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Start free with EleplanLysinuric protein intolerance
ORPHA:470Disease
Also called Hyperdibasic aminoaciduria · LPI
What it is
A rare disorder of amino acid absorption and transport characterized by a secondary urea cycle disorder with failure to thrive, hepatosplenomegaly, and a wide range of clinical manifestations including hematological (macrophagic activation syndrome or hemophagocytic lymphohistiocytosis, HLH), immune, digestive, renal, pulmonary and/or bones involvement.
Key facts
- Prevalence
- 1-9 / 100 000 (at birth, Italy)
- Age of onset
- Infancy, Neonatal
- Inheritance
- Autosomal recessive
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Common30–79%
48- Abnormal bleeding
- Abnormality of serine metabolism
- Abnormal pulmonary interstitial morphology
- Abnormal renal tubule morphology
- Anemia
- Argininuria
- Bone marrow hypercellularity
- Chronic kidney disease
- Cirrhosis
- Cognitive impairment
- Decreased glomerular filtration rate
- Decreased HDL cholesterol concentration
- Delayed skeletal maturation
- Diarrhea
- Elevated circulating hepatic transaminase concentration
- Elevated plasma citrulline
- Feeding difficulties
- Floppy infant
- Glomerulonephritis
- Growth delay
- Hematuria
- Hemophagocytosis
- Hepatic failure
- Hepatomegaly
- Hepatosplenomegaly
- Hyperalaninemia
- Hyperammonemia
- Hypercholesterolemia
- Hyperglutaminemia
- Hyperglycinemia
- Hyperlysinuria
- Hyperprolinemia
- Hypertriglyceridemia
- Increased circulating lactate dehydrogenase concentration
- Increased LDL cholesterol concentration
- Intellectual disability
- Intraalveolar phospholipid accumulation
- Leukopenia
- Nephrocalcinosis
- Oral aversion
- Osteopenia
- Osteoporosis
- Proteinuria
- Renal tubular dysfunction
- Respiratory insufficiency
- Steatorrhea
- Thrombocytopenia
- Vomiting
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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