raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:399058

Alpha-B crystallin-related late-onset myopathy

Synonyms: Alpha-B crystallin-related late-onset distal myopathy · Late-onset distal crystallinopathy

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adult
Status
active

A rare, genetic, alpha-crystallinopathy disease characterized by adult-onset myofibrillar myopathy, variably associated with cardiomyopathy and/or posterior polar cataracts. Patients typically present progressive proximal and distal muscle weakness and wasting of lower and upper limbs, often with velopharyngeal involvement including dysphagia, dysphonia and ventilatory insufficiency. Electromyography shows myopathic features and muscle biopsy reveals myofibrillar myopathy changes.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAlpha-B crystallin-related late-onset myopathyAlpha-B crystallin-related late-onset distal myopathy · Late-onset distal crystallinopathy
frMyopathie tardive associée à l'alpha-B cristallineCristallinopathie distale tardive · Myopathie distale tardive associée à l'alpha-B cristalline
deAlpha-B Crystallin-abhängige spät beginnende MyopathieAlpha-B Crystallin-abhängige spät beginnende distale Myopathie · Spät beginnende distale Cristallinopathie
esMiopatía de inicio tardío asociada a alfa-B-cristalinaCristalinopatía distal de inicio tardío · Miopatía distal de inicio tardío asociada a alfa-B-cristalina
itMiopatia a esordio tardivo correlata alla alfa - B cristallina
nlAlfa B-crystallinegerelateerde myopathie met late aanvangAlfa B-crystallinegerelateerde distale myopathie met late aanvang · Distale crystallinopathie met late aanvang
ptMiopatia de início tardio alfa-B cristalina-relacionadaMiopatia distal de início tardio relacionado com a alfa-B cristalina
plDystlana miopatia o późnym początku związana z Alfa-B krystalinąDystlana krystalinopatia o późnym początku
csDistální myopatie s pozdním nástupem související s alfa-B krystalinemDistální krystalinopatie s pozdním nástupem
ukАльфа-В-кристалін-залежна міопатія пізнього початкуАльфа-В-кристалінозалежна дистальна міопатія з пізнім початком, повязана з кристаліном · Пізня дистальна кристалінопатія з пізнім початком
zhAlpha-B晶状体蛋白相关迟发性肌病Alpha-B晶格蛋白相关迟发性远端肌病
trAlfa-B kristalin-ilişkili geç-başlangıçlı miyopatiGeç başlangıçlı distal kristalinopati · Alfa-B kristaline bağlı geç başlangıçlı distal miyopati

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM608810Evalidated
ICD-10G71.0NTBTattributedvalidated
ICD-118C75NTBTattributedvalidated
MONDO0012130Evalidated
UMLSC5191079Evalidated

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
CRYABDisease-causing germline mutation(s) inAssessedHGNC:2389ENSG0000010984612359011q23.1crystallin alpha B20171888[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families17 casesWorldwideCase(s)Validated21920752[PMID]_9731540[PMID]_14681890[PMID]_20171888[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_21920752[PMID]_9731540[PMID]_14681890[PMID]_20171888[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

21 annotations · validated 2019-01-16
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002015Dysphagia
HP:0001618Dysphonia
HP:0009063Progressive distal muscle weaknessDiagnostic criterion
Frequent (79-30%)
HP:0040081Abnormal circulating creatine kinase concentration
HP:0030225Accumulation of muscle fiber desmin
HP:0003736Autophagic vacuoles
HP:0003327Axial muscle weakness
HP:0003458EMG: myopathic abnormalitiesDiagnostic criterion
HP:0009027Foot dorsiflexor weakness
HP:0001265Hyporeflexia
HP:0003557Increased variability in muscle fiber diameter
HP:0003325Limb-girdle muscle weakness
HP:0100299Muscle fiber inclusion bodies
HP:0000467Neck muscle weakness
HP:0100020Posterior capsular cataractDiagnostic criterion
Occasional (29-5%)
HP:0001638CardiomyopathyDiagnostic criterion
HP:0001349Facial diplegia
HP:0001288Gait disturbance
HP:0003552Muscle stiffness
HP:0009073Progressive proximal muscle weakness
HP:0002747Respiratory insufficiency due to muscle weakness

Run the differential on the 3 obligate / very frequent terms

Annotation source: 570292[PMID]_8792816[PMID]_21920752[PMID]

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Sources for this card