raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:941

D-glyceric aciduria

Synonyms: D-glycerate kinase deficiency · D-glyceric acidemia

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
All ages
Status
active

A rare inborn error of metabolism characterized by abnormal urinary excretion of D-glyceric acid due to D-glycerate kinase deficiency. Reported manifestations are highly variable and include a severe encephalopathic picture, chronic metabolic acidosis, developmental delay, intellectual disability, microcephaly, seizures, behavioral abnormalities, as well as only mild speech delay and apparently normal development.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enD-glyceric aciduriaD-glycerate kinase deficiency · D-glyceric acidemia
frAcidurie D-glycériqueAcidémie D-glycérique · Déficit en D-glycérate kinase
deD-Glycerat-Kinase-MangelD-Glyceratazidurie
esAciduria D-glicéricaAcidemia D-glicérica · Deficiencia de D-glicerato quinasa
itAciduria D-glicericaAciedmia D-glicerica · Deficit di D-glicerato chinasi
nlD-glycerinezuuracidurieD-glycerinezuuracidemie · Deficiëntie van D-glyceraatkinase
ptAcidúria D-glicéricaAcidemia D-glicérica · Deficiência de D-glicerato cinase
plAcyduria D-glicerynowaKwasica D-glicerynowa · Niedobór kinazy D-glicerynowej
csD-glycerová acidurieDeficit D-glycerát kinázy · D-glycerová acidémie
ukD-гліцеринова ацидуріяДефіцит D-гліцераткінази · D-гліцеринова ацидемія
zhD-甘油酸尿症D-甘油酸激酶缺乏症
trD-gliserik asidüriD-gliserik asidemi · D-gliserat kinaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM220120Evalidated
ICD-10E74.8NTBTattributedvalidated
ICD-115C50.7YNTBTindexvalidated
MONDO0009070Evalidated
MeSHC535767Evalidated
UMLSC0342765Evalidated
GARD234Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GLYCTKDisease-causing germline mutation(s) inAssessedHGNC:24247ENSG000001682376105163p21.2glycerate kinase20949620[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

26 annotations · validated 2021-08-17
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
HP:0001942Metabolic acidosis
HP:0002448Progressive encephalopathy
Frequent (79-30%)
HP:0000750Delayed speech and language development
HP:0008947Floppy infant
HP:0001263Global developmental delay
HP:0002154Hyperglycinemia
HP:0003108Hyperglycinuria
HP:0500230Increased CSF glycine concentration
HP:0030781Increased circulating free fatty acid level
HP:0001249Intellectual disability
HP:0000252Microcephaly
HP:0001250Seizure
HP:0001257Spasticity
Occasional (29-5%)
HP:0000729Autistic behavior
HP:0012444Brain atrophy
HP:0100704Cerebral visual impairment
HP:0002072Chorea
HP:0000365Hearing impairment
HP:0002079Hypoplasia of the corpus callosum
HP:0007185Loss of consciousness
HP:0001336Myoclonus
HP:0008288Nonketotic hyperglycinemia
HP:0012736Profound global developmental delay
HP:0000253Progressive microcephaly
HP:0011344Severe global developmental delay

Run the differential on the 3 obligate / very frequent terms

Annotation source: 26247153[PMID]_30637540[PMID]_28462797[PMID]

7

Sources for this card