raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:90790

Congenital lipoid adrenal hyperplasia due to STAR deficency

Synonyms: CLAH · LCAH · Lipoid CAH

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

A severe form of congenital adrenal hyperplasia (CAH) characterized by severe adrenal insufficiency and sex reversal in males.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCongenital lipoid adrenal hyperplasia due to STAR deficencyCLAH · LCAH · Lipoid CAH
frHyperplasie congénitale lipoïde des surrénales par déficit en STARLCAH · Lipoid CAH · CLAH
deNebennierenhyperplasie, kongenitale lipoide, durch STAR-MangelCLAH · LCAH
esHiperplasia suprarrenal congénita lipoide por deficiencia de STARHSC lipoide
itIperplasia surrenalica lipoide congenita da deficit di STARLCAH · Lipoid CAH · CLAH
nlCongenitale lipoïde adrenale hyperplasie door STAR-deficiëntieCLAH · Congenitale lipoïde bijnierhyperplasie door STAR-deficiëntie · LCAH · Lipoïde CAH
ptHiperplasia supra-renal lipóide congénita por deficiência de STARCAH lipóide · CLAH · LCAH
plWrodzony lipoidowy przerost nadnerczy spowodowany niedoborem STARCLAH
csVrozená lipoidní adrenální hyperplázie způsobená deficitem STARCLAH
ukВроджена ліпоїдна гіперплазія надниркових залоз внаслідок дефіциту STARCLAH
zhSTAR缺乏所致先天性类脂性肾上腺皮质增生症CLAH
trSTAR eksikliğine bağlı doğumsal lipoid adrenal hiperplaziCLAH

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM201710Evalidated
ICD-10E25.0NTBTattributedvalidated
ICD-115A71.01NTBTindexvalidated
MONDO0008725Evalidated
MeSHC537027Evalidated
UMLSC0342474Evalidated
GARD1465Evalidated

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 (6):

Children (2):

4

Genes

0 direct · 2 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
STARORPHA:325524Classic congenital lipoid adrenal hyperplasia due to STAR deficencyDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:11359ENSG000001474656006178p11.23steroidogenic acute regulatory protein20444910[PMID]
STARORPHA:325529Non-classic congenital lipoid adrenal hyperplasia due to STAR deficencyDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:11359ENSG000001474656006178p11.23steroidogenic acute regulatory protein20444910[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

25 annotations · validated 2021-03-23
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0008730Female external genitalia in individual with 46,XY karyotype
HP:0000953Hyperpigmentation of the skin
HP:0003154Increased circulating ACTH level
Frequent (79-30%)
HP:0030347Abnormal circulating androgen level
HP:0000055Abnormality of female external genitalia
HP:0008221Adrenal hyperplasia
HP:0008163Decreased circulating cortisol level
HP:0001945Fever
HP:0000841Hyperactive renin-angiotensin system
HP:0002153Hyperkalemia
HP:0002902Hyponatremia
HP:0002013Vomiting
Occasional (29-5%)
HP:0000707Abnormality of the nervous system
HP:0010885Avascular necrosis
HP:0001298Encephalopathy
HP:0001508Failure to thrive
HP:0001943Hypoglycemia
HP:0000952Jaundice
HP:0000053Macroorchidism
HP:0000037Male pseudohermaphroditism
HP:0002090Pneumonia
HP:0001250Seizure
Very rare (<4-1%)
HP:0003002Breast carcinoma
HP:0012114Endometrial carcinoma
HP:0040187Neonatal sepsis

Run the differential on the 3 obligate / very frequent terms

Annotation source: 32835366[PMID]_33227378[PMID]

7

Sources for this card