raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:101008

Autosomal recessive spastic paraplegia type 28

Synonyms: SPG28

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Childhood, Infancy
Status
active

Autosomal recessive spastic paraplegia type 28 is a pure form of hereditary spastic paraplegia characterized by a childhood or adolescent onset of slowly progressive, pure crural muscle spastic paraparesis which manifests with mild lower limb weakness, gait difficulties, extensor plantar responses, and hyperreflexia of lower extremities. Less common manifestations include cerebellar oculomotor disturbance with saccadic eye pursuit, pes cavus and scoliosis. Some patients also present pin and vibration sensory loss in distal legs.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 28SPG28
frParaplégie spastique autosomique récessive type 28= en
deSpastische Paraplegie, autosomal-rezessive, Typ 28= en
esParaplejía espástica autosómica recesiva tipo 28= en
itParaplegia spastica autosomica recessiva, tipo 28= en
nlAutosomaal recessieve spastische paraplegie type 28= en
ptParaplegia espástica autossómica recessiva tipo 28= en
plAutosomalna recesywna paraplegia spastyczna typu 28= en
csAutozomálně recesivní spastická paraplegie, typ 28= en
ukАутосомно-рецесивна спастична параплегія, тип 28= en
zh常染色体隐性遗传痉挛性截瘫28型= en
trOtozomal resesif spastik parapleji tip 28= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM609340Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTindexvalidated
MONDO0012256Evalidated
MeSHC563732Evalidated
UMLSC1836295Evalidated
GARD16941Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
DDHD1Disease-causing germline mutation(s) inAssessedHGNC:19714ENSG0000010052361460314q22.1DDHD domain containing 123176821[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families7 casesWorldwideCase(s)Validated27216551[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_27216551[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

13 annotations · validated 2018-05-23
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003487Babinski sign
HP:0001347Hyperreflexia
Frequent (79-30%)
HP:0006944Abolished vibration sense
HP:0010830Impaired tactile sensation
HP:0007340Lower limb muscle weakness
HP:0002061Lower limb spasticity
HP:0007021Pain insensitivity
HP:0001761Pes cavus
HP:0002172Postural instability
HP:0002063Rigidity
HP:0002650Scoliosis
HP:0002064Spastic gait
HP:0002317Unsteady gait

Run the differential on the 2 obligate / very frequent terms

Annotation source: 15786464[PMID]_23176821[PMID]

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Sources for this card