Histidinemia

General Information (adopted from Orphanet):

Synonyms, Signs: HAL DEFICIENCY
HISTIDINE AMMONIA-LYASE DEFICIENCY
HIS DEFICIENCY
histidase deficiency
Histidinuria
Number of Symptoms 13
OrphanetNr: 2157
OMIM Id: 235800
ICD-10: E70.8
UMLs: C0220992
MeSH: C538320
MedDRA:
Snomed: 124628005
410058007

Prevalence, inheritance and age of onset:

Prevalence: > 1 of 100 000 [Orphanet]
Inheritance: Autosomal recessive
[Orphanet]
Age of onset: Neonatal
Infancy
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: Disorder of histidine metabolism
 -Rare genetic disease

Comment:

The clinical picture of histidinemia varies from complete normality to severe retardation, with many patients being asymptomatic. No correlation has been found between clinical and biochemical data (PMID:8463510).

Symptom Information: Sort by abundance 

1
(HPO:0002927) Histidinuria very frequent [IBIS] 8669938 IBIS 3 / 7739
2
(HPO:0000708) Behavioral abnormality 212 / 7739
3
(HPO:0001263) Global developmental delay 853 / 7739
4
(HPO:0001249) Intellectual disability 1089 / 7739
5
(HPO:0002167) Neurological speech impairment 308 / 7739
6
(HPO:0001270) Motor delay 322 / 7739
7
(HPO:0010904) Abnormality of histidine metabolism very frequent [IBIS] 8669938 IBIS 1 / 7739
8
(OMIM) Increased histidine in blood, urine, and CSF 1 / 7739
9
(HPO:0010906) Hyperhistidinemia very frequent [IBIS] 8669938 IBIS 1 / 7739
10
(OMIM) Decreased histidase activity 1 / 7739
11
(OMIM) Decreased urocanic acid in blood, urine, and skin cells 1 / 7739
12
(OMIM) Decreased urocanic acid in stratum corneum 1 / 7739
13
(OMIM) Decreased or absent histidase activity 1 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) Histidinemia is an autosomal recessive metabolic disorder characterized by increased levels of histidine in blood, urine, and cerebrospinal fluid, and decreased levels of the metabolite urocanic acid in blood, urine, and skin cells. Although histidinemia was originally associated ...
Clinical Description OMIM Ghadimi et al. (1961) reported 2 patients with histidinemia and suggested that it resulted from a 'familial disturbance of histidine metabolism.' Auerbach et al. (1962) were unable to detect the histidase metabolites urocanic acid or FIGLU (formiminoglutamic acid) ...
Molecular genetics OMIM Using mutation detection enhancement gel analysis to screen 50 Japanese patients with histidinemia, Kawai et al. (2005) identified 4 missense mutations in the HAL gene (609457.0001-609457.0004). The authors also identified 2 exonic and 2 intronic polymorphisms.
Population genetics OMIM Levy et al. (1974) reported a frequency of histidinemia of 1 in 20,000 births.

Alm et al. (1981) estimated the frequency of histidinemia in Sweden to be 1 in 37,000, on the basis of neonatal screening. ...