raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:363722

Alexander disease type II

Synonyms: AxD type II

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal dominant
Age of onset
Adolescent, Adult, Childhood
Status
active

An astrogliopathy and a form of Alexander disease (AxD) characterized by ataxia, bulbar symptoms, spastic paraparesis, palatal myoclonus, and autonomic symptoms.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAlexander disease type IIAxD type II
frMaladie d'Alexander type II= en
deAlexander-Krankheit Typ IIAxD Typ II
esEnfermedad de Alexander tipo 2AxD tipo II
itMalattia di Alexander, tipo IIAxD, tipo II
nlZiekte van Alexander type II= en
ptDoença de Alexander, tipo II
plChoroba Alexandera typu IIAxD typu II
csAlexandrova choroba typ IIAxD typ II
ukХвороба Александера, тип IIAxD тип II
zh亚历山大病II型AxD2型
trAlexander hastalığı tip IIAxD tip II

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM203450NTBTvalidated
ICD-10G93.8NTBTattributedvalidated
MONDO0018210Evalidated
UMLSC5679914Evalidated

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
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

20 annotations · validated 2022-09-22
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0011441Abnormality of the medulla oblongata
HP:0010873Cervical spinal cord atrophy
Frequent (79-30%)
HP:0012332Abnormal autonomic nervous system physiology
HP:0002518Abnormal periventricular white matter morphology
HP:0001251Ataxia
HP:0003487Babinski sign
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0001618Dysphonia
HP:0001347Hyperreflexia
HP:0003690Limb muscle weakness
HP:0000639Nystagmus
HP:0010530Palatal myoclonus
HP:0007109Periventricular cysts
HP:0002313Spastic paraparesis
HP:0001257Spasticity
HP:0002839Urinary bladder sphincter dysfunction
Occasional (29-5%)
HP:0002063Rigidity
HP:0002650Scoliosis
HP:0002360Sleep abnormality

Run the differential on the 2 obligate / very frequent terms

Annotation source: 20721574[PMID]_18684770[PMID]_34245630[PMID]_35246666[PMID]_20359319[PMID]_32779598[PMID]_20301351[PMID]

7

Sources for this card