raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:1215

Autosomal dominant optic atrophy plus syndrome

Synonyms: ADOA+ · DOA+ · Optic atrophy-deafness-polyneuropathy-myopathy syndrome · Optic atrophy-hearing loss-polyneuropathy-myopathy syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adolescent, Adult, Childhood
Status
active

A rare neuro-ophthalmological disease associating the typical optic atrophy with other extra-ocular manifestations such as sensorineural deafness, myopathy, chronic progressive external ophthalmoplegia, ataxia and peripheral neuropathy. More rarely, other manifestations have been associated with this condition, such as spastic paraplegia or multiple-sclerosis like illness.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal dominant optic atrophy plus syndromeADOA+ · DOA+ · Optic atrophy-deafness-polyneuropathy-myopathy syndrome · Optic atrophy-hearing loss-polyneuropathy-myopathy syndrome
frAtrophie optique autosomique dominante plusADOA+ · AOD+ · DOA+ · Syndrome d'atrophie optique-surdité-polyneuropathie-myopathie
deOptikusatrophie plus-Syndrom, autosomal-dominantesADOA+ · DOA+ · Optikusatrophie-Taubheit-Polyneuropathie-Myopathie-Syndrom
esSíndrome de atrofia óptica plus autosómica dominanteADOA+ · DOA+ · Síndrome de atrofia óptica-hipoacusia-polineuropatía-miopatía · Síndrome de atrofia óptica-sordera-polineuropatía-miopatía
itSindrome atrofia ottica autosomica dominante plusADOA+ · Sindrome atrofia ottica-sordità-polineuropatia-miopatia · Atrofia ottica - sordità - polineuropatia - miopatia · DOA+
nlAutosomaal dominante opticusatrofie plus-syndroomOpticusatrofie - doofheid - polyneuropathie - myopathie-syndroom · Opticusatrofie - gehoorverlies - polyneuropathie - myopathie-syndroom · ADOA+ · DOA+
ptSíndrome de atrofia óptica plus autossómica dominanteAtrofia óptica-surdez-neuropatia
plAutosomalny dominujący zespół zaniku nerwu wzrokowego plusAtrofia nerwu wzrokowego - głuchota- polineuropatia - miopatia · DOA+ · Autosomalny dominujący zespół atrofii nerwu wzrokowego plus
csAutozomálně dominantní optická atrofie plusDOA+ · Syndrom zahrnující atrofii optiku, hluchotu, polyneuropatii a myopatii
ukСиндром аутосомно-домінантної атрофії зорового нерва плюсDOA+ · Синдром атрофії зорового нерва-глухоти-полінейропатії-міопатії · Синдром атрофії зорового нерва - втрати слуху - полінейропатії - міопатії
zh常染色体显性遗传视神经萎缩加综合征视神经萎缩-听力丧失-多发性神经病-肌病综合征
trOtozomal dominant optik atrofi plus sendromDOA + · Optik atrofi-sağırlık-polinöropati-miyopati sendromu · Optik atrofi-işitme kaybı-polinöropati-miyopati sendromu

Definition in:

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Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM125250BTNTvalidated
OMIM165199BTNTvalidated
OMIM616648BTNTvalidated
ICD-10H47.2NTBTattributedvalidated
ICD-119C40.8NTBTindexvalidated
MONDO0014720Evalidated
UMLSC3276549Evalidated
GARD5243Evalidated

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 (3):

No children.

Codes that Orphanet moved or referred to this one:

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Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
OPA1Disease-causing germline mutation(s) inAssessedHGNC:8140ENSG000001988366052903q29OPA1 mitochondrial dynamin like GTPase18158317[PMID]_22776096[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.5 / 100 000EuropeValue and classValidated22197506[PMID]_22776096[PMID]_ORPHANET

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

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HPO phenotypes

26 annotations · validated 2021-04-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000648Optic atrophy
HP:0000529Progressive visual loss
Frequent (79-30%)
HP:0020119Abnormal retinal nerve fiber layer morphology
HP:0000649Abnormality of visual evoked potentials
HP:0004463Absent brainstem auditory responses
HP:0001488Bilateral ptosis
HP:0100285EMG: impaired neuromuscular transmission
HP:0012378Fatigue
HP:0003325Limb-girdle muscle weakness
HP:0003737Mitochondrial myopathy
HP:0003198Myopathy
HP:0000590Progressive external ophthalmoplegia
HP:0000407Sensorineural hearing impairment
Occasional (29-5%)
HP:0003438Absent Achilles reflex
HP:0001251Ataxia
HP:0001133Constriction of peripheral visual field
HP:0003444EMG: chronic denervation signs
HP:0007002Motor axonal neuropathy
HP:0009830Peripheral neuropathy
HP:0001761Pes cavus
HP:0000763Sensory neuropathy
HP:0001258Spastic paraplegia
HP:0012511Temporal optic disc pallor
Very rare (<4-1%)
HP:0001638Cardiomyopathy
HP:0000819Diabetes mellitus
HP:0002076Migraine

Run the differential on the 2 obligate / very frequent terms

Annotation source: 22197506[PMID]_24138050[PMID]

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Sources for this card