is a primarily neurological form of 2-hydroxyglutaric aciduria characterized by psychomotor retardation, cerebellar ataxia and variable macrocephaly or epilepsy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enL-2-hydroxyglutaric aciduriaL-2-HGA · L-2-hydroxyglutaric acidemia
frAcidurie L-2-hydroxyglutariqueAcidémie L-2-hydroxyglutarique · L-2-HGA
deL-2-Hydroxy-GlutarazidurieL-2-HGA · L-2-Hydroxyglutaryl-Azidämie · L-2-OH-Glutarazidurie
esAciduria L-2-hidroxiglutáricaAcidemia L-2-hidroxiglutárica · L-2-HGA
itAciduria L-2-idrossiglutaricaAcidemia L-2-idrossiglutarica · L-2-HGA
nlL-2-hydroxyglutaaracidurieL-2-HGA · L-2-hydroxyglutaaracidemie
ptAcidúria L-2-hidroxiglutárica
plL-2-acyduria hydroksyglutarowaL-2-HGA · L-2-kwasica hydroksyglutarowa
csL-2-Hydroxyglutarová acidurieL-2-HGA · L-2-Hydroxyglutarová acidémie
ukL-2-гідроксиглутарова ацидуріяL-2-HGA · L-2-гідроксиглутарова ацидемія
zhL-2-羟基戊二酸尿症L-2-羟基戊二酸血症
trL-2-hidroksiglutarik asidüriL-2-HGA · L-2-hidroksiglutarik asidemi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM236792Evalidated
ICD-10E72.8NTBTattributedvalidated
ICD-115C50.E1NTBTindexvalidated
MONDO0009370Evalidated
UMLSC1855995Evalidated
GARD10472Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
L2HGDHDisease-causing germline mutation(s) inAssessedHGNC:20499ENSG0000008729960958414q21.3L-2-hydroxyglutarate dehydrogenase20052767[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET
Cases/families140 casesWorldwideCase(s)Validated[EXPERT]

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:0002383Infectious encephalitis
HP:0006887Intellectual disability, progressive
HP:0010864Intellectual disability, severe
HP:0001250Seizure
Frequent (79-30%)
HP:0002071Abnormality of extrapyramidal motor function
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0000708Atypical behavior
HP:0001252Hypotonia
HP:0000256Macrocephaly
HP:0004375Neoplasm of the nervous system
HP:0001285Spastic tetraparesis
Occasional (29-5%)
HP:0002381Aphasia

Run the differential on the 4 obligate / very frequent terms

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Sources for this card