raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:468661

Autosomal recessive spastic paraplegia type 74

Synonyms: SPG74

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

Autosomal recessive spastic paraplegia type 74 is a rare, genetic, spastic paraplegia-optic atrophy-neuropathy-related (SPOAN-like) disorder characterized by childhood onset of mild to moderate spastic paraparesis which manifests with gait impairment that very slowly progresses into late adulthood, hyperactive patellar reflex and bilateral extensor plantar response, in association with optic atrophy and typical symptoms of peripheral neuropathy, including reduced or absent ankle reflexes, lower limb atrophy and distal sensory impairment. Reduced visual acuity and pes cavus are frequently reported.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal recessive spastic paraplegia type 74SPG74
frParaplégie spastique autosomique récessive type 74= en
deSpastische Paraplegie, autosomal-rezessive, Typ 74= en
esParaplejía espástica autosómica recesiva tipo 74= en
itParaplegia spastica autosomica recessiva tipo 74
nlAutosomaal recessieve spastische paraplegie type 74= en
ptParaplegia espástica autossómica recessiva tipo 74
plAutosomalna recesywna paraplegia spastyczna typu 74= en
csAutozomálně recesivní spastická paraplegie, typ 74= en
ukАутосомно-рецесивна спастична параплегія, тип 74= en
zh常染色体显性痉挛性截瘫74型= en
trOtozomal resesif spastik parapleji tip 74= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM616451Evalidated
ICD-10G11.4NTBTattributedvalidated
MONDO0014644Evalidated
UMLSC5568837Evalidated

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
IBA57Disease-causing germline mutation(s) inAssessedHGNC:27302ENSG000001818736153161q42.13iron-sulfur cluster assembly factor IBA5725609768[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families11 casesWorldwideCase(s)Validated25609768[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_25609768[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.

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HPO phenotypes

19 annotations · validated 2018-10-29
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003477Peripheral axonal neuropathy
HP:0007020Progressive spastic paraplegia
Frequent (79-30%)
HP:0009072Decreased Achilles reflex
HP:0011923Decreased activity of mitochondrial complex I
HP:0008314Decreased activity of mitochondrial complex II
HP:0003693Distal amyotrophy
HP:0009053Distal lower limb muscle weakness
HP:0007067Distal peripheral sensory neuropathy
HP:0003445EMG: neuropathic changes
HP:0001288Gait disturbance
HP:0007083Hyperactive patellar reflex
HP:0001761Pes cavus
HP:0001123Visual field defect
HP:0000505Visual impairment
Occasional (29-5%)
HP:0003487Babinski sign
HP:0000648Optic atrophy
Very rare (<4-1%)
HP:0001272Cerebellar atrophy
HP:0012762Cerebral white matter atrophy
HP:0002079Hypoplasia of the corpus callosum

Run the differential on the 2 obligate / very frequent terms

Annotation source: 25609768[PMID]

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Sources for this card