raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2680

Hypomyelination neuropathy-arthrogryposis syndrome

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal
Status
active

Hypomyelination neuropathy-arthrogryposis syndrome is a rare, genetic, limb malformation syndrome characterized by multiple congenital distal joint contractures (incl. talipes equinovarus and both proximal and distal interphalangeal joint contractures of the hands) and very severe motor paralysis at birth (i.e. lack of swallowing, autonomous respiratory function and deep tendon reflexes), leading to death within first 3 months of life. Fetal hypo- or akinesia, late-onset polyhydramnios and dramatically reduced, or absent, motor nerve conduction velocities (<10 m/s) are frequently associated. Nerve ultrastructural morphology shows severe abnormalities of the nodes of Ranvier and myelinated axons.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHypomyelination neuropathy-arthrogryposis syndrome
frSyndrome de neuropathie hypomyélinisante-arthrogrypose
deHypomyelinisierung-Neuropathie-Arthrogrypose-SyndromBoylan-Dew-Syndrom
esSíndrome de neuropatía por hipomielinización-artrogriposis
itSindrome da neuropatia ipomielinizzante e artrogriposiSindrome di Boylan-Dew
nlHypomyeliniserende neuropathie - artrogrypose-syndroom
ptSíndrome de neuropatia por hipomielinização-artrogripose
plNeuropatia hipomielinizacyjna - artrogrypozaZespół Boylana i Dew
csSyndrom zahrnující neuropatii s hypomyelinizací a artrogrypózuBoylanův-Dewův syndrom
ukСиндром гіпомієлінізаційної нейропатії-артрогрипозу
zh脱髓鞘神经病变-关节挛缩综合征
trHipomiyelinasyon nöropati-artrogripozis sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616286BTNTnot yet validated
OMIM616287BTNTnot yet validated
OMIM617468BTNTvalidated
OMIM618186BTNTvalidated
ICD-10Q68.8NTBTattributedvalidated
MONDO0017049Evalidated
UMLSC4707882Evalidated

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

3 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
LGI4Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:18712ENSG0000015390260830319q13.12leucine rich repeat LGI family member 428318499[PMID]
ADCY6Disease-causing germline mutation(s) inAssessedHGNC:237ENSG0000017423360029412q13.12adenylate cyclase 624319099[PMID]
CNTNAP1Disease-causing germline mutation(s) inAssessedHGNC:8011ENSG0000010879760234617q21.2contactin associated protein 124319099[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families9 casesWorldwideCase(s)Validated24319099[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_24319099[PMID]

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

5 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003457EMG abnormality
HP:0001252Hypotonia
HP:0001376Limitation of joint mobility
HP:0001315Reduced tendon reflexes
HP:0002098Respiratory distress

Run the differential on the 5 obligate / very frequent terms

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Sources for this card