raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:482601

Adenylosuccinate synthetase-like 1-related distal myopathy

Synonyms: ADSSL1-related distal myopathy

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

A rare autosomal recessive distal myopathy characterized by slowly progressive diffuse muscle weakness in childhood, followed by predominantly distal muscle weakness in adolescence, and quadriceps muscle weakness in the fourth decade. Facial muscle weakness is commonly reported. Muscle biopsy shows fiber size variation, increased internal nuclei, fiber splitting, rimmed vacuoles, and focal endomysial fibrosis.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAdenylosuccinate synthetase-like 1-related distal myopathyADSSL1-related distal myopathy
frMyopathie distale associée à l'adénylosuccinate synthétase-like 1Myopathie distale associée à l'ADSSL1
deAdenylosuccinat-Synthase ähnliche 1-abhängige distale MyopathieMyopathie, distale, ADSSL1-assoziierte
esMiopatía distal asociada a adenilosuccinato sintetasa de tipo 1Miopatía distal asociada a ADSSL1
itMiopatia distale simile alla adenilsuccinato sintetasi 1
nlAdenylosuccinaatsynthetase-achtig 1-gerelateerde distale myopathieADSSL1-gerelateerde distale myopathie
ptMiopatia distal associada à adenilosuccinato sintetase similar 1
plMiopatia dystalna zależna od syntetazy adenylobursztynianowej-1Miopatia dystalna zależna od ADSSL1
csAdenylosukcinát syntetáza-like 1 vázaná distální myopatieADSSL1-related distal myopathy · ADSSL1-vázaná distální myopatie
ukДистальна міопатія, повязана з аденілосукцинатсинтетаза-подібною 1Дистальна міопатія, повязана з ADSSL1
zh腺苷琥珀酸合成酶样1相关远端肌病= en
trAdenilosüksinat sentetaz benzeri 1-ilişkili distal miyopatiADSSL1-ilişkili distal miyopati

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617030Evalidated
ICD-10G71.0NTBTattributedvalidated
MONDO0014877Evalidated
UMLSC5567521Evalidated

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
ADSS1Disease-causing germline mutation(s) inAssessedHGNC:20093ENSG0000018510061249814q32.33adenylosuccinate synthase 126506222[PMID]_27868399[PMID]_28268051[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families19 casesWorldwideCase(s)Validated26506222[PMID]_27868399[PMID]_28268051[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_26506222[PMID]_27868399[PMID]_28268051[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

37 annotations · validated 2024-08-07
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003458EMG: myopathic abnormalities
HP:0003236Elevated circulating creatine kinase concentration
HP:0002317Unsteady gait
Frequent (79-30%)
HP:0034677Ankle contracture
HP:0003551Difficulty climbing stairs
HP:0009046Difficulty running
HP:0008944Distal lower limb amyotrophy
HP:0009053Distal lower limb muscle weakness
HP:0008959Distal upper limb muscle weakness
HP:0034391Elbow contracture
HP:0030193Fatigable weakness of chewing muscles
HP:0009027Foot dorsiflexor weakness
HP:0003700Generalized amyotrophy
HP:0031237Internally nucleated skeletal muscle fibers
HP:0007210Lower limb amyotrophy
HP:0008994Proximal muscle weakness in lower limbs
HP:0009050Quadriceps muscle atrophy
HP:0003731Quadriceps muscle weakness
HP:0032341Reduced forced vital capacity
HP:0001315Reduced tendon reflexes
HP:0002091Restrictive ventilatory defect
HP:0003805Rimmed vacuoles
HP:0030051Tip-toe gait
HP:0031108Triceps weakness
HP:0009129Upper limb amyotrophy
HP:0030319Weakness of facial musculature
Occasional (29-5%)
HP:0009072Decreased Achilles reflex
HP:0012548Fatty replacement of skeletal muscle
HP:0002359Frequent falls
HP:0000218High palate
HP:0001639Hypertrophic cardiomyopathy
HP:0002540Inability to walk
HP:0003798Nemaline bodies
HP:0003376Steppage gait
Very rare (<4-1%)
HP:0005216Impaired mastication
HP:0002200Pseudobulbar signs
Excluded (0%)
HP:0003474Somatic sensory dysfunction

Run the differential on the 3 obligate / very frequent terms

Annotation source: 32646962[PMID]_32331917[PMID]_27868399[PMID]_28268051[PMID]_26506222[PMID]

7

Sources for this card