raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:643

Giant axonal neuropathy

Synonyms: GAN

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

Giant axonal neuropathy (GAN) is a severe, slowly progressive neurodegenerative disorder characterized by progressive motor and sensory peripheral neuropathy, central nervous system involvement (including pyramidal and cerebellar signs), and characteristic kinky hair in most cases.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGiant axonal neuropathyGAN
frNeuropathie à axones géants
deRiesenaxon-Neuropathie
esNeuropatía axonal gigante
itNeuropatia con assoni giganti
nlReuzenaxonale neuropathie
ptNeuropatia axonal gigante
plNeuropatia z olbrzymimi aksonami= en
csAxonální neuropatie s obrovskými axony= en
ukГігантська аксональна нейропатія= en
zh巨轴索神经病= en
trDev aksonal nöropati= en

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM256850Evalidated
ICD-10G60.8NTBTattributedvalidated
ICD-118C2YNTBTindexvalidated
MONDO0009749Evalidated
MeSHD056768Evalidated
UMLSC5200933Evalidated
GARD6500Evalidated

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
GANDisease-causing germline mutation(s) inAssessedHGNC:4137ENSG0000026160960537916q23.2gigaxonin20301315[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families50 familiesWorldwideFamily(ies)Validated20301315[PMID]
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET_20301315[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

26 annotations · validated 2017-02-21
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0005109Abnormality of the Achilles tendon
HP:0001284Areflexia
HP:0003429CNS hypomyelination
HP:0003405Diffuse axonal swelling
HP:0001288Gait disturbance
HP:0001290Generalized hypotonia
HP:0001382Joint hypermobility
HP:0002235Pili canaliculi
HP:0003701Proximal muscle weakness
Frequent (79-30%)
HP:0001317Abnormal cerebellum morphology
HP:0005922Abnormal hand morphology
HP:0002460Distal muscle weakness
HP:0002936Distal sensory impairment
HP:0010628Facial palsy
HP:0001249Intellectual disability
HP:0001761Pes cavus
HP:0002650Scoliosis
HP:0001257Spasticity
HP:0001762Talipes equinovarus
HP:0002317Unsteady gait
HP:0002224Woolly hair
Occasional (29-5%)
HP:0012503Abnormality of the pituitary gland
HP:0003487Babinski sign
HP:0002527Falls
HP:0002857Genu valgum
HP:0003690Limb muscle weakness

Run the differential on the 9 obligate / very frequent terms

Annotation source: 28300918[PMID]_19231187[PMID]

7

Sources for this card