raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:943

Malonic aciduria

Synonyms: Deficiency of malonyl-CoA decarboxylase · MLYCD deficiency · Malonic acidemia · Malonyl-CoA decarboxylase deficiency

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

Malonic aciduria is a metabolic disorder caused by deficiency of malonyl-CoA decarboxylase (MCD).

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMalonic aciduriaDeficiency of malonyl-CoA decarboxylase · MLYCD deficiency · Malonic acidemia · Malonyl-CoA decarboxylase deficiency
frAcidurie maloniqueDéficit en MCD · Déficit en malonyl-CoA décarboxylase
deMalonazidurieMLYCD-Defizienz · Malonyl-CoA-Decarboxylase- Mangel
esAciduria malónicaAcidemia malónica · Deficiencia de MLYCD · Deficiencia de malonil-CoA descarboxilasa
itAciduria malonicaAcidemia malonica · Deficit di MLYCD · Deficit di malonil-CoA decarbossilasi
nlMalonacidurieDeficiëntie van malonyl-CoA-decarboxylase · Malonacidemie · Malonzuuracidurie
ptAcidúria malónicaAcidemia malónica · Deficiência MLYCD · Deficiência de malonil-CoA descarboxilase
plAcyduria malonowaKwasica malonowa
csMalonová acidurieDeficit malonyl-CoA dekarboxylázy
ukМалонова ацидуріяДефіцит малоніл-КоА декарбоксилази · Малонова ацидемія · Дефіцит малоніл-КоА-декарбоксилази · Дефіцит MLYCD
zh丙二酸尿症丙二酰-CoA脱羧酶缺乏
trMalonik asidüriMalonyl-CoA dekarboksilaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM248360Evalidated
ICD-10E72.8NTBTattributedvalidated
ICD-115C50.E1NTBTindexvalidated
MONDO0009556Evalidated
MeSHC535702Evalidated
UMLSC0342793Evalidated
GARD3371Evalidated

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
MLYCDDisease-causing germline mutation(s) inAssessedHGNC:7150ENSG0000010315060676116q23.3malonyl-CoA decarboxylase24613099[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families34 casesWorldwideCase(s)Validated23177061[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

19 annotations · validated 2025-05-14
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000750Delayed speech and language development
HP:0001332Dystonia
HP:0034657Elevated urine malonic acid level
HP:0012120Methylmalonic aciduria
Frequent (79-30%)
HP:0001638Cardiomyopathy
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0001263Global developmental delay
HP:0001510Growth delay
HP:0001943Hypoglycemia
HP:0001942Metabolic acidosis
HP:0000252Microcephaly
HP:6000355Reduced malonyl-CoA decarboxylase activity in cultured fibroblasts
HP:0001250Seizure
Occasional (29-5%)
HP:0002014Diarrhea
HP:0001252Hypotonia
HP:0001946Ketosis
HP:0001254Lethargy
HP:0002013Vomiting

Run the differential on the 4 obligate / very frequent terms

Annotation source: 39069445[PMID]_39069445[PMID]

7

Sources for this card