5C51.20

ICD-11 MMS 2026-01

Primary hyperoxaluria type 1

Description

Primary hyperoxaluria type 1 is a rare metabolic disorder due to a defect of the peroxysomal hepatic enzyme L-alanine: glyoxylate aminotransferase (AGT). The infantile form is characterised by chronic renal failure due to massive oxalate deposition. In other patients, urolithiasis develops with infections, haematuria, renal colic or acute renal failure due to complete obstruction. End-stage renal failure occurs before 15 years of age in half the cases and the resulting increase of circulating oxalate leads to its deposition in tissues causing cardiac conduction defects, hypertension, distal gangrene, and reduced joint mobility and pain.

Index terms

  • Primary hyperoxaluria type 1
  • 2-oxoglutarate glyoxylate carboligase deficiency
  • Alanine-glyoxylate aminotransferase deficiency
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  • Oxalosis type 1

Exclusions from above levels

  • 5A41 – hypoglycaemia NOS
  • 5A42 – Increased secretion of glucagon
  • 5C56.3 – Mucopolysaccharidosis
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  • http://id.who.int/icd/entity/465177735 – Diabetes mellitus
  • http://id.who.int/icd/entity/1191191920 – Disorders of lipoprotein metabolism or certain specified lipidaemias
  • 3A10.Z – Hereditary haemolytic anaemia due to enzyme deficiency
  • 5A71.01 – Congenital adrenal hyperplasia
  • 5A81.1 – 5-alpha-reductase deficiency
  • LD28.01 – Marfan syndrome
  • LD28.1 – Ehlers-Danlos syndrome
  • LD2A.4 – androgen resistance syndrome
  • 18 – Pregnancy, childbirth or the puerperium
  • http://id.who.int/icd/entity/1004987305 – Transitory endocrine or metabolic disorders specific to fetus or newborn

Sibling codes

  • 5C51.2Y – Other specified disorders of glyoxylate metabolism
  • 5C51.2Z – Disorders of glyoxylate metabolism, unspecified

Foundation entity

Primary hyperoxaluria type 1 – http://id.who.int/icd/entity/692812009

Part of: 5C51.2: Disorders of glyoxylate metabolism › 5C51: Inborn errors of carbohydrate metabolism › 05: Endocrine, nutritional or metabolic diseases