raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:216866

Classic pantothenate kinase-associated neurodegeneration

Synonyms: NBIA1, classic form · Neurodegeneration with brain iron accumulation type 1, classic form · PKAN, classic form

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Childhood, Infancy
Status
active

A rare, childhood-onset neurodegenerative disorder characterized by progressive dystonia, dysarthria, retinal degeneration and abnormal iron accumulation in the globus pallidus and substantia nigra with a characteristic eye-of-the-tiger sign on T2-weighted MRI. Classic PKAN has early onset and rapid progression and accounts for about 75% of cases.

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Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enClassic pantothenate kinase-associated neurodegenerationNBIA1, classic form · Neurodegeneration with brain iron accumulation type 1, classic form · PKAN, classic form
frNeurodégénérescence par déficit en pantothénate kinase, forme classiqueNBIA1, forme classique · Neurodégénérescence avec surcharge cérébrale en fer type 1, forme classique · PKAN, forme classique
dePantothenat-Kinase-assoziierte Neurodegeneration, klassische FormNBIA1, klassische Form · Neurodegeneration mit Eisenspeicherung im Gehirn Typ 1, klassische Form · PKAN, klassische Form
esNeurodegeneración asociada a pantotenato quinasa, forma clásicaNBIA1, forma clásica · Neurodegeneración con acumulación de hierro en el cerebro tipo 1, forma clásica · PKAN, forma clásica
itNeurodegenerazione associata a deficit di pantotenato chinasi, forma classicaNBIA1, forma classica · PKAN, forma classica
nlKlassieke pantothenaatkinasegeassocieerde neurodegeneratieNBIA1, klassieke vorm · Neurodegeneratie met ijzeropstapeling in de hersenen type 1, klassieke vorm · PKAN, klassieke vorm
ptNeurodegenerescência associada a pantotenato cinase clássica
plKlasyczna neurodegeneracja związana z kinazą pantotenowąNBIA1, postać klasyczna · Neurodegeneracja z mózgową kumulacją żelaza typ 1, postać klasyczna · PKAN, postać klasyczna
csKlasická neurodegenerace asociovaná s pantotenát-kinázouNBIA1, klasická forma · Neurodegenerace s akumulací železa v mozku, typ 1, klasická forma · PKAN, klasická forma
ukКласична пантотенаткіназа-асоційована нейродегенераціяNBIA1, класична форма · Нейродегенерація з накопиченням заліза в мозку, тип 1, класична форма · PKAN, класична форма
zh经典泛酸激酶相关神经变性经典型神经退行性疾病伴脑铁蓄积1型
trKlasik pantotenat kinaz -ilişkili nörodejenerasyonPKAN, klasik form · NBIA1, klasik form · Beyin demir birikimi tip 1 ile seyreden nörodejenerasyon, klasik form
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Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM234200NTBTvalidated
ICD-10G23.0NTBTattributedvalidated
ICD-115C64.10NTBTindexvalidated
MONDO0016304Evalidated
UMLSC5679812Evalidated

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 (1):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PANK2Disease-causing germline mutation(s) inAssessedHGNC:15894ENSG0000012577960615720p13pantothenate kinase 2
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Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

28 annotations · validated 2018-03-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001288Gait disturbance
Frequent (79-30%)
HP:0002533Abnormal posturing
HP:0000157Abnormality of the tongue
HP:0007018Attention deficit hyperactivity disorder
HP:0100543Cognitive impairment
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0002454Eye of the tiger anomaly of globus pallidus
HP:0002359Frequent falls
HP:0007325Generalized dystonia
HP:0001347Hyperreflexia
HP:0002540Inability to walk
HP:0002659Increased susceptibility to fractures
HP:0012675Iron accumulation in brain
HP:0003552Muscle stiffness
HP:0000543Optic disc pallor
HP:0000580Pigmentary retinopathy
HP:0000510Rod-cone dystrophy
HP:0001257Spasticity
HP:0030051Tip-toe gait
Occasional (29-5%)
HP:0011951Aspiration pneumonia
HP:0012735Cough
HP:0001263Global developmental delay
HP:0000298Mask-like facies
HP:0002179Opisthotonus
HP:0001824Weight loss
Very rare (<4-1%)
HP:0000618Blindness
HP:0001250Seizure

Run the differential on the 1 obligate / very frequent terms

Annotation source: 23370589[PMID]_20882425[PMID]_20301663[PMID]

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Sources for this card