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A rare, non X-linked congenital disorder of gyclosylation due to steroid 5 alpha reductase type 3 deficiency characterized by a highly variable phenotype typically presenting with severe visual impairment, variable ocular anomalies (such as optic nerve hypoplasia/atrophy, iris and optic nerve coloboma, congenital cataract, glaucoma), intellectual disability, cerebellar abnormalities, nystagmus, hypotonia, ataxia, and/or ichthyosiform skin lesions. Other reported manifestations include retinitis pigmentosa, kyphosis, congenital heart defects, hypertrichosis and abnormal coagulation.
Features include always present findings: Low muscle tone (hypotonia), Motor delay, Nystagmus, and Elevated circulating hepatic transaminase concentration and others; and common findings: Dry skin, Dry, scaly skin (ichthyosis), Eczematoid dermatitis, and Small red blood cells (microcytic anemia) and others. 31 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 5 | Dry skin, Skin color changes (abnormality of skin pigmentation), Dry, scaly skin (ichthyosis) |
Brain and nerves | 5 | Intellectual disability, Difficulty swallowing (dysphagia), Global developmental delay |
Eyes | 3 | Nystagmus, Cataract, Damage to the optic nerve (optic atrophy) |
Muscles | 2 | Low muscle tone (hypotonia), Damage to the optic nerve (optic atrophy) |
Digestive system | 2 | Elevated circulating hepatic transaminase concentration, Difficulty swallowing (dysphagia) |
Growth and development | 1 | Failure to thrive |
Lab test results | 1 | Elevated circulating hepatic transaminase concentration |
Blood and immune system | 1 | Small red blood cells (microcytic anemia) |
SRD5A3 function has not been fully characterized.
SRD5A3-congenital disorder of glycosylation is caused by mutations in the SRD5A3 gene on chromosome 4.
Genetic testing for SRD5A3 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for SRD5A3-congenital disorder of glycosylation has been reported in the published literature.
Phenotype severity distribution: 9 always present features, 5 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for SRD5A3-congenital disorder of glycosylation.
9 publications have been identified in PubMed for SRD5A3-congenital disorder of glycosylation. Research spans Basic Science / Preclinical (33%), Gene Therapy / Novel Therapeutics (33%), and Case Report / Case Series (22%).
Garapati K (2026). [PMID: 41713138](https://pubmed.ncbi.nlm.nih.gov/41713138/). *Mol Genet Metab*. [Diagnostic / Biomarker]
Swaroop S (2026). [PMID: 41769439](https://pubmed.ncbi.nlm.nih.gov/41769439/). *Cureus*. [Case Report / Case Series]
Tawfik CA (2026). [PMID: 41667393](https://pubmed.ncbi.nlm.nih.gov/41667393/). *Ophthalmic Genet*. [Case Report / Case Series]
Jain A (2026). [PMID: 41732066](https://pubmed.ncbi.nlm.nih.gov/41732066/). *J Inherit Metab Dis*. [Basic Science / Preclinical]
Daghar H (2026). [PMID: 41648237](https://pubmed.ncbi.nlm.nih.gov/41648237/). *bioRxiv*. [Gene Therapy / Novel Therapeutics]
Muffels IJJ (2025). [PMID: 40743674](https://pubmed.ncbi.nlm.nih.gov/40743674/). *Mol Genet Metab*. [Gene Therapy / Novel Therapeutics]
Muffels IJJ (2025). [PMID: 40672295](https://pubmed.ncbi.nlm.nih.gov/40672295/). *bioRxiv*. [Gene Therapy / Novel Therapeutics]
Wilson MP (2024). [PMID: 38821050](https://pubmed.ncbi.nlm.nih.gov/38821050/). *Cell*. [Basic Science / Preclinical]
Garapati K (2024). [PMID: 39360848](https://pubmed.ncbi.nlm.nih.gov/39360848/). *Glycobiology*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 9:34 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about SRD5A3-congenital disorder of glycosylation