raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:58

Alexander disease

Synonyms: AxD

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

A rare neurodegenerative disorder of the astrocytes comprised of two clinical forms: Alexander disease (AxD) type I and type II manifesting with various degrees of macrocephaly, spasticity, ataxia and seizures and leading to psychomotor regression and death.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAlexander diseaseAxD
frMaladie d'Alexander= en
deAlexander-KrankheitAlexander-Syndrom · AxD
esEnfermedad de Alexander= en
itMalattia di Alexander= en
nlZiekte van Alexander= en
ptDoença de Alexander
plChoroba Alexandra= en
csAlexandrova choroba= en
ukХвороба Александера= en
zh亚历山大病= en
trAlexander hastalığı= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM203450Evalidated
ICD-10G93.8NTBTattributedvalidated
ICD-118A44.2Especificvalidated
MONDO0008752Evalidated
MeSHD038261Evalidated
UMLSC0270726Evalidated
GARD5774Evalidated
MedDRA10083059Evalidated

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):

Children (2):

4

Genes

0 direct · 2 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GFAPORPHA:363717Alexander disease type IDisease-causing germline mutation(s) (gain of function) inAssessedHGNC:4235ENSG0000013109513778017q21.31glial fibrillary acidic protein20301351[PMID]
GFAPORPHA:363722Alexander disease type IIDisease-causing germline mutation(s) (gain of function) inAssessedHGNC:4235ENSG0000013109513778017q21.31glial fibrillary acidic protein20301351[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Annual incidence<1 / 1 000 0000.037 / 100 000JapanValue and classValidated21533827[PMID]_[EXPERT]
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

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

61 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007256Abnormal pyramidal sign
HP:0002167Abnormality of speech or vocalization
HP:0001274Agenesis of corpus callosum
HP:0002169Clonus
HP:0002353EEG abnormality
HP:0001508Failure to thrive
HP:0002007Frontal bossing
HP:0001347Hyperreflexia
HP:0001249Intellectual disability
HP:0100729Large face
HP:0000256Macrocephaly
HP:0001355Megalencephaly
HP:0002017Nausea and vomiting
HP:0002650Scoliosis
HP:0001250Seizure
HP:0002360Sleep abnormality
HP:0001257Spasticity
Frequent (79-30%)
HP:0000496Abnormality of eye movement
HP:0002381Aphasia
HP:0001251Ataxia
HP:0002514Cerebral calcification
HP:0002019Constipation
HP:0000716Depression
HP:0000651Diplopia
HP:0001260Dysarthria
HP:0002015Dysphagia
HP:0001618Dysphonia
HP:0000712Emotional lability
HP:0010628Facial palsy
HP:0001288Gait disturbance
HP:0000975Hyperhidrosis
HP:0002615Hypotension
HP:0002045Hypothermia
HP:0002808Kyphosis
HP:0000639Nystagmus
HP:0000508Ptosis
HP:0100247Recurrent singultus
HP:0010535Sleep apnea
HP:0002445Tetraplegia
HP:0001337Tremor
Occasional (29-5%)
HP:0012332Abnormal autonomic nervous system physiology
HP:0002410Aqueductal stenosis
HP:0002607Bowel incontinence
HP:0002072Chorea
HP:0002376Developmental regression
HP:0000819Diabetes mellitus
HP:0000218High palate
HP:0000238Hydrocephalus
HP:0003307Hyperlordosis
HP:0007481Hyperpigmented nevi
HP:0000822Hypertension
HP:0000821Hypothyroidism
HP:0001252Hypotonia
HP:0002383Infectious encephalitis
HP:0001324Muscle weakness
HP:0000938Osteopenia
HP:0000826Precocious puberty
HP:0002093Respiratory insufficiency
HP:0100716Self-injurious behavior
HP:0000470Short neck
HP:0001645Sudden cardiac death

Run the differential on the 12 obligate / very frequent terms

7

Sources for this card