Congenital lactase deficiency

E4_LACTOCON

lactose intolerance: Inability to fully digest and absorb lactose due to limited or no lactase activity in the small intestine. Congenital intolerance is inherited following an autosomal recessive pattern but is rare. It is more often due to a gradual decline of lactase production in adulthood following the ingestion of fewer lactose-containing foods or secondary to an intestinal mucosal brush-border injury. Prevalence is highest among Asians, Native Americans and Africans. Clinical signs include abdominal cramping, bloating, flatulence and diarrhea following the dietary intake of lactose.

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Endpoint definition

Endpoint definition steps

FinnGen

Phenotype data

520210

1. Apply sex-specific rule

None

520210

2. Check conditions

None

520210

3. Check pre-conditions, main-only, mode, registry filters

Registry filters:

  • Hospital discharge: ICD-10 E73.0
  • Cause of death: ICD-10 E73.0

2 out of 7 registries used, show all original rules.

93

4. Check minimum number of events

None

93

5. Include endpoints

None

93

6. Filter based on genotype QC (FinnGen only)

93

Control definitions (FinnGen only)

Control exclude
E4_METABOLIA

Extra metadata

Level in the ICD hierarchy
4
First used in FinnGen datafreeze
DF2
Parent code in ICD-10
E73
Name in latin
Deficientia lactasae congenita

Case counts by codes

FinnGen case counts by registry codes:

generic upset plot

Upset plot

Full data table

Summary Statistics

-FinRegistry-

Key figures

All Female Male
Number of individuals
Whole population 1143 650 487
Only index persons 1029 596 433
Unadjusted period prevalence (%)
Whole population 0.02 0.02 0.01
Only index persons 0.02 0.02 0.02
Median age at first event (years)
Whole population 15.54 18.37 11.55
Only index persons 15.74 18.53 11.90

-FinnGen-

Key figures

All Female Male
Number of individuals 93 69 24
Unadjusted period prevalence (%) 0.02 0.02 0.01
Median age at first event (years) 40.93 39.56 44.88

-FinRegistry-

Age distribution of first events

-FinnGen-

Age distribution of first events

-FinRegistry-

Year distribution of first events

-FinnGen-

Year distribution of first events

-FinRegistry-

Cumulative Incidence Function

-FinnGen-

Cumulative Incidence Function

No data

CodeWAS (R11)

CodeWAS is a tool for exploring the associations between an endpoint and all of the medical codes and drug codes.

This is a new tool, please reach out using the contact form for feedback and improvement ideas.

First, a cohort is built by matching controls to the endpoint cases using year of birth and sex. Then, a Fisher test is done for all the medical codes and drug codes between the cases and controls of this cohort. Codes are reported in the table below if they have −log10(p-value) ≥ 6.

Matched cohort

Matched cases
76
Matched controls
758
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E73.0
ICD-10 Finland
Congenital lactase deficiency
+∞
109.3
76
*
E73.9
ICD-10 Finland
Lactose intolerance, unspecified
100.8
8.6
9
*
K58.0
ICD-10 Finland
Irritable bowel syndrome with diarrhoea
7.8
7.5
17
27
A06AC01
ATC
ispaghula (psylla seeds); oral
4.0
6.7
31
111
XF400
NOMESCO Finland
ECG with 12 standard connections
5.4
6.6
20
47

Mortality – FinRegistry

Association

Association between endpoint E4_LACTOCON and mortality.

Females

Parameter HR [95% CI] p-value
E4_LACTOCON 1.627 [1.12, 2.36] 0.01
Birth year 0.995 [0.99, 1.0] 0.232

During the follow-up period (1.1.1998 — 31.12.2019), 65 out of 593 females with E4_LACTOCON died.

Males

No data

Mortality risk

Mortality risk for people of age

years, who have E4_LACTOCON.

N-year risk Females Males
1 0.185% No data
5 0.927% No data
10 2.137% No data
15 4.317% No data
20 7.943% No data

Relationships between endpoints

Index endpoint: E4_LACTOCON – Congenital lactase deficiency

GWS hits: 1

Endpoint
Case Overlap
Survival Analysis
Genetic Correlations
Genetic Signals
N (Jaccard index)
HR [CI]
Extremity
rg [CI]
Extremity
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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