raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:905

Wilson disease

Synonyms: Hepatolenticular degeneration

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Adult, Childhood, Elderly
Status
active

A rare genetic disorder of copper metabolism presenting with non-specific hepatic, neurologic, psychiatric or ophthalmologic manifestations due to impaired biliary copper excretion and consecutive excessive copper deposition in the body.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enWilson diseaseHepatolenticular degeneration
frMaladie de WilsonDégénérescence hépato-lenticulaire
deWilson-KrankheitDegeneration, hepatolentikuläre
esEnfermedad de Wilson
itMalattia di WilsonDegenerazione epatolenticolare
nlZiekte van WilsonHepatolenticulaire degeneratie
ptDoença de WilsonDegenerescência hepatolenticular
plChoroba WilsonaZwyrodnienie soczewkowo-wątrobowe
csWilsonova chorobaHepatolentikulární degenerace
ukХвороба ВільсонаГепатолентикулярна дегенерація
zh肝豆状核变性肝豆状核变性
trWilson hastalığıHepatolentiküler dejenerasyon

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM277900Evalidated
ICD-10E83.0NTBTinclusionvalidated
ICD-115C64.00Especificvalidated
MONDO0010200Evalidated
MeSHD006527Evalidated
UMLSC0019202Evalidated
GARD7893Evalidated
MedDRA10019819Evalidated

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 (12):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ATP7BDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:870ENSG0000012319160688213q14.3ATPase copper transporting beta23333878[PMID]_22240481[PMID]
5

Prevalence and incidence

13 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 100 0002.25 / 100 000WorldwideValue and classValidated31449670[PMID]
Point prevalence1-9 / 100 0006 / 100 000EuropeValue and classValidatedEuropean Medicines Agency 2015[OTHER]
Point prevalence1-9 / 100 0002.02 / 100 000WorldwideValue and classValidated31449670[PMID]
Point prevalence1-9 / 100 0001.5 / 100 000FranceValue and classValidated28648494[PMID]
Prevalence at birth1-9 / 1 000 0000.94 / 100 000ItalyValue and classValidated11953730[PMID]
Prevalence at birth1-5 / 10 0003 / 100 000JapanValue and classValidated7338703[PMID]_17276780 [PMID]
Point prevalence1-5 / 10 00010 / 100 000ChinaValue and classValidated20301685[PMID]
Prevalence at birth1-5 / 10 00013.5 / 100 000Specific populationValue and classValidated11953730[PMID]
Point prevalence1-5 / 10 00037.04 / 100 000Specific populationValue and classValidated23486543[PMID]
Prevalence at birth1-9 / 100 0001.37 / 100 000IrelandValue and classValidated8459248[PMID]
Prevalence at birth1-9 / 100 0002.9 / 100 000GermanyValue and classValidated542546[PMID]_17276780[PMID]
Annual incidence1-9 / 1 000 0000.016 / 100 000FinlandValue and classValidated32618023[PMID]
Point prevalence1-9 / 1 000 0000.45 / 100 000FinlandValue and classValidated32618023[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

57 annotations · validated 2024-03-19
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001155Abnormality of the hand
HP:0000140Abnormality of the menstrual cycle
HP:0006554Acute hepatic failure
HP:0200119Acute hepatitis
HP:0000718Aggressive behavior
HP:5200321Amplification of sexual behavior
HP:0001903Anemia
HP:0002829Arthralgia
HP:0001369Arthritis
HP:0003418Back pain
HP:0002653Bone pain
HP:0000978Bruising susceptibility
HP:0001394Cirrhosis
HP:0002312Clumsiness
HP:0000716Depression
HP:0001260Dysarthria
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0001508Failure to thrive
HP:0001288Gait disturbance
HP:0001397Hepatic steatosis
HP:0012115Hepatitis
HP:0002240Hepatomegaly
HP:0004324Increased body weight
HP:0001249Intellectual disability
HP:0000952Jaundice
HP:0001386Joint swelling
HP:0200032Kayser-Fleischer ring
HP:0002756Pathologic fracture
HP:0008994Proximal muscle weakness in lower limbs
HP:0000989Pruritus
HP:0001744Splenomegaly
HP:0001873Thrombocytopenia
HP:0001824Weight loss
Frequent (79-30%)
HP:0002072Chorea
HP:0010837Decreased circulating ceruloplasmin concentration
HP:0001332Dystonia
HP:0001288Gait disturbance
HP:0001878Hemolytic anemia
HP:0000939Osteoporosis
HP:0000751Personality changes
HP:0001337Tremor
Occasional (29-5%)
HP:0002027Abdominal pain
HP:0003355Aminoaciduria
HP:0000739Anxiety
HP:0001541Ascites
HP:0003781Excessive salivation
HP:0012748Focal T2 hyperintense brainstem lesion
HP:0000738Hallucinations
HP:0000829Hypoparathyroidism
HP:0000789Infertility
HP:0100785Insomnia
HP:0000787Nephrolithiasis
HP:0001733Pancreatitis
HP:0000709Psychosis
HP:0001250Seizure
HP:0002013Vomiting
Very rare (<4-1%)
HP:6000642Sunflower cataract

Run the differential on the 12 obligate / very frequent terms

Annotation source: 28723019[PMID]_20301685[PMID]_34432061[PMID]_24209444[PMID]

7

Sources for this card