raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:521426

PLAA-associated neurodevelopmental disorder

Synonyms: PLAAND

Type
Malformation syndrome
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

A rare genetic neurological disorder characterized by infantile onset of progressive leukoencephalopathy, microcephaly, severe global developmental delay, and spasticity resulting in quadriparesis and posture deformation. Additional features include an abnormally exaggerated startle reflex, seizures, dystonia, and hypomimia or amimia, as well as progressive chest deformities and contractures of large and hyperextensibility of small joints, among others. Thin corpus callosum is a prominent feature in brain imaging, in addition to white matter abnormalities consistent with leukoencephalopathy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enPLAA-associated neurodevelopmental disorderPLAAND
frTrouble neurologique du développement associé à PLAA= en
dePLAA-assoziierte neurologische Entwicklungsstörung= en
esTrastorno del neurodesarrollo asociado a PLAA= en
itMalattia dello sviluppo neurologico associata a PLAA= en
nlPLAA-geassocieerde neurologische ontwikkelingsstoornis= en
ptPerturbação do neurodesenvolvimento PLAA-associada
plZaburzenie neurorozwojowe związane z PLAA= en
csNeurovývojová porucha asociovaná s PLAA= en
ukPLAA-асоційоване порушення нейророзвитку= en
zhPLAA基因相关的神经发育障碍= en
trPLAA-ilişkili nörogelişimsel bozukluk= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM617527Evalidated
ICD-10Q87.8NTBTattributedvalidated
MONDO0060502Evalidated
UMLSC4479631Evalidated

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
PLAADisease-causing germline mutation(s) (loss of function) inAssessedHGNC:9043ENSG000001370556038739p21.2phospholipase A2 activating protein28007986[PMID]_28413018[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families15 casesWorldwideCase(s)Validated28007986[PMID]_28413018[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_28007986[PMID]_28413018[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

51 annotations · validated 2019-03-20
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0002536Abnormal cortical gyration
HP:0001999Abnormal facial shape
HP:0002071Abnormality of extrapyramidal motor function
HP:0002104Apnea
HP:0001283Bulbar palsy
HP:0008278Cerebellar cortical atrophy
HP:0012762Cerebral white matter atrophy
HP:0005781Contractures of the large joints
HP:0012448Delayed myelination
HP:0000750Delayed speech and language development
HP:0001332Dystonia
HP:0012098Edema of the dorsum of feet
HP:0007514Edema of the dorsum of hands
HP:0002267Exaggerated startle response
HP:0001508Failure to thrive
HP:0011968Feeding difficulties
HP:0001263Global developmental delay
HP:0000218High palate
HP:0001007Hirsutism
HP:0001187Hyperextensibility of the finger joints
HP:0002079Hypoplasia of the corpus callosum
HP:0001252Hypotonia
HP:0002521Hypsarrhythmia
HP:0031162Impaired oropharyngeal swallow response
HP:0001249Intellectual disability
HP:0002808Kyphosis
HP:0002352Leukoencephalopathy
HP:0002509Limb hypertonia
HP:0100807Long fingers
HP:0000343Long philtrum
HP:0000252Microcephaly
HP:0000347Micrognathia
HP:0000648Optic atrophy
HP:0000768Pectus carinatum
HP:0001830Postaxial foot polydactyly
HP:0001162Postaxial hand polydactyly
HP:0000358Posteriorly rotated ears
HP:0002478Progressive spastic quadriplegia
HP:0002093Respiratory insufficiency
HP:0002063Rigidity
HP:0001838Rocker bottom foot
HP:0003196Short nose
HP:0000954Single transverse palmar crease
HP:0000319Smooth philtrum
HP:0010804Tented upper lip vermilion
HP:0002119Ventriculomegaly
Occasional (29-5%)
HP:0002483Bulbar signs
HP:0000975Hyperhidrosis
HP:0000639Nystagmus
HP:0001250Seizure
HP:0000407Sensorineural hearing impairment

Annotation source: 28413018[PMID]_28007986[PMID]

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Sources for this card