Preferred Label : Prolidase deficiency;
Type : Phenotype, molecular basis known;
Description : Prolidase deficiency is a rare autosomal recessive multisystem disorder associated
with massive imidodipeptiduria and lack of or reduced prolidase activity in erythrocytes,
leukocytes, or cultured fibroblasts. The disorder is clinically heterogeneous and
severity varies widely. Features include chronic, slowly healing ulcerations, mainly
on the legs and feet. The ulcers are often preceded by other dermatologic manifestations
that may occur anywhere and include erythematous papular eruptions, telangiectasias
with pruritus and photosensitivity, impetigo-like eruptions, pruritic eczematous lesions,
and necrotic papules. Mild to severe mental retardation is often a feature, and recurrent
respiratory tract infections, sometimes fatal, are common. Facial dysmorphism may
include low hairline and hirsutism, saddle nose, ocular hypertelorism, micrognathia,
a high-arched palate, mandibular protrusion, and exophthalmos. Clinical manifestations
are usually detectable after birth or in early childhood, but late-onset cases have
been reported (summary by Lupi et al., 2008).;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the peptidase D gene (PEPD, 613230.0001);
Laboratory abnormalities : Hyperimidodipeptiduria; Deficiency of prolidase activity in erythrocytes, leukocytes, or fibroblasts;
Prefixed ID : #170100;
Origin ID : 170100;
UMLS CUI : C0268532;
Automatic exact mappings (from CISMeF team)
Currated CISMeF NLP mapping
DO Cross reference
Genes related to phenotype
HPO term(s)
ORDO concept(s)
Semantic type(s)
UMLS correspondences (same concept)