raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:859

Transcobalamin II deficiency

Synonyms: Inherited deficiency of transcobalamin II

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

Transcobalamin deficiency (TC) is a disorder of cobalamin transport that usually presents during the first few months of life and is characterized by megaloblastic anemia, failure to thrive, vomiting, weakness and pancytopenia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enTranscobalamin II deficiencyInherited deficiency of transcobalamin II
frDéficit en transcobalamine IIDéficit héréditaire en transcobalamine II
deTranscobalamin II-MangelTranscobalamin-2-Defekt · Transcobalamin II-Defizienz · Hereditärer Transcobalamin II-Mangel
esDeficiencia de transcobalamina IIDeficiencia de transcobalamina hereditaria II
itDeficit di transcobalaminaDeficit ereditario di transcobalamina II
nlTranscobalamine II-deficiëntieErfelijke deficiëntie van transcobalamine II
ptDeficiência de transcobalamina IIDeficiência de transcobalamina II hereditária
plNiedobór transkobalaminyNiedobór transkobalaminy II · Wrodzony Niedobór transkobalaminy
csDeficit transkobalaminuDeficit transkobalaminu II · Dědičný deficit transkobalaminu
ukДефіцит транскобаламінуСпадковий дефіцит транскобаламіну · Дефіцит транскобаламіну II
zh转钴胺素缺乏症遗传性跨钴胺缺乏症
trTranskobalamin eksikliğiTranskobalamin II eksikliği · Kalıtsal transkobalamin eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM275350Evalidated
ICD-10D51.2NTBTattributedvalidated
ICD-113A01.0NTBTindexvalidated
MONDO0010149Evalidated
UMLSC0342701Evalidated
MedDRA10084086Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TCN2Disease-causing germline mutation(s) inAssessedHGNC:11653ENSG0000018533961344122q12.2transcobalamin 220607612[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families40 casesWorldwideCase(s)Validated21312325[PMID]
Point prevalence<1 / 1 000 000—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

12 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003220Abnormality of chromosome stability
HP:0001919Acute kidney injury
HP:0001980Megaloblastic bone marrow
HP:0012120Methylmalonic aciduria
Frequent (79-30%)
HP:0002720Decreased circulating IgA level
HP:0004315Decreased circulating IgG level
HP:0004313Decreased circulating antibody level
HP:0002850Decreased circulating total IgM
HP:0001875Decreased total neutrophil count
HP:0001888Lymphopenia
HP:0001876Pancytopenia
HP:0001873Thrombocytopenia

Run the differential on the 4 obligate / very frequent terms

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Sources for this card