raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:575553

CARASAL

Synonyms: Cathepsin A-related arteriopathy-strokes-leukoencephalopathy

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

A rare genetic cerebral small vessel disease characterized by an adult-onset primary microangiopathy with severe atherosclerosis of arterioles and secondary leukoencephalopathy. Patients may present with migraine, transient ischemic attacks, stroke with central facial palsy, cognitive dysfunction with impaired concentration, dementia, depression, movement disorder, vertigo, dysphagia, dysarthria, sicca syndrome, impaired REM sleep, and therapy-resistant hypertension, among others. Brain MRI typically shows a leukoencephalopathy that is disproportionately severe and extensive compared to the clinical disease.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enCARASALCathepsin A-related arteriopathy-strokes-leukoencephalopathy
frCARASALArthériopathie-infarctus cérébraux-leucoencéphalopathie liée à la cathepsine A
deCARASALCathepsin A-assoziierte Arteriopathie-Schlaganfall-Leukoenzephalopathie
esCARASALArteriopatía asociada a catepsina A-accidentes cerebrovasculares-leucoencefalopatía
itArteriopatia correlata alla catepsina A-Ictus-leucoencefalopatiaArteriopatia correlata alla catepsina A-ictus-leucoencefalopatia
nlCARASALCathepsine A-gerelateerde arteriopathie - cerebrovasculaire accidenten - leuko-encefalopathie
ptArteriopatia-AVC-leucoencefalopatia catepsina A-relacionada
plLeukoencefalopatia z arteriopatią i udarem związana z katepsyną A= en
csKatepsin A-vázaná arteriopatie, mrtvice a leukoencefalopatie= en
ukАртеріопатія-інсульти-лейкоенцефалопатія, повязані з катепсином АCARASAL
zh组织蛋白酶A相关动脉病-脑卒中-脑白质病CARASAL
trKatepsin A-ilişkili arteriopati-inme-lökoensefalopatiCARASAL

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM621394Evalidated
ICD-10I67.8NTBTattributedvalidated
MONDO0035551Evalidated
UMLSC5680354Evalidated

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 (2):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
CTSADisease-causing germline mutation(s) inAssessedHGNC:9251ENSG0000006460161311120q13.12cathepsin A31177426[PMID]
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Prevalence and incidence

0 records

No prevalence record in this release.

6

HPO phenotypes

Orphanet has no HPO annotation for this code in this release.

7

Sources for this card