raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:94086

Blue diaper syndrome

Synonyms: Drummond syndrome · Familial hypercalcemia-nephrocalcinosis-indicanuria syndrome

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

A rare inborn error of metabolism characterized by early-onset diarrhea, fever, recurrent hypoglycemia, hypercalcemia with nephrocalcinosis, metabolic acidosis, and indicanuria due to bacterial degradation of malabsorbed tryptophan with excessive indole production which, upon oxidation to indigo blue, causes bluish discoloration of urine spots in the diaper of the affected infant.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enBlue diaper syndromeDrummond syndrome · Familial hypercalcemia-nephrocalcinosis-indicanuria syndrome
frMaladie des langes bleusSyndrome d'hypercalcémie familiale-néphrocalcinose-indicanurie · Syndrome de Drummond
deBlue-Diaper-SyndromDrummond-Syndrom · Hyperkalzämie, familiäre - Nephrokalzinose - Indikanurie
esSíndrome de pañal azulSíndrome de Drummond
itSindrome del pannolino blu
nlBlauwe luier-syndroomBlue diaper-syndroom · Familiale hypercalciëmie - nefrocalcinose - indicanurie-syndroom · Syndroom van Drummond
ptSíndrome da fralda azulSíndrome "blue diaper" · Síndrome Drummond · Síndrome hipercalcemia-nefrocalcinose-indicanúria familiar
plZespół niebieskich pieluszekRodzinna hiperkalcemia - kamica nerkowa - indykanuria · Zespół Drummonda
csSyndrom modré plenySyndrom zahrnující familiární hyperkalcemii, nefrokalcinózu a indikanurii · Malabsorpce tryptofanu · Drummondův syndrom
ukСиндром блакитних пелюшокСиндром Драммонда · Сімейний синдром гіперкальціємії-нефрокальцинозу-індиканурії
zh蓝色尿布综合征家族性高钙血症-肾钙质沉着症-尿蓝母尿综合征
trMavi bebek bezi sendromuDrummond sendromu · Ailesel hiperkalsemi-nefrokalsinoz-indikanüri sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM211000Evalidated
ICD-10E70.8NTBTinclusionvalidated
ICD-115C60.YNTBTindexvalidated
MONDO0008877Evalidated
MeSHC536239Evalidated
UMLSC0268478Evalidated
GARD5939Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

0 direct

Orphanet records no gene directly on this code.

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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.

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HPO phenotypes

12 annotations · validated 2021-10-20
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0040317Blue urine
Frequent (79-30%)
HP:0002014Diarrhea
HP:0003072Hypercalcemia
HP:0004324Increased body weight
HP:0000121Nephrocalcinosis
Occasional (29-5%)
HP:0031507Decreased circulating thyroxine level
HP:0002910Elevated circulating hepatic transaminase concentration
HP:0002925Elevated circulating thyroid-stimulating hormone concentration
HP:0002905Hyperphosphatemia
HP:0031883Increased proinsulin:insulin ratio
HP:0001942Metabolic acidosis
HP:0001988Recurrent hypoglycemia

Run the differential on the 1 obligate / very frequent terms

Annotation source: 29610180[PMID]_14246093[PMID]

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Sources for this card