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IEMbase 0784: SLC29A3-related ENT3 deficiency

Scope

Field Value
IEMbase ID 784
Nosology 16.3.16.01
Nosology code IEM0041
Gene SLC29A3
External IDs OMIM:602782; ORPHA:254707
Generated mapping UNMAPPED; best lexical candidate Rosai-Dorfman_Disease.yaml
Candidate DisMech targets Partial context in Rosai-Dorfman_Disease.yaml; no exact broad SLC29A3-spectrum target
Review date 2026-07-11

IEMbase phenotype signal

IEMbase labels this autosomal recessive record as SLC29A3-related equilibrative nucleoside transporter 3 deficiency, with alternate names H syndrome, familial Rosai-Dorfman disease, and Faisalabad histiocytosis. The phenotype signal includes histiocytosis involving salivary glands, orbit, eyelid, spleen, or testes; lymphadenopathy; recurrent fever; hypergammaglobulinemia; elevated ESR; leukocytosis; hepatosplenomegaly; panniculitis; hyperpigmentation; hypertrichosis; joint contractures; sensorineural deafness; growth hormone deficiency; insulin-dependent diabetes; female hypergonadotropic hypogonadism; osteosclerosis; bone deformities; and possible intrauterine fractures.

DisMech phenotype coverage

Rosai-Dorfman_Disease.yaml contains relevant SLC29A3 context. It states that familial RDD is associated with biallelic germline SLC29A3 mutations within the SLC29A3 spectrum disorder and explicitly mentions familial RDD, Faisalabad histiocytosis, H syndrome, and PHID. However, the entry is primarily a Rosai-Dorfman disease model, with clonal MAPK/reactive immune RDD mechanisms, not a full SLC29A3 spectrum entry.

Concordance and completeness

Judgement: partial local coverage, but no exact target.

The local RDD entry is useful for the familial RDD/Faisalabad histiocytosis arm and for the SLC29A3 gene association. It does not fully cover the broad IEMbase H-syndrome/ENT3-deficiency phenotype, especially endocrine, skeletal, deafness, hyperpigmentation/hypertrichosis, panniculitis, and osteosclerosis features.

Curation actions

  • Do not treat Rosai-Dorfman_Disease.yaml as exact coverage for all of IEMbase 0784.
  • Use the local RDD entry as partial context for familial RDD and Faisalabad histiocytosis only.
  • Future curation should consider a distinct SLC29A3 spectrum or H syndrome entry if broader ENT3-deficiency coverage is desired.