raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:320370

Autosomal recessive spastic paraplegia type 43

Synonyms: SPG43

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Childhood
Status
active

Autosomal recessive spastic paraplegia type 43 is a rare, complex hereditary spastic paraplegia characterized by a childhood to adolescent onset of progressive lower limb spasticity, associated with mild to severe gait disturbances, extensor plantar responses, muscle weakness and severe distal atrophy, frequently with upper limb involvement. Additional features may include joint contractures, distal sensory loss and brisk or absent deep tendon reflexes. Other signs, such as depression, memory loss, optic atrophy (with vision loss) and brain iron deposition (revealed by brain imagery), have also been reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 43SPG43
frParaplégie spastique autosomique récessive type 43= en
deSpastische Paraplegie, autosomal-rezessive, Typ 43= en
esParaplejía espástica autosómica recesiva tipo 43= en
itParaplegia spastica autosomica recessiva, tipo 43= en
nlAutosomaal recessieve spastische paraplegie type 43= en
ptParaplegia espástica autossómica recessiva tipo 43
plAutosomalna recesywna paraplegia spastyczna typu 43= en
csAutozomálně recesivní spastická paraplegie, typ 43= en
ukАутосомно-рецесивна спастична параплегія, тип 43= en
zh常染色体隐性遗传痉挛性截瘫43型= en
trOtozomal resesif spastik parapleji tip 43= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM615043Evalidated
ICD-10G11.4NTBTattributedvalidated
ICD-118B44.01NTBTattributedvalidated
MONDO0014024Evalidated
UMLSC2680446Evalidated
GARD17473Evalidated

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
C19ORF12Disease-causing germline mutation(s) inAssessedHGNC:25443ENSG0000013194361429719q12chromosome 19 open reading frame 1223857908[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families2 casesWorldwideCase(s)Validated20039086[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20039086[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

17 annotations · validated 2018-05-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003487Babinski sign
HP:0003693Distal amyotrophy
HP:0002460Distal muscle weakness
HP:0001288Gait disturbance
HP:0007010Poor fine motor coordination
HP:0002064Spastic gait
HP:0002313Spastic paraparesis
Frequent (79-30%)
HP:0003438Absent Achilles reflex
HP:0006466Ankle flexion contracture
HP:0001348Brisk reflexes
HP:0012785Flexion contracture of finger
HP:0001290Generalized hypotonia
HP:0007083Hyperactive patellar reflex
HP:0002495Impaired vibratory sensation
HP:0006380Knee flexion contracture
HP:0001761Pes cavus
HP:0001257Spasticity

Run the differential on the 7 obligate / very frequent terms

Annotation source: 20039086[PMID]

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Sources for this card