raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1145

Infantile-onset X-linked spinal muscular atrophy

Synonyms: SMAX2 · Spinal muscular atrophy with arthrogryposis · X-linked distal arthrogryposis multiplex congenita · X-linked spinal muscular atrophy type 2

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Neonatal
Status
active

A rare form of spinal muscular atrophy characterized by the neonatal onset of severe hypotonia, areflexia, profound weakness, multiple congenital contractures, facial dysmorphic features (myopathic face with open, tent-shaped mouth), cryptorchidism, and mild skeletal abnormalities (i.e. kyphosis, scoliosis), that is often preceded by polyhydramnios and reduced fetal movements <i>in utero</i> and followed by bone fractures shortly after birth. Muscle weakness is progressive and chest muscle involvement eventually leads to ventilatory insufficiency and respiratory failure.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enInfantile-onset X-linked spinal muscular atrophySMAX2 · Spinal muscular atrophy with arthrogryposis · X-linked distal arthrogryposis multiplex congenita · X-linked spinal muscular atrophy type 2
frAmyotrophie spinale infantile liée à l'XASX2 · Amyotrophie spinale avec arthrogrypose · Amyotrophie spinale liée à l'X type 2 · Arthrogrypose distale liée à l'X · SMAX2
deSpinale Muskelatrophie, infantile, X-chromosomaleSMAX2 · Spinale Muskelatrophie mit Arthrogrypose · Spinale Muskelatrophie, X-chromosomale, Typ 2 · X-chromosomale distale Arthrogryposis multiplex congenita
esAtrofia muscular espinal de inicio en el lactante ligada al cromosoma XArtrogriposis con atrofia muscular espinal · Artrogriposis distal múltiple congénita ligada al cromosoma X · Atrofia muscular espinal asociada a SMAX2 · Atrofia muscular espinal ligada al cromosoma X tipo 2 · SMAX2
itArtrogriposi multipla congenita distale legata all'XAtrofia muscolare spinale SMAX2-correlata · Atrofia muscolare spinale con artrogriposi · Atrofia muscolare spinale infantile legata all'X · Atrofia muscolare spinale legata all'X, tipo 2 · SMAX2
nlInfantiele X-gebonden spinale musculaire atrofieSMAX2 · Spinale spieratrofie met artrogrypose · X-gebonden distale arthrogryposis multiplex congenita · X-gebonden spinale musculaire atrofie type 2 · X-gebonden spinale spieratrofie type 2
ptAtrofia muscular espinhal ligada ao X de início na infânciaArtrogripose distal múltipla congénita ligada ao X
plNiemowlęcy rdzeniowy zanik mięśni sprzężony z chromosomem XDziecięcy rdzeniowy zanik mięśni sprzężony z chromosomem X · Rdzeniowy zanik mięśni zależny od SMAX2 · Rdzeniowy zanik mięśni typu 2 sprzężony z chromosomem X · Rdzeniowy zanik mięśni z artrogrypozą · SMAX2 · SMAX2 · Rdzeniowy zanik mięśni typu 2 sprzężony z chromosomem X · Rdzeniowy zanik mięśni z artrogrypozą · Dystalna artrogrypoza sprzężona z chromosomem X
csX-vázaná distální arthrogryposis multiplex congenitaSMAX2 · SMAX2-vázaná spinální svalová atrofie · Spinální svalová atrofie s artrogrypózou · X-vázaná infantilní spinální svalová atrofie · X-vázaná spinální svalová atrofie, typ 2
ukХ-зчеплена спінальна мязова атрофія, що починається в дитинствіSMAX2 · Спінальна мязова атрофія з артрогрипозом · Х-зчеплений дистальний артрогрипоз множинний вроджений · Х-зчеплена спінальна мязова атрофія, тип 2
zh婴儿发病型X-连锁脊髓性肌萎缩症X连锁先天性多发远端关节挛缩
trİnfantil başlangıçlı X'e bağlı spinal müsküler atrofiSMAX2 · X'e bağlı spinal kas atrofisi tip 2 · Artrogripozisli spinal kas atrofisi · X'e bağlı distal artrogripozis multipleks konjenita

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM301830Evalidated
ICD-10G12.1NTBTattributedvalidated
ICD-118B61.YNTBTattributedvalidated
MONDO0010532Evalidated
MeSHC535380Evalidated
UMLSC1844934Evalidated
GARD8521Evalidated

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

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
UBA1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:12469ENSG00000130985314370Xp11.3ubiquitin like modifier activating enzyme 118179898[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families14 familiesWorldwideFamily(ies)Validated20301739[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20301739[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

37 annotations · validated 2021-07-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0006802Abnormal anterior horn cell morphology
HP:0004303Abnormal muscle fiber morphology
HP:0001284Areflexia
HP:0002398Degeneration of anterior horn cells
HP:0003445EMG: neuropathic changes
HP:0002033Poor suck
HP:0003202Skeletal muscle atrophy
Frequent (79-30%)
HP:0002425Anarthria
HP:0006466Ankle flexion contracture
HP:0002804Arthrogryposis multiplex congenita
HP:0020110Bone fracture
HP:0000887Cupped ribs
HP:0002987Elbow flexion contracture
HP:0008947Floppy infant
HP:0000218High palate
HP:0003273Hip contracture
HP:0009071Inflammatory myopathy
HP:0001220Interphalangeal joint contracture of finger
HP:0006380Knee flexion contracture
HP:0002058Myopathic facies
HP:0003701Proximal muscle weakness
HP:0002098Respiratory distress
HP:0002093Respiratory insufficiency
HP:0000773Short ribs
HP:0007269Spinal muscular atrophy
Occasional (29-5%)
HP:0002518Abnormal periventricular white matter morphology
HP:0000028Cryptorchidism
HP:0002460Distal muscle weakness
HP:0001290Generalized hypotonia
HP:0003324Generalized muscle weakness
HP:0002751Kyphoscoliosis
HP:0008180Mildly elevated creatine kinase
HP:0007178Motor polyneuropathy
HP:0002009Potter facies
HP:0001308Tongue fasciculations
HP:0030319Weakness of facial musculature
Very rare (<4-1%)
HP:0100543Cognitive impairment

Run the differential on the 7 obligate / very frequent terms

Annotation source: 31932168[PMID]_32181232[PMID]_23518311[PMID]

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Sources for this card