raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:352479

ISPD-related limb-girdle muscular dystrophy R20

Synonyms: Limb-girdle muscular dystrophy type 2U · Autosomal recessive limb-girdle muscular dystrophy type 2U · ISPD-related LGMD R20 · LGMD type 2U · LGMD2U

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

A rare subtype of autosomal recessive limb-girdle muscular dystrophy disorder characterized by infantile to childhood-onset of slowly progressive, principally proximal, shoulder and/or pelvic-girdle muscular weakness that typically presents with positive Gowers' sign and is associated with elevated creatine kinase levels, hyporeflexia, joint and achilles tendon contractures, and muscle hypertrophy, usually of the thighs, calves and/or tongue. Other highly variable features include cerebellar, cardiac and ocular abnormalities.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enISPD-related limb-girdle muscular dystrophy R20Limb-girdle muscular dystrophy type 2U · Autosomal recessive limb-girdle muscular dystrophy type 2U · ISPD-related LGMD R20 · LGMD type 2U · LGMD2U
frDystrophie musculaire des ceintures associée à ISPD R20Dystrophie musculaire des ceintures autosomique récessive type 2U · Dystrophie musculaire des ceintures type 2U · LGMD associée à ISPD R20 · LGMD type 2U · LGMD2U
deISPD-assoziierte Gliedergürtelmuskeldystrophie R20Gliedergürtelmuskeldystrophie Typ 2U · Gliedergürtelmuskeldystrophie, autosomal-rezessive, Typ 2U · ISPD-assoziierte LGMD R20 · LGMD Typ 2U · LGMD2U
esDistrofia muscular de cinturas R20 asociada al gen ISPDDistrofia muscular de cinturas autosómica recesiva por deficiencia de ISPD · Distrofia muscular de cinturas autosómica recesiva tipo 2U · LGMD2U
itDistrofia muscolare dei cingoli autosomica recessiva tipo 2UDistrofia muscolare dei cingoli autosomica recessiva, tipo 2U · LGMD2U
nlISPD-gerelateerde limb-girdle-spierdystrofie R20Autosomaal recessieve bekken- en schoudergordel-spierdystrofie type 2U · Autosomaal recessieve ledemaatgordel-spierdystrofie type 2U · Autosomaal recessieve limb-girdle-spierdystrofie type 2U · ISPD-gerelateerde LGMD R20 · LGMD type 2U · LGMD2U · Limb-girdle musculaire dystrofie type 2U
ptDistrofia muscular das cinturas dos membros R20 ISPD-relacionadaDistrofia muscular das cinturas dos membros autosómica recessiva por deficiência de ISPD
plAutosomalna recesywna dystrofia obręczowo-kończynowa z powodu niedoboru ISPDAutosomalna recesywna dystrofia obręczowo-kończynowa typu 2U · LGMD2U
csAutozomálně recesivní pletencová svalová dystrofie, typ 2ULGMD2U · Autozomálné recesivní pletencová svalová dystrofie způsobená deficitem ISPD
ukКінцівково-поясна мязова дистрофія R20, повязана з ISPDАутосомно-рецесивна мязова дистрофія мязів кінцівок, тип 2U · LGMD R20, повязаний з ISPD · LGMD тип 2U · LGMD2U · Мязова дистрофія мязів поясу кінцівок, тип 2U
zhISPD基因相关肢带型肌营养不良R20常染色体隐性遗传肢带型肌营养不良2U型
trISPD-ilişkili ekstremite-kuşak kas distrofisi R20LGMD2U · LGMD tipi 2U · ISPD-ilişkili LGMD R20 · Ekstremite-kavşak tipi kas distrofisi tip 2U · Otozomal çekinik ekstremite-kavşak tipi kas distrofisi tip 2U

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616052Evalidated
ICD-10G71.0NTBTattributedvalidated
ICD-118C70.41NTBTattributedvalidated
MONDO0014474Evalidated
UMLSC5190987Evalidated

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 (5):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CRPPADisease-causing germline mutation(s) (loss of function) inAssessedHGNC:37276ENSG000002149606146317p21.2CDP-L-ribitol pyrophosphorylase A23288328[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families8 casesWorldwideCase(s)Validated23288328[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

16 annotations · validated 2019-03-05
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0030046Hypoglycosylation of alpha-dystroglycan
HP:0003325Limb-girdle muscle weakness
Frequent (79-30%)
HP:0001626Abnormality of the cardiovascular system
HP:0003707Calf muscle pseudohypertrophy
HP:0030234Highly elevated creatine kinase
HP:0000158Macroglossia
HP:0008994Proximal muscle weakness in lower limbs
HP:0008997Proximal muscle weakness in upper limbs
HP:0002792Reduced vital capacity
HP:0003202Skeletal muscle atrophy
Occasional (29-5%)
HP:0008305Exercise-induced myoglobinuria
HP:0002505Loss of ambulation
HP:0003326Myalgia
HP:0003691Scapular winging
Very rare (<4-1%)
HP:0011446Abnormality of higher mental function
HP:0000478Abnormality of the eye

Run the differential on the 2 obligate / very frequent terms

Annotation source: 26810373[PMID]_23390185[PMID]

7

Sources for this card