raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:209335

Autosomal dominant adult-onset proximal spinal muscular atrophy

Synonyms: Autosomal dominant adult-onset proximal SMA · Autosomal dominant late-onset spinal muscular atrophy, Finkel type · Finkel disease · SMAFK

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

A rare, genetic, motor neuron disease characterized by adulthood-onset of slowly progressive, proximal muscular weakness with fasciculations, amyotrophy, cramps, and absent/hypoactive reflexes, without bulbar or pyramidal involvement.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal dominant adult-onset proximal spinal muscular atrophyAutosomal dominant adult-onset proximal SMA · Autosomal dominant late-onset spinal muscular atrophy, Finkel type · Finkel disease · SMAFK
frAmyotrophie spinale proximale autosomique dominante de l'adulteMaladie de Finkel · SMAFK
deProximale spinale Muskelatrophie mit Beginn im Erwachsenenalter, autosomal-dominanteFinkel-Krankheit · Proximale SMA, autosomal-dominante, mit Beginn im Erwachsenenalter · SMAFK · Spinale Muskelatrophie mit Beginn im Erwachsenenalter, autosomal-dominante, Typ Finkel
esAtrofia muscular espinal proximal autosómica dominante de inicio en el adultoAME proximal autosómica dominante de inicio en el adulto · Atrofia muscular espinal autosómica dominante tipo Finkel de inicio tardío · Enfermedad de Finkel · SMAFK
itAtrofia muscolare spinale prossimale autosomica dominante ad esordio nell'età adultaMalattia di Finkel
nlAutosomaal dominante proximale spinale musculaire atrofie met aanvang bij volwassenenAutosomaal dominante proximale SMA met aanvang bij volwassenen · Autosomaal dominante proximale spinale spieratrofie met aanvang bij volwassenen · Autosomaal dominante spinale musculaire atrofie met late aanvang, Finkel-type · SMAFK · Ziekte van Finkel
ptAtrofia muscular espinhal proximal autossómica dominante de início no adulto
plProksymalny rdzeniowy zanik mięśni o początku w wieku dorosłym, autosomalny dominującyChoroba Finkela
csProximální spinální svalová atrofie nastupující v dospělosti, autozomálně dominantníFinkelova nemoc
ukАутосомно-домінантна проксимальна спінальна мязова атрофія, що починається в дорослому віціАутосомно-домінантний проксимальний СМА, що починається у дорослому віці · Аутосомно-домінантна пізня спінальна мязова атрофія, тип Фінкеля · Хвороба Фінкеля · SMAFK
zh常染色体显性遗传成人起病的近端脊髓性肌萎缩症常染色体显性遗传迟发性脊髓性肌萎缩症Finkel型
trOtozomal dominant yetişkin başlangıçlı proksimal spinal musküler atrofiSMAFK · Finkel hastalığı · Otozomal baskın erişkin başlangıçlı proksimal SMA · Otozomal baskın geç başlangıçlı spinal müsküler atrofi, Finkel tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM182980Evalidated
ICD-10G12.1NTBTattributedvalidated
ICD-118B61.YNTBTindexvalidated
MONDO0008453Evalidated
MeSHC566673Evalidated
UMLSC1854058Evalidated

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 (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
VAPBDisease-causing germline mutation(s) inAssessedHGNC:12649ENSG0000012416460570420q13.32VAMP associated protein B and C15372378[PMID]_24212516[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.1 / 100 000EuropeValue and classNot 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

20 annotations · validated 2023-03-06
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0001284Areflexia
HP:0003551Difficulty climbing stairs
HP:0003445EMG: neuropathic changes
HP:0002380Fasciculations
HP:0012378Fatigue
HP:0003391Gowers sign
HP:0002505Loss of ambulation
HP:0003394Muscle spasm
HP:0007126Proximal amyotrophy
Occasional (29-5%)
HP:0008981Calf muscle hypertrophy
HP:0003236Elevated circulating creatine kinase concentration
HP:0001387Joint stiffness
HP:0007340Lower limb muscle weakness
HP:0002486Myotonia
HP:0002362Shuffling gait
HP:0001883Talipes
HP:0001337Tremor
HP:0003484Upper limb muscle weakness
HP:0002515Waddling gait
Excluded (0%)
HP:0002483Bulbar signs

Annotation source: 1578236[PMID]_7258225[PMID]_15372378[PMID]_

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Sources for this card