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Transcobalamin I deficiency(TCN1D)

MedGen UID:
90993
Concept ID:
C0342700
Disease or Syndrome
Synonyms: Cobalamin pseudodeficiency due to transcobalamin deficiency; Cobalamin r binder protein deficiency; TCN1 deficiency; TCN1D; Transcobalamin 1 deficiency
SNOMED CT: Transcobalamin I deficiency (237933007); R-binder deficiency (237933007)
 
Monarch Initiative: MONDO:0008659
OMIM®: 193090
Orphanet: ORPHA2967

Definition

A rare, genetic, benign disorder of cobalamin transport, due to variable degrees of transcobalamin I deficiency, characterized by mildly low to almost undetectable plasma transcobalamin I levels and slighly low to absent serum cobalamin levels. Normal methylmalonic acid and homocysteine serum values and absence of megaloblastic anemia are reported. No specific clinical manifestations are associated and patients are typically asymptomatic. [from ORDO]

Clinical features

From HPO
Paresthesia
MedGen UID:
14619
Concept ID:
C0030554
Disease or Syndrome
Abnormal sensations such as tingling, pricking, or numbness of the skin with no apparent physical cause.
Reduced tendon reflexes
MedGen UID:
356648
Concept ID:
C1866934
Finding
Diminution of tendon reflexes, which is an invariable sign of peripheral nerve disease.
Abnormality of metabolism/homeostasis
MedGen UID:
867398
Concept ID:
C4021768
Finding

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTranscobalamin I deficiency
Follow this link to review classifications for Transcobalamin I deficiency in Orphanet.

Recent clinical studies

Diagnosis

Nissen PH, Nordwall M, Hoffmann-Lücke E, Sorensen BS, Nexo E
J Inherit Metab Dis 2010 Dec;33 Suppl 3:S269-74. Epub 2010 Jul 6 doi: 10.1007/s10545-010-9145-z. PMID: 20607612
Adcock BB, McKnight JT
South Med J 2002 Sep;95(9):1060-2. PMID: 12356110

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