Tangier disease

What is Tangier disease?

Tangier disease (TD) is a rare lipoprotein metabolism disorder characterized biochemically by an almost complete absence of plasma high-density lipoproteins (HDL), and clinically by liver, spleen, lymph node and tonsil enlargement along with peripheral neuropathy in children and adolescents, and, occasionally, cardiovascular disease in adults.

Other condition names

  • ATP-binding cassette transporter A1 deficiency
  • Analphalipoproteinemia
  • Defective adenosine triphosphate-binding cassette transporter A1

Inheritance type

Autosomal recessive


  • Worldwide: <1 in 1,000 000
  • Europe: <1 in 1,000 000

Age of Onset

  • Adolescent
  • Adult
  • Childhood
  • Infancy
  • Neonatal
Orphadata: Free access data from Orphanet. © INSERM 1999. Available on "https://www.orphadata.com". Data version 1.3.16 / 4.1.7.