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

Report an error or suggest an improvement for this endpoint codes

Endpoint definition steps

FinnGen

Phenotype data

519972

1. Apply sex-specific rule

None

519972

2. Check conditions

None

519972

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.

95

4. Check minimum number of events

None

95

5. Include endpoints

None

95

6. Filter based on genotype QC (FinnGen only)

86

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 86 64 22
Unadjusted period prevalence (%) 0.02 0.02 0.01
Median age at first event (years) 43.22 40.74 50.45

-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

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
95
Matched controls
950
Code
Vocabulary
Description
Odds Ratio
-log10(p)
N matched cases
N matched controls
E73.0
ICD-10 Finland
Congenital lactase deficiency
+∞
136.9
95
*
A06AC01
ATC
ispaghula (psylla seeds); oral
5.4
13.9
38
104
UJF32
NOMESCO Finland
Coloscopy
5.3
13.2
36
98
E73.9
ICD-10 Finland
Lactose intolerance, unspecified
+∞
11.7
11
*
K58.0
ICD-10 Finland
Irritable bowel syndrome with diarrhoea
10.0
10.5
21
26
UJD10
NOMESCO Finland
Esophagoscopy, gastroscopy and duodenoscopy
4.2
10.1
37
124
E73.8
ICD-10 Finland
Other lactose intolerance
+∞
8.5
8
*
G47.3
ICD-10 Finland
Sleep apnoea
4.0
8.3
30
98
XF400
NOMESCO Finland
ECG with 12 standard connections
4.1
7.1
23
69
R5110
NOMESCO Finland
Evaluation of the need for aids, the testing, fitting and choice of the aid, instruction in use and delivery of it
4.8
6.9
17
41
JN3AD
NOMESCO Finland
Abdominal CT examination
4.7
6.4
16
39
A28
ICPC
Limited function/disability NOS
4.3
6.3
18
49
C07AB07
ATC
bisoprolol; oral
2.9
6.1
43
209
Z00.4
ICD-10 Finland
General psychiatric examination, not elsewhere classified
3.8
6.0
21
66

LabWAS

OMOP Concept
People with measurements
Mean N measurements
Mean measured value
(ID) Name
N Cases
N Controls
OR
-log10(p)
cases
controls
cases
controls
unit
-log10(p)
N cases
N controls
62
202
6.96
19.80
1.4
1.2
1.11
1.87
u/ml
0.32
18
54
39
104
5.67
14.85
2.2
1.7
72.66
58.39
ug/g
0.34
31
72
27
72
4.84
9.89
1.2
1.1
—
—
—
0
0
25
76
4.11
7.61
1.4
1.3
—
—
—
0
0
14
15
10.72
7.59
1.7
1.5
388.25
386.88
ug/g
—
8
6
40
174
3.24
7.04
2.4
1.4
1.85
2.18
g/l
0.76
26
102
49
243
3.10
6.85
2.4
1.7
112.93
98.30
pmol/l
0.84
31
116
25
82
3.78
6.80
1.2
1.1
—
—
—
0
0
43
208
2.95
6.15
3.3
2.5
60.87
59.64
u/l
0.08
38
188
47
240
2.90
6.06
5.3
4.0
35.75
36.26
g/l
0.19
39
226
84
599
4.47
5.89
4.5
3.8
14.45
14.62
pmol/l
0.25
79
543
42
209
2.81
5.60
5.7
3.1
17.25
60.21
ng/l
1.07
25
121
32
145
2.82
5.01
1.7
1.5
20.60
21.67
nmol/l
0.14
26
120
32
147
2.77
4.86
4.4
3.6
—
—
—
0
0
34
168
2.59
4.43
2.2
1.9
2.85
2.94
mg/l
0.09
26
137
39
209
2.47
4.26
3.7
2.9
2.34
2.37
mmol/l
0.91
34
180
31
149
2.60
4.25
5.5
3.2
7.84
19.37
mg/mmol
0.57
21
84
30
142
2.63
4.24
5.2
2.8
35.50
133.00
mg/l
0.81
22
80
72
514
2.66
4.11
5.9
3.7
—
—
—
0
0
23
99
2.75
3.88
1.7
1.5
1292.65
1064.68
nmol/l
0.58
17
76
42
248
2.24
3.56
17.2
6.3
1.20
1.11
inr
—
10
75
54
356
2.20
3.46
5.6
6.4
—
—
—
0
0
14
51
3.05
3.14
13.4
2.7
—
—
—
0
0
10
26
4.17
3.08
5.0
4.6
24.26
24.22
mmol/l
—
10
26
62
445
2.13
3.04
8.8
8.8
3.85
3.89
e9/l
0.05
54
393
58
406
2.10
3.04
6.2
6.1
0.15
0.18
e9/l
0.91
53
364
81
650
2.67
3.01
6.5
4.0
39.68
37.77
mmol/mol
0.87
81
605
56
388
2.08
3.01
5.9
5.7
0.54
0.54
e9/l
0.07
49
341
56
388
2.08
3.01
5.9
5.7
0.03
0.04
e9/l
0.20
49
341
13
49
2.92
2.75
2.7
2.2
—
—
—
0
0
14
56
2.76
2.67
3.9
3.7
—
—
—
0
0
28
156
2.13
2.63
3.0
3.2
—
—
—
0
0
56
401
1.97
2.61
5.9
5.7
1.93
1.95
e9/l
0.06
50
363
84
702
2.70
2.57
5.2
3.5
6.00
5.67
mmol/l
0.87
78
645
29
167
2.06
2.49
2.2
1.6
5.03
0.90
mg/l
0.51
21
126
36
225
1.97
2.46
3.5
2.2
—
—
—
0
0
28
160
2.06
2.45
3.9
3.1
1.02
1.01
kg/l
1.43
11
23
8
22
3.87
2.42
1.9
2.6
—
—
—
0
0
6
13
4.85
2.31
1.2
1.1
—
—
—
0
0
5
9
5.79
2.24
1.4
1.2
—
—
—
0
0
13
55
2.58
2.23
4.2
3.4
5.96
5.68
kpa
0.61
13
55
83
706
2.39
2.15
19.8
12.9
14.72
14.59
%
0.08
83
698
42
287
1.83
2.14
3.5
2.8
6.00
5.75
ph
—
5
22
12
50
2.60
2.12
2.8
2.6
5.04
5.13
kpa
0.03
12
50
31
193
1.90
2.10
4.3
2.5
15.79
26.74
e6/l
0.48
25
148
11
44
2.70
2.09
2.7
3.6
—
—
—
0
0
6
15
4.19
2.07
1.2
1.1
—
—
—
0
0
9
32
3.00
2.06
4.8
1.8
—
—
—
0
0
9
32
3.00
2.06
3.4
2.4
—
—
—
0
0
6
16
3.93
1.97
1.8
2.6
27.22
25.47
mmol/l
—
6
16
58
448
1.76
1.88
3.6
3.2
—
—
—
0
0
20
111
2.02
1.87
4.0
2.6
10.67
195.66
ng/l
0.89
12
64
28
175
1.85
1.86
4.5
2.5
—
—
—
0
0
9
36
2.65
1.79
1.1
1.2
—
—
—
0
0
9
36
2.65
1.79
15.2
8.3
10.29
8.74
mmol/l
—
9
36
9
36
2.65
1.79
6.7
5.7
—
—
—
0
0
15
77
2.13
1.70
3.8
1.9
2.68
2.44
g/l
0.83
15
68
7
25
2.94
1.68
1.9
1.8
—
—
—
0
0
34
233
1.72
1.64
5.0
3.2
19.12
68.04
e6/l
1.15
25
158
8
32
2.63
1.64
7.0
6.6
24.56
24.95
mmol/l
—
8
32
10
44
2.42
1.61
1.3
1.2
—
—
—
0
0
10
44
2.42
1.61
2.0
1.6
—
—
—
0
0
27
176
1.75
1.54
4.5
2.6
0.09
0.40
e6/l
1.82
22
133
19
111
1.89
1.53
1.4
1.4
273.33
568.70
titre
—
6
23
10
45
2.37
1.52
6.8
8.1
—
—
—
0
0
6
22
2.84
1.46
1.2
1.1
—
—
—
0
0
12
61
2.11
1.40
2.5
6.5
102.92
104.51
mmol/l
0.53
12
61
10
47
2.26
1.39
4.8
3.4
2.38
6.38
ug/l
—
10
36
5
17
3.04
1.37
1.0
1.2
—
—
—
0
0
6
24
2.60
1.32
2.7
4.5
—
—
—
0
0
9
44
2.15
1.31
1.3
1.2
—
—
—
0
0
5
19
2.72
1.23
1.0
1.5
—
—
—
0
0
5
19
2.72
1.23
1.2
27.2
1.30
1.15
mmol/l
—
5
14
29
205
1.60
1.21
2.7
2.4
—
—
—
0
0
7
30
2.44
1.15
1.7
19.3
—
—
—
0
0
22
147
1.65
1.14
1.5
1.3
18.63
22.95
iu/ml
—
8
42
9
46
2.05
1.07
1.4
1.4
—
—
—
0
0
28
204
1.53
1.01
3.6
6.3
—
—
—
0
0
6
29
2.14
0.91
2.0
2.2
0.68
0.69
%
—
6
29
11
64
1.81
0.90
2.6
2.6
386.18
379.24
nmol/l
0.04
11
55
6
30
2.07
0.88
2.0
2.1
2.05
1.39
%
—
6
30
15
97
1.65
0.88
1.7
2.6
—
—
—
0
0
38
303
1.42
0.87
2.3
1.8
—
—
—
0
0
23
167
1.50
0.84
4.0
2.6
—
—
—
0
0
12
76
1.66
0.76
1.0
1.4
—
—
—
0
0
5
24
2.14
0.75
1.2
1.2
—
—
—
0
0
17
119
1.52
0.73
1.4
1.5
—
—
—
0
0
5
26
1.97
0.71
2.4
27.0
—
—
—
0
0
17
120
1.51
0.71
1.8
1.4
—
—
—
0
0
12
78
1.62
0.69
1.4
1.2
—
—
—
0
0
20
149
1.43
0.64
1.6
1.3
2.38
5.82
u/ml
—
8
67
8
50
1.65
0.63
1.0
1.2
—
—
—
0
0
6
35
1.76
0.59
1.0
1.2
—
—
—
0
0
6
40
1.53
0.52
5.8
8.3
24.80
25.16
mmol/l
—
6
40
25
204
1.31
0.47
4.0
2.7
—
—
—
0
0
5
31
1.65
0.44
1.6
1.6
0.18
0.23
g/l
—
5
31
8
59
1.39
0.42
1.4
2.0
9.14
10.13
g/l
—
8
53
0
18
0.00
0.40
0.0
1.1
—
—
—
0
0
0
18
0.00
0.40
0.0
2.9
—
—
—
0
0
7
98
0.69
0.32
1.0
1.2
—
—
—
0
0
10
76
1.35
0.29
1.2
1.7
—
—
—
0
0
23
199
1.21
0.27
2.0
1.7
—
—
—
0
0
5
40
1.26
0.23
1.0
1.1
—
—
—
0
0
0
11
0.00
0.21
0.0
1.5
—
—
—
0
0
0
10
0.00
0.21
0.0
2.4
—
23.80
—
0
5
0
13
0.00
0.21
0.0
1.8
—
—
—
0
0
11
90
1.25
0.20
6.7
5.1
1.90
1.61
ug/l
0.20
11
76
6
52
1.16
0.19
1.0
1.1
—
—
—
0
0
6
52
1.16
0.19
3.5
2.9
0.63
0.65
ug/l
—
6
26
11
92
1.22
0.17
1.2
1.8
—
—
—
0
0
28
256
1.13
0.16
1.6
1.6
—
—
—
0
0
5
60
0.82
0.08
1.4
1.5
—
—
—
0
0
5
62
0.80
0.08
2.2
2.0
—
—
—
0
0
5
62
0.80
0.08
2.2
1.9
—
—
—
0
0
5
62
0.80
0.08
2.2
2.0
—
—
—
0
0
5
63
0.78
0.08
2.2
1.9
—
—
—
0
0
7
65
1.08
0.08
1.4
1.2
—
—
—
0
0
25
261
0.94
0.04
2.6
2.0
—
—
—
0
0
34
351
0.95
0.04
7.4
7.3
0.00
0.00
e9/l
0.49
27
280
29
284
1.03
0.00
2.2
2.1
—
—
—
0
0
18
178
1.01
0.00
2.0
1.7
—
—
—
0
0
10
96
1.05
0.00
2.0
2.2
—
—
—
0
0
0
7
0.00
0.00
0.0
1.7
—
—
—
0
0
5
57
0.87
0.00
1.4
1.4
—
—
—
0
0
0
8
0.00
0.00
0.0
1.1
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
7
0.00
0.00
0.0
1.6
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
8.14
—
0
5
0
7
0.00
0.00
0.0
1.1
—
—
—
0
0
0
7
0.00
0.00
0.0
1.1
—
150.79
—
0
7
5
57
0.87
0.00
1.4
1.4
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
1.06
—
0
5
0
5
0.00
0.00
0.0
1.0
—
230.76
—
0
5
0
5
0.00
0.00
0.0
1.0
—
171.40
—
0
5
0
7
0.00
0.00
0.0
2.7
—
2.07
—
0
7
0
8
0.00
0.00
0.0
1.3
—
—
—
0
0
0
8
0.00
0.00
0.0
2.4
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
0
5
0.00
0.00
0.0
1.2
—
—
—
0
0
0
5
0.00
0.00
0.0
1.0
—
—
—
0
0
7
69
1.02
-0.00
1.3
1.4
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.1
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.0
—
5.17
—
0
9
0
9
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.5
—
—
—
0
0
0
6
0.00
-0.00
0.0
1.2
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.0
—
—
—
0
0
0
9
0.00
-0.00
0.0
1.4
—
—
—
0
0

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]
rg [CI]
Hits
Coloc Hits
FinRegistry
FinnGen
FinRegistry
FinnGen
FinnGen
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