raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:83629

Leukoencephalopathy-spondyloepimetaphyseal dysplasia syndrome

Synonyms: H-SMD · Hypomyelination-spondyloepimetaphyseal dysplasia syndrome · Leukoencephalopathy-SEMD syndrome · Leukoencephalopathy-metaphyseal chondrodysplasia syndrome

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Childhood, Infancy
Status
active

A rare genetic neurological disorder characterized by the association of hypomyelinating leukodystrophy with spondylometaphyseal dysplasia. Patients present in infancy with absent or delayed ability to walk independently, slowly progressive motor deterioration, spasticity, ataxia, proximal weakness, and joint contractures. Additional manifestations include mild cognitive impairment, short stature, scoliosis, enlarged and deformed joints, dysarthria, nystagmus, visual defects, and mildly dysmorphic features, among others. Mode of inheritance is X-linked recessive.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLeukoencephalopathy-spondyloepimetaphyseal dysplasia syndromeH-SMD · Hypomyelination-spondyloepimetaphyseal dysplasia syndrome · Leukoencephalopathy-SEMD syndrome · Leukoencephalopathy-metaphyseal chondrodysplasia syndrome
frSyndrome de leucoencéphalopathie-dysplasie spondylo-épimétaphysaireH-SMD · Syndrome d'hypomyélinisation-dysplasie spondylo-métaphysaire · Syndrome de leucoencéphalopathie-SEMD · Syndrome de leucoencéphalopathie-chondrodysplasie métaphysaire
deLeukoenzephalopathie-spondylometaphysäre Dysplasie-SyndromH-SMD · Hypomyelinisierung-spondyloepimetaphysäre Dysplasie-Syndrom · Leukenzephalopathie-SEMD-Syndrom · Leukoenzephalopathie-spondylometaphysäre Chondrodysplasie-Syndrom
esSíndrome de leucoencefalopatía-displasia espondiloepimetafisariaSíndrome de hipomielinización-displasia espondiloepimetafisaria · Síndrome de leucoencefalopatía-condrodisplasia metafisaria
itSindrome leucoencefalopatia -displasia spondilometafisaria
nlLeuko-encefalopathie - spondylo-epimetafysaire dysplasie-syndroomH-SMD · Hypomyelinisatie - spondylo-epimetafysaire dysplasie-syndroom · Leuko-encefalopathie - SEMD-syndroom · Leuko-encefalopathie - metafysaire chondrodysplasie-syndroom
ptSíndrome de leucoencefalopatia-displasia espondiloepimetafisáriaH-SMD · Síndrome de hipomielinização-displasia espondiloepimetafisária · Síndrome de leucoencefalopatia-SEMD · Síndrome de leucoencefalopatia-condrodisplasia metafisária
plLeukoencefalopatia - chondrodysplazja przynasadowa= en
csSyndrom zahrnující leukoencefalopatii a metafyzární chondrodysplázii= en
ukСиндром лейкоенцефалопатії-спондилоепіметафізарної дисплазіїH-SMD · Синдром гіпомієлінізації-спондилоепіметафізарної дисплазії · Синдром лейкоенцефалопатії-метафізарної хондродисплазії · Синдром лейкоенцефалопатії-SEMD
zh脑白质病-脊柱干骺端发育不良综合征脑白质病-干骺端软骨发育异常综合征
trLökoensefalopati-spondilometafizyel displazi sendromuH-SMD · Hipomiyelinizasyon-spondilometafizyal displazi sendromu · Lökoensefalopati-metafizyal kondrodisplazi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300232Evalidated
ICD-10G37.8NTBTattributedvalidated
MONDO0010275Evalidated
UMLSC4304743Evalidated
GARD4891Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (4):

No children.

Codes that Orphanet moved or referred to this one:

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AIFM1Disease-causing germline mutation(s) inAssessedHGNC:8768ENSG00000156709300169Xq26.1apoptosis inducing factor mitochondria associated 127102849[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families11 casesWorldwideCase(s)Validated16924009[PMID]_10486082[PMID]_27102849[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_16924009[PMID]_10486082[PMID]_27102849[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.

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HPO phenotypes

23 annotations · validated 2018-02-05
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0002352Leukoencephalopathy
HP:0005871Metaphyseal chondrodysplasia
Frequent (79-30%)
HP:0100707Abnormal astrocyte morphology
HP:0012747Abnormal brainstem MRI signal intensity
HP:0000587Abnormal optic nerve morphology
HP:0003487Babinski sign
HP:0002059Cerebral atrophy
HP:0003020Enlargement of the wrists
HP:0001288Gait disturbance
HP:0001347Hyperreflexia
HP:0002079Hypoplasia of the corpus callosum
HP:0001249Intellectual disability
HP:0030866Large knee
HP:0002062Morphological abnormality of the pyramidal tract
HP:0004349Reduced bone mineral density
HP:0001258Spastic paraplegia
HP:0030051Tip-toe gait
HP:0001337Tremor
HP:0000505Visual impairment
Occasional (29-5%)
HP:0000463Anteverted nares
HP:0005280Depressed nasal bridge
HP:0000666Horizontal nystagmus
HP:0011800Midface retrusion

Run the differential on the 2 obligate / very frequent terms

Annotation source: 16924009[PMID]

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Sources for this card