raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:809

Mixed connective tissue disease

Synonyms: MCTD · Sharp syndrome

Type
Disease
Group
Disorder
Inheritance
Multigenic/multifactorial
Age of onset
Adolescent, Adult, Childhood
Status
active

Mixed connective tissue disease (MCTD) is a rare connective tissue disorder combining clinical features of systemic lupus erythematosus (SLE), systemic sclerosis (SSc), polymyositis (PM) and/or rheumatoid arthritis (RA).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMixed connective tissue diseaseMCTD · Sharp syndrome
frConnectivite mixteSyndrome de Sharp
deMischkollagenoseMCTD · Sharp-Syndrom
esEnfermedad mixta del tejido conectivoSíndrome de Sharp
itConnettivite mistaSindrome di Sharp
nlGemengde bindweefselziekteMCTD · Syndroom van Sharp
ptDoença mista do tecido conjuntivoSíndrome Sharp
plMieszana choroba tkanki łącznejMCTD · Zespół Sharpa
csSmíšené nemoci pojivové tkáněMCTD · Sharpův syndrom
ukЗмішане захворювання сполучної тканиниMCTD · Гострий синдром
zh混合性结缔组织病Sharp综合征
trKarma bağ dokusu hastalığıMCTD · Sharp sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
ICD-10M35.1NTBTinclusionvalidated
ICD-114A43.3Especificvalidated
MONDO0005854Evalidated
MeSHD008947Evalidated
UMLSC0026272Evalidated
GARD7051Evalidated
MedDRA10027754Evalidated

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 (4):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

5

Prevalence and incidence

6 records
TypeClassValueAreaQualificationValidationSource
Annual incidence1-9 / 1 000 0000.17 / 100 000NorwayValue and classValidated21398332[PMID]
Point prevalence1-9 / 100 0003 / 100 000NorwayValue and classValidated21398332[PMID]
Point prevalence1-9 / 100 0002.7 / 100 000JapanValue and classValidated[EXPERT]
Point prevalence1-9 / 100 000—EuropeClass onlyNot yet validatedORPHANET
Annual incidence1-9 / 100 0001.9 / 100 000United StatesValue and classValidated26946215[PMID]
Annual incidence1-9 / 1 000 0000.8 / 100 000FinlandValue and classValidated8810933[PMID]_26946215[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

68 annotations · validated 2024-06-27
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001369Arthritis
HP:0002960Autoimmunity
HP:0100749Chest pain
HP:0002094Dyspnea
HP:0003565Elevated erythrocyte sedimentation rate
HP:0012378Fatigue
HP:0005263Gastritis
HP:0002020Gastroesophageal reflux
HP:0003326Myalgia
HP:0002206Pulmonary fibrosis
HP:0100324Scleroderma
HP:0000988Skin rash
Frequent (79-30%)
HP:0034093Anti-Ro52/TRIM21 antibody positivity
HP:0033028Anti-U1 ribonucleoprotein antibody positivityDiagnostic criterion
HP:0034092Anti-cyclic citrullinated peptide antibody positivity
HP:0020151Anti-dsDNA antibody positivity
HP:0034076Anti-ribosome Po antibody positivity
HP:0002829Arthralgia
HP:0007514Edema of the dorsum of hands
HP:0001945Fever
HP:0010702Increased circulating immunoglobulin concentration
HP:0001386Joint swelling
HP:0001097Keratoconjunctivitis sicca
HP:0100614Myositis
HP:0002102Pleuritis
HP:0000709Psychosis
HP:0030880Raynaud phenomenonDiagnostic criterion
HP:0002923Rheumatoid factor positive
HP:0011838Sclerodactyly
HP:0100661Trigeminal neuralgiaDiagnostic criterion
HP:0000217Xerostomia
Occasional (29-5%)
HP:0003115Abnormal EKG
HP:0006530Abnormal pulmonary interstitial morphology
HP:0030878Abnormality on pulmonary function testing
HP:0001596Alopecia
HP:0012050Anasarca
HP:0010885Avascular necrosis
HP:0000716Depression
HP:0012219Erythema nodosum
HP:0002239Gastrointestinal hemorrhage
HP:0002315Headache
HP:0000365Hearing impairment
HP:0001878Hemolytic anemia
HP:0003075Hypoproteinemia
HP:0031857Ineffective esophageal peristalsis
HP:0001387Joint stiffness
HP:0001882Leukopenia
HP:0002716Lymphadenopathy
HP:0033834Malaise
HP:0025300Malar rash
HP:0100721Mediastinal lymphadenopathy
HP:0012578Membranous nephropathy
HP:0012819Myocarditis
HP:0000112Nephropathy
HP:0033430Non-infectious meningitisDiagnostic criterion
HP:0000155Oral ulcer
HP:0002797Osteolysis
HP:0001698Pericardial effusion
HP:0001701Pericarditis
HP:0009830Peripheral neuropathy
HP:0003010Prolonged bleeding time
HP:0000093Proteinuria
HP:0002092Pulmonary arterial hypertensionDiagnostic criterion
HP:0000979Purpura
HP:0001250Seizure
HP:0001744Splenomegaly
HP:0001009Telangiectasia
HP:0001873Thrombocytopenia

Run the differential on the 12 obligate / very frequent terms

Annotation source: 31194355[PMID]_37525698[PMID]_32130548[PMID]

7

Sources for this card