raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:64752

Hereditary sensory and autonomic neuropathy type 5

Synonyms: CIP · Congenital insensitivity to pain and thermal analgesia · HSAN5 · Hereditary sensory and autonomic neuropathy type V

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

A rare congenital sensory neuropathy characterized by selective or generalized loss of pain perception and impaired temperature sensitivity, in the absence of other abnormal neurological function. Patients present with variable severity of insensibility to pain and temperature. Self-mutilation of the lips, tongue, and fingers, painless injuries resulting in cuts, bruises, fractures, destroyed joints (Charcot joints) mostly in the knees and and feet are frequentyly observed. Patients have normal motor and sensory nerve conduction. Nerve biopsy typically manifest with reduced/absent small myelinated fibers whereas unmyelinated fibers are usually not affected. Episodic increase in body temperature, skin blotching, decreased sweating, poor wound healing, infections in teeth, joints and bone, neurotrophic keratitis, prematurely aged appearance, with malar hypoplasia, sunken eyes are reported in few patients. Mild intellectual disability may also be present.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHereditary sensory and autonomic neuropathy type 5CIP · Congenital insensitivity to pain and thermal analgesia · HSAN5 · Hereditary sensory and autonomic neuropathy type V
frNeuropathie héréditaire sensitive et autonomique type 5HSAN5 · ICD · Insensibilité congénitale à la douleur et analgésie thermique · NHSA5 · Neuropathie héréditaire sensitive et autonomique type V
deNeuropathie, autonome hereditäre sensorische, Typ 5HSAN5 · Kongenitale Analgesie mit Thermanästhesie · Neuropathie, autonome hereditäre sensorische, Typ V
esNeuropatía sensitiva autonómica hereditaria tipo 5CIP · HSAN5 · Insensibilidad congénita al dolor y analgesia térmica · Neuropatía sensitiva autonómica hereditaria tipo V
itNeuropatia autonomica e sensoriale ereditaria tipo 5CIP · HSAN 5 · Insensibilità congenita al dolore e analgesia termica · Neuropatia autonomica e sensoriale ereditaria tipo V
nlErfelijke sensorische en autonome neuropathie type 5CIP · Congenitale pijnongevoeligheid en thermische analgesie · Erfelijke sensorische en autonome neuropathie type V · HSAN 5
ptNeuropatia autonómica e sensorial hereditária tipo 5CIP · HSAN 5 · Insensibilidade congénita à dor e analgesia térmica · Neuropatia autonómica e sensorial hereditária tipo V
plDziedziczna neuropatia czuciowa i autonomiczna typu 5HSAN5 · Dziedziczna neuropatia czuciowa i autonomiczna typu V · Wrodzona niewrażliwość na ból i temperaturę · Dziedziczna neuropatia czuciowa i autonomiczna typu 5
csHereditární senzorická a autonomní neuropatie, typ 5Vrozená necitlivost na bolest a termální analgézie · HSAN5
ukСпадкова сенсорна та автономна нейропатія, тип 5CIP · Вроджена нечутливість до болю та теплової аналгезії · Спадкова сенсорна та автономна нейропатія типу V · HSAN5
zh遗传性感觉和自主神经病5型先天性痛觉温度觉不敏感
trKalıtsal duyusal ve otonom nöropati tip 5HSAN5 · Kalıtsal duyusal ve otonom nöropati tip V · Ağrı ve termal analjeziye doğumsal duyarsızlık

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM608654Evalidated
ICD-10G60.8NTBTattributedvalidated
ICD-118C21.3Especificvalidated
MONDO0012092Evalidated
UMLSC0020075Evalidated
GARD12328Evalidated

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

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
NTRK1Candidate gene tested inNot yet assessedHGNC:8031ENSG000001984001913151q23.1neurotrophic receptor tyrosine kinase 111310631[PMID]
NGFDisease-causing germline mutation(s) inAssessedHGNC:7808ENSG000001342591620301p13.2nerve growth factor14976160[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—EuropeClass onlyNot yet validatedORPHANET
Point prevalence<1 / 1 000 0000.035 / 100 000JapanValue and classNot yet validated23495212[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

11 annotations · validated 2018-07-12
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0000164Abnormality of the dentition
HP:0000168Abnormality of the gingiva
HP:0000970Anhidrosis
HP:0007249Decreased number of small peripheral myelinated nerve fibers
HP:0000490Deeply set eye
HP:0010829Impaired temperature sensition
HP:0001256Intellectual disability, mild
HP:0000272Malar flattening
HP:0007021Pain insensitivity
HP:0002661Painless fractures due to injury
HP:0001058Poor wound healing

Annotation source: 20978020[PMID]_14976160[PMID]

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Sources for this card