raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79473

Variegate porphyria

Synonyms: Porphyria variegata · Protoporphyrinogen oxidase deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adolescent, Adult
Status
active

A rare acute hepatic porphyria characterized by neurovisceral attacks and/or skin lesions.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enVariegate porphyriaPorphyria variegata · Protoporphyrinogen oxidase deficiency
frPorphyrie variegateDéficit en protoporphyrinogène oxydase · Porphyrie variegata
dePorphyria variegataProtoporphyrinogen-Oxidase-Mangel
esPorfiria variegataDeficiencia de protoporfirinógeno oxidasa
itPorfiria variegataDeficit di protoporfirinogeno ossidasi · Porphyria variegata
nlPorphyria variegataDeficiëntie van protoporfyrinogeenoxidase · Variërende porfyrie
ptPorfiria variegadaDeficiência da protoporfirinogéneo oxidase
plPorfiria mieszanaNiedobór oksydazy protoporfirynogenu · Porfiria różnobarwna
csPorphyria variegataDeficit protoporfyrinogenoxidázy · Variegátní porfyrie
ukВаріабельна порфіріяПорфірія строката (Porphyria variegata) · Дефіцит протопорфіриногеноксидази
zh混合型卟啉病原卟啉原氧化酶缺乏症
trPorfiria variegataVariegate porfiri · Protoporfirinojen oksidaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM176200BTNTvalidated
OMIM620483BTNTvalidated
ICD-10E80.2NTBTattributedvalidated
ICD-115C58.13Especificvalidated
MONDO0008297Evalidated
MeSHD046350Evalidated
UMLSC0162532Evalidated
GARD7848Evalidated

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):

  • ORPHA:95157Acute hepatic porphyria
    rare inborn errors of metabolism; rare genetic diseases; rare neurological diseases; rare hepatic diseases; rare skin diseases; rare renal diseases; rare transplant-related disorders

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PPOXDisease-causing germline mutation(s) inAssessedHGNC:9280ENSG000001432246009231q23.3protoporphyrinogen oxidase23409300[PMID]
5

Prevalence and incidence

22 records
TypeClassValueAreaQualificationValidationSource
Annual incidence<1 / 1 000 0000.008 / 100 000EuropeValue and classNot yet validated23114748[PMID]
Point prevalence1-9 / 1 000 0000.32 / 100 000EuropeValue and classNot yet validated23114748[PMID]
Annual incidence<1 / 1 000 0000.012 / 100 000FranceValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.48 / 100 000FranceValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.006 / 100 000FinlandValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.24 / 100 000FinlandValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.016 / 100 000IrelandValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.64 / 100 000IrelandValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.006 / 100 000ItalyValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.24 / 100 000NetherlandsValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.24 / 100 000ItalyValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.006 / 100 000NetherlandsValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.007 / 100 000NorwayValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.28 / 100 000NorwayValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.004 / 100 000SpainValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.16 / 100 000SpainValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.011 / 100 000SwedenValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.44 / 100 000SwedenValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.026 / 100 000SwitzerlandValue and classValidated23114748[PMID]
Point prevalence1-9 / 100 0001.04 / 100 000SwitzerlandValue and classValidated23114748[PMID]
Annual incidence<1 / 1 000 0000.008 / 100 000United KingdomValue and classValidated23114748[PMID]
Point prevalence1-9 / 1 000 0000.32 / 100 000United KingdomValue and classValidated23114748[PMID]

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

48 annotations · validated 2020-08-24
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002027Abdominal pain
HP:0010472Abnormal circulating porphyrin concentration
HP:0012379Abnormal enzyme/coenzyme activity
HP:0012217Increased urinary porphobilinogen
HP:0010473Porphyrinuria
Frequent (79-30%)
HP:0008066Abnormal blistering of the skin
HP:0000707Abnormality of the nervous system
HP:0000739Anxiety
HP:0000708Atypical behavior
HP:0003418Back pain
HP:0100749Chest pain
HP:0002019Constipation
HP:0000992Cutaneous photosensitivity
HP:0003163Elevated urinary delta-aminolevulinic acid
HP:0007178Motor polyneuropathy
HP:0001324Muscle weakness
HP:0008997Proximal muscle weakness in upper limbs
HP:0200041Skin erosion
HP:0200037Skin vesicle
HP:0002273Tetraparesis
Occasional (29-5%)
HP:0012332Abnormal autonomic nervous system physiology
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0000953Hyperpigmentation of the skin
HP:0001347Hyperreflexia
HP:0000822Hypertension
HP:0000998Hypertrichosis
HP:0002902Hyponatremia
HP:0001010Hypopigmentation of the skin
HP:0001265Hyporeflexia
HP:0002595Ileus
HP:0031218Inappropriate antidiuretic hormone secretion
HP:0011355Localized skin lesion
HP:0001056Milia
HP:0002018Nausea
HP:0000011Neurogenic bladder
HP:0002203Respiratory paralysis
HP:0100699Scarring
HP:0001250Seizure
HP:0003474Somatic sensory dysfunction
HP:0001649Tachycardia
HP:0001072Thickened skin
Very rare (<4-1%)
HP:0001392Abnormality of the liver
HP:0001903Anemia
HP:0012622Chronic kidney disease
HP:0001259Coma
HP:0000738Hallucinations
HP:0001402Hepatocellular carcinoma
HP:0011999Paranoia

Run the differential on the 5 obligate / very frequent terms

Annotation source: 12357337[PMID]_22049218[PMID]_20309300[PMID]_31085196[PMID]

7

Sources for this card