raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:139578

Mutilating hereditary sensory neuropathy with spastic paraplegia

Synonyms: Mutilating HSAN with spastic paraplegia

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

A rare genetic neurological disorder characterized by infantile to childhood onset of progressive sensory neuropathy in association with spastic paraplegia and mutilating acropathy. Patients present lower limb spasticity and progressive severe sensory loss leading to chronic ulcerations in both upper and lower limbs. Electrophysiological studies are consistent with axonal sensory neuropathy, and nerve biopsy shows axonopathy with loss of myelinated nerve fibers of all diameters as well as of unmyelinated axons.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMutilating hereditary sensory neuropathy with spastic paraplegiaMutilating HSAN with spastic paraplegia
frNeuropathie héréditaire sensitive mutilante avec paraplégie spastiqueNHSA mutilante avec paraplégie spastique
deMutilierende hereditäre sensorische Neuropathie mit spastischer ParaplegieHSAN mit spastischer Paraplegie · Mutilierende HSAN mit spastischer Paraplegie
esNeuropatía sensitiva hereditaria mutilante con paraplejía espásticaNSAH mutilante con paraplejía espástica
itNeuropatia autonomica e sensoriale ereditaria - paraplegia spasticaHSAN con paraplegia spastica
nlMutilerende erfelijke sensorische neuropathie met spastische paraplegieMutilerende HSAN met spastische paraplegie
ptNeuropatia sensorial hereditária mutilante com paraplegia espásticaHSAN mutilante com paraplegia espástica
plDziedziczna neuropatia czuciowa i autonomiczna ze spastycznym porażeniem poprzecznymHSAN ze spastycznym porażeniem poprzecznym
csHereditární senzorická a autonomní neuropatie se spastickou paraplegiíHSAN se spastickou paraplegií
ukІнівалідизуюча спадкова сенсорна нейропатія зі спастичною параплегієюКаліцтво HSAN зі спастичною параплегією
zh残废性遗传性感觉神经病变伴痉挛性截瘫残毁性HSAN伴痉挛性截瘫
trSpastik parapleji ile kalıtsal, kopmaya yol açan duyusal nöropatiSpastik parapleji ile seyreden mutilating HSAN

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM256840Evalidated
ICD-10G60.8NTBTattributedvalidated
MONDO0009748Evalidated
MONDO9748Evalidated
UMLSC5679610Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CCT5Disease-causing germline mutation(s) inAssessedHGNC:1618ENSG000001507536101505p15.2chaperonin containing TCP1 subunit 516399879[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families14 casesWorldwideCase(s)Validated218673[PMID]_7922454[PMID]_16333315[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_16333315[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

18 annotations · validated 2017-12-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012332Abnormal autonomic nervous system physiology
HP:0003409Distal sensory impairment of all modalities
HP:0001288Gait disturbance
HP:0001347Hyperreflexia
HP:0007328Impaired pain sensation
HP:0009830Peripheral neuropathy
HP:0200042Skin ulcer
HP:0001258Spastic paraplegia
HP:0001257Spasticity
Frequent (79-30%)
HP:0002143Abnormality of the spinal cord
HP:0003487Babinski sign
HP:0002169Clonus
HP:0003431Decreased motor nerve conduction velocity
HP:0003693Distal amyotrophy
HP:0007020Progressive spastic paraplegia
HP:0003390Sensory axonal neuropathy
Occasional (29-5%)
HP:0006121Acral ulceration
HP:0001886Foot osteomyelitis

Run the differential on the 9 obligate / very frequent terms

Annotation source: 16333315[PMID]_218673[PMID]_7922454[PMID]

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Sources for this card