raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:157941

Huntington disease-like 1

Synonyms: Early-onset prion disease with prominent psychiatric features · HDL1

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

A rare, genetic, human prion disease characterized by adult-onset neurodegenerative manifestations associated with a movement disorder and psychiatric/behavioral disturbances. Patients typically present personality changes, aggressiveness, manias, anxiety and/or depression in conjunction with rapidly progressive cognitive decline (presenting with dysarthria, apraxia, aphasia, and eventually leading to dementia) as well as ataxia (manifesting with gait disturbances, unsteadiness, coordination problems), Parkinsonism, myoclonus, and/or chorea. Additional features may include generalized spasticity, seizures, urine incontinence and pyramidal abnormalities.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHuntington disease-like 1Early-onset prion disease with prominent psychiatric features · HDL1
frMaladie de Huntington-like 1HDL1 · Maladie à prion à début précoce et signes psychiatriques prédominants
deChorea Huntington-ähnliche Krankheit 1Früh-einsetzende Prionkrankheit mit prominenten psychiatrischen Merkmalen · HDL1
esEnfermedad similar a Huntington, tipo 1Enfermedad de Huntington-like, tipo 1 · Enfermedad priónica de inicio precoz con manifestaciones psiquiátricas destacadas · HDL1
itMalattia Huntington-simile 1HDL1 · Malattia da prioni a esordio precoce con predominanza dei segni psichiatrici
nlZiekte van Huntington-achtig 1HDL1 · Vroeg optredende prionziekte met duidelijke psychiatrische kenmerken
ptDoença de Huntington-like 1
plChoroba podobna do choroby Huntingtona typu 1Choroba prionowa o wczesnym początku z wyraźnymi objawami psychicznymi · HDL1
csSyndrom podobný Huntingtonově chorobě 1HDL1 · Prionové onemocnění s časným nástupem s výraznými psychiatrickými rysy
ukХвороба Гентингтон-подібна 1Пріонна хвороба з раннім початком і вираженими психіатричними проявами · HDL1
zh类亨廷顿病1早发型朊病毒病伴显著精神症状
trHuntington hastalığı-benzeri 1HDL1 · Belirgin psikiyatrik özellikler ile seyreden erken başlangıçlı prion hastalığı

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM603218Evalidated
ICD-10G10NTBTattributedvalidated
ICD-118A01.11NTBTindexvalidated
MONDO0011299Evalidated
MeSHC566398Evalidated
UMLSC1864112Evalidated

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
PRNPDisease-causing germline mutation(s) inAssessedHGNC:9449ENSG0000017186717664020p13prion protein (Kanno blood group)11593450[PMID]_24275071[PMID]
5

Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

44 annotations · validated 2018-05-30
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002072Chorea
Frequent (79-30%)
HP:0000708Atypical behavior
HP:0100543Cognitive impairment
HP:0000746Delusion
HP:0000726Dementia
HP:0000716Depression
HP:0001260Dysarthria
HP:0002066Gait ataxia
HP:0001288Gait disturbance
HP:0004305Involuntary movements
HP:0002119Ventriculomegaly
Occasional (29-5%)
HP:0002134Abnormal basal ganglia morphology
HP:0002457Abnormal head movements
HP:0002533Abnormal posturing
HP:0000570Abnormal saccadic eye movements
HP:0000496Abnormality of eye movement
HP:0011446Abnormality of higher mental function
HP:0000617Abnormality of ocular smooth pursuit
HP:0003043Abnormality of the shoulder
HP:0002067Bradykinesia
HP:0001272Cerebellar atrophy
HP:0002120Cerebral cortical atrophy
HP:0002312Clumsiness
HP:0000750Delayed speech and language development
HP:0001310Dysmetria
HP:0002353EEG abnormality
HP:0002359Frequent falls
HP:0001290Generalized hypotonia
HP:0002171Gliosis
HP:0006801Hyperactive deep tendon reflexes
HP:0002375Hypokinesia
HP:0002311Incoordination
HP:0006961Jerky head movements
HP:0008003Jerky ocular pursuit movements
HP:0000298Mask-like facies
HP:0002354Memory impairment
HP:0000639Nystagmus
HP:0007010Poor fine motor coordination
HP:0000711Restlessness
HP:0001250Seizure
HP:0040201Simultanapraxia
HP:0000514Slow saccadic eye movements
HP:0001350Slurred speech
HP:0001824Weight loss

Run the differential on the 1 obligate / very frequent terms

Annotation source: 8178825[PMID]

7

Sources for this card