raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2585

Ataxia-pancytopenia syndrome

Synonyms: ATXPC syndrome · Myelocerebellar disorder · SAMD9L-related ataxia-pancytopenia syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adolescent, Adult, Childhood
Status
active

A rare genetic disease characterized by cerebellar ataxia, cytopenias and predisposition to bone marrow failure and myeloid leukaemia. Neurologic features variably include slowly progressive cerebellar ataxia or balance impairment with cerebellar atrophy and periventricular white matter T2 hyperintensities in brain MRI, horizontal and vertical nystagmus, dysmetria, dysarthria, pyramidal tract signs and reduced nerve conduction velocity. Hematological abnormalities are variable and may be intermittent and include cytopenias of all cell lineages, immunodeficiency, myelodysplasia and acute myeloid leukemia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAtaxia-pancytopenia syndromeATXPC syndrome · Myelocerebellar disorder · SAMD9L-related ataxia-pancytopenia syndrome
frSyndrome d'ataxie-pancytopénieSyndrome ATXPC · Syndrome d'ataxie-pancytopénie associé à SAMD9L · Syndrome myélocérébelleux
deAtaxie-Panzytopenie-SyndromATXPC-Syndrom · Myelo-zerebelläres Syndrom · SAMD9L-assoziiertes Ataxie-Panzytopenie-Syndrom
esSíndrome de ataxia-pancitopeniaSíndrome ATXPC · Síndrome de ataxia-pancitopenia asociado a SAMD9L · Síndrome mielocerebeloso
itSindrome atassia-pancitopeniaDisturbo mielocerebellare · Sindrome atassia-pancitopenia associata a SAMD9L · Sindrome ATXPC
nlAtaxie - pancytopenie-syndroomATXPC-syndroom · Myelocerebellaire stoornis · SAMD9L-gerelateerd ataxie - pancytopenie-syndroom
ptSíndrome ataxia-pancitopeniaSíndrome ATXPC · Síndrome de ataxia-pancitopenia SAMD9L-relacionada · Doença mielocerebelosa
plAtaksja - pancytopeniaZaburzenie szpikowo-móżdżkowe · Zespół ataksja-pancytopenia
csSyndrom zahrnující ataxii a pancytopeniiMyelocerebelární porucha
ukСиндром атаксії-панцитопеніїМієлоцеребеллярний розлад
zh共济失调-全血细胞减少综合征脊髓小脑紊乱
trAtaksi-pansitopeni sendromuMiyeloserebellar bozukluk

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM159550Evalidated
ICD-10D61.0NTBTattributedvalidated
MONDO0008038Evalidated
MeSHC563233Evalidated
UMLSC1327919Evalidated
GARD3865Evalidated

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 (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SAMD9LDisease-causing germline mutation(s) inAssessedHGNC:1349ENSG000001774096111707q21.2sterile alpha motif domain containing 9 like27259050[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families25 casesWorldwideCase(s)Validated28202457[PMID]_283689[PMID]_6947857[PMID]_27259050[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated28202457[PMID]_283689[PMID]_6947857[PMID]_27259050[PMID]_ORPHANET

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 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007360Aplasia/Hypoplasia of the cerebellum
HP:0001251Ataxia
HP:0001272Cerebellar atrophy
HP:0001288Gait disturbance
HP:0002317Unsteady gait
Frequent (79-30%)
HP:0004311Abnormal macrophage morphology
HP:0001874Abnormality of neutrophils
HP:0002167Abnormality of speech or vocalization
HP:0004820Acute myelomonocytic leukemia
HP:0001347Hyperreflexia
HP:0001908Hypoplastic anemia
HP:0000639Nystagmus
HP:0002205Recurrent respiratory infections
HP:0001744Splenomegaly
Occasional (29-5%)
HP:0011869Abnormal platelet function
HP:0004313Decreased circulating antibody level
HP:0000252Microcephaly
HP:0001876Pancytopenia

Run the differential on the 5 obligate / very frequent terms

7

Sources for this card