raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:171430

Severe congenital nemaline myopathy

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

Severe congenital nemaline myopathy is a severe form of nemaline myopathy (NM) characterized by severe hypotonia with little spontaneous movement in neonates.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enSevere congenital nemaline myopathy
frMyopathie congénitale sévère à némaline
deNemalin-Myopathie, kongenitale schwere
esMiopatía nemalínica congénita grave
itMiopatia nemalinica congenita grave
nlErnstige congenitale nemaline myopathieErnstige aangeboren nemaline myopathie
ptMiopatia nemalínica congénita grave
plCiężka wrodzona miopatia nemalinowa
csTěžká vrozená nemalinová myopatie
ukВажка вроджена немалінова міопатія
zh严重先天性杆状体肌病
trAğır doğumsal nemalin miyopatisi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM161800BTNTvalidated
OMIM256030BTNTvalidated
OMIM615348BTNTvalidated
OMIM615731BTNTvalidated
OMIM616165BTNTvalidated
ICD-10G71.2NTBTattributedvalidated
ICD-118C72.00NTBTindexvalidated
MONDO0015735Evalidated
UMLSC5680451Evalidated
GARD12821Evalidated

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 (4):

No children.

4

Genes

5 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
KLHL40Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:30372ENSG000001571196153403p22.1kelch like family member 4023746549[PMID]
KLHL41Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:16905ENSG000002394746077012q31.1kelch like family member 4124268659[PMID]
LMOD3Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:6649ENSG000001633806161123p14.1leiomodin 325250574[PMID]
ACTA1Disease-causing germline mutation(s) inAssessedHGNC:129ENSG000001436321026101q42.13actin alpha 1, skeletal muscle
NEBDisease-causing germline mutation(s) inAssessedHGNC:7720ENSG000001830911616502q23.3nebulin
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—EuropeClass onlyNot yet validatedORPHANET

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

43 annotations · validated 2025-07-01
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0000765Abnormal thorax morphology
HP:0003327Axial muscle weakness
HP:0001623Breech presentation
HP:0001558Decreased fetal movement
HP:0002015Dysphagia
HP:0010628Facial palsy
HP:0001371Flexion contracture
HP:0002375Hypokinesia
HP:0009025Increased connective tissue
HP:0001270Motor delay
HP:0005855Multiple prenatal fractures
HP:0003798Nemaline bodies
HP:0001319Neonatal hypotonia
HP:0001561Polyhydramnios
HP:0002098Respiratory distress
HP:0002878Respiratory failure
HP:0006829Severe muscular hypotonia
HP:0003202Skeletal muscle atrophy
HP:0003803Type 1 muscle fiber predominance
Occasional (29-5%)
HP:0000775Abnormality of the diaphragm
HP:0001181Adducted thumb
HP:0002804Arthrogryposis multiplex congenita
HP:0001695Cardiac arrest
HP:0001640Cardiomegaly
HP:0001644Dilated cardiomyopathy
HP:0007514Edema of the dorsum of hands
HP:0001349Facial diplegia
HP:0002527Falls
HP:0008872Feeding difficulties in infancy
HP:0001288Gait disturbance
HP:0000047Hypospadias
HP:0000239Large fontanelles
HP:0000369Low-set ears
HP:0000347Micrognathia
HP:0000054Micropenis
HP:0000602Ophthalmoplegia
HP:0001622Premature birth
HP:0000508Ptosis
HP:0002089Pulmonary hypoplasia
HP:0002650Scoliosis
HP:0001762Talipes equinovarus
HP:0000883Thin ribs
HP:0001337Tremor

Annotation source: 36960434[PMID]

7

Sources for this card