raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:363717

Alexander disease type I

Synonyms: AxD type I

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Not applicable
Age of onset
Infancy, Neonatal
Status
active

An astrogliopathy and the most severe and common form of Alexander disease (AxD), presenting before the age of 4 and characterized by seizures, megalencephaly and developmental delay with progressive deterioration.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAlexander disease type IAxD type I
frMaladie d'Alexander type I= en
deAlexander-Krankheit Typ IAxD Typ I
esEnfermedad de Alexander tipo 1AxD tipo I
itMalattia di Alexander, tipo IAxD, tipo I
nlZiekte van Alexander type I= en
ptDoença de Alexander, tipo I
plChoroba Alexandera typu IAxD typu I
csAlexandrova choroba typ IAxD typ I
ukХвороба Александера, тип IAxD тип I
zh亚历山大病Ⅰ型AxD1型
trAlexander hastalığı tip IAxD tip I

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM203450NTBTvalidated
ICD-10G93.8NTBTattributedvalidated
ICD-118A44.2NTBTindexvalidated
MONDO0018209Evalidated
UMLSC5769581Evalidated

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
GFAPDisease-causing germline mutation(s) (gain of function) inAssessedHGNC:4235ENSG0000013109513778017q21.31glial fibrillary acidic protein20301351[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidated23700170[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

22 annotations · validated 2022-09-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002500Abnormal cerebral white matter morphology
HP:0007183Focal T2 hyperintense basal ganglia lesion
Frequent (79-30%)
HP:0007256Abnormal pyramidal sign
HP:0012696Abnormal thalamic MRI signal intensity
HP:0001272Cerebellar atrophy
HP:0001508Failure to thrive
HP:0004481Progressive macrocephaly
HP:0100320Rosenthal fibers
HP:0002650Scoliosis
HP:0001250Seizure
Occasional (29-5%)
HP:0001251Ataxia
HP:0004326Cachexia
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0001263Global developmental delay
HP:0000238Hydrocephalus
HP:0001347Hyperreflexia
HP:0001257Spasticity
Very rare (<4-1%)
HP:0001290Generalized hypotonia
HP:0001252Hypotonia
HP:0010530Palatal myoclonus
HP:0002013Vomiting

Run the differential on the 2 obligate / very frequent terms

Annotation source: 34146839[PMID]_20301351[PMID]_34865968[PMID]_34826654[PMID]_20721574[PMID]_11237983[PMID]

7

Sources for this card