Caring for someone with this diagnosis? Eleplan keeps diagnoses, medications, documents and every specialist in one plan.
Start free with EleplanSialuria
ORPHA:3166Disease
Also called Sialuria, French type
What it is
A rare disorder of sialic acid metabolism characterized by excretion of large quantities of free sialic acid (predominantly N-acetylneuraminic acid without any morphologic evidence of storage within any subcellular organelle), mildly coarse facial features and hepatosplenomegaly. Growth and development are rather normal, however some affected individuals were reported to have moderate developmental delay, slight motor delay and mild intellectual impairment. Additional clinical features may involve macrocephaly, mild small airway obstruction, frequent upper respiratory tract infections, transient failure to thrive, seizures and sleep apnea. Signs and symptoms can be transient, especially in infancy.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy
- Inheritance
- Autosomal dominant
- 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
Very common80–99%
35- 2-3 toe syndactyly
- Abnormal facial shape
- Abnormality of metabolism/homeostasis
- Abnormality of the mitochondrion
- Attention deficit hyperactivity disorder
- Cholelithiasis
- Coarse facial features
- Dysostosis multiplex
- Elevated circulating hepatic transaminase concentration
- Epicanthus
- Episodic abdominal pain
- Expressive language delay
- Generalized hypotonia
- Hepatomegaly
- Hepatosplenomegaly
- High, narrow palate
- Hoarse voice
- Hyperkinetic movements
- Hypertelorism
- Intellectual disability, mild
- Joint hypermobility
- Long hallux
- Low-set ears
- Memory impairment
- Periorbital fullness
- Prolonged partial thromboplastin time
- Prolonged prothrombin time
- Prominent forehead
- Seizure
- Sleep apnea
- Smooth philtrum
- Spinal deformities
- Thin upper lip vermilion
- Upper airway obstruction
- Wide nasal bridge
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.
Powered by Eleplan
A rare diagnosis is just the start. Eleplan keeps the whole care plan in one place.
Diagnoses, medications, documents, appointments, and the whole care team — organized and always in sync, so you are not retelling the same story to every new specialist. With Ellie, your AI care assistant, on top of it. Free to start.