raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:85448

AGel amyloidosis

Synonyms: Familial amyloid polyneuropathy type IV · Familial amyloidosis, Finnish type · Gelsolin amyloidosis · Hereditary amyloidosis, Finnish type

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

A rare, systemic amyloidosis characterized by a triad of ophthalmologic, neurologic and dermatologic findings due to the deposition of gelsolin amyloid fibrils in these tissues. Clinical manifestations include corneal lattice dystrophy, cranial neuropathy, especially affecting the facial nerve, bulbar signs, cutis laxa, increased skin fragility, and less commonly peripheral neuropathy and renal failure.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAGel amyloidosisFamilial amyloid polyneuropathy type IV · Familial amyloidosis, Finnish type · Gelsolin amyloidosis · Hereditary amyloidosis, Finnish type
frAmylose AGelAmylose familiale type finlandais · Amylose finlandaise · Amylose à Gelsoline · Polyneuropathie amyloïde familiale type 4
deAgel-AmyloidoseAmyloidose, familiäre, finnischer Typ · Amyloidose, hereditäre, finnischer Typ · Amyloidpolyneuropathie, familiäre, Typ 4 · Gelsolin-Amyloidose
esAmiloidosis AGelAmiloidosis familiar tipo finlandés · Amiloidosis hereditaria tipo finlandés · Amiloidosis por gelsolina · Polineuropatía amiloide familiar tipo IV
itAmiloidosi AGelAmiloidosi da gelsolina · Amiloidosi ereditaria, tipo finlandese · Amiloidosi familiare, tipo finlandese · Polineuropatia amiloide familiare, tipo IV
nlAGel-amyloïdoseErfelijke amyloïdose, Fins type · Familiale amyloïde polyneuropathie type IV · Familiale amyloïdose, Fins type · Gelsoline-amyloïdose
ptAmiloidose familiar tipo finlandês
plAmyloidoza AgelAmyloidoza gelsolinowa · Dziedziczna amyloidoza, typ fiński · Rodzinna amyloidoza, typ fiński · Rodzinna polineuropatia amyloidowa typu 4
csAGel amyloidózaFamiliární amyloidní polyneuropatie, typ IV · Familiární amyloidóza, finský typ · Gelsolinova amyloidóza · Hereditární amyloidóza, finský typ
ukАмілоїдоз AGelСімейна амілоїдна полінейропатія IV типу · Сімейний амілоїдоз, фінський тип · Гельсоліновий амілоїдоз · Спадковий амілоїдоз, фінський тип
zh凝溶胶蛋白型淀粉样变家族性淀粉样多神经病IV型
trAGel amiloidozGelsolin amiloidoz · Ailesel amiloidoz, Fin tipi · Kalıtsal amiloidoz, Fin tipi · Ailesel amiloid polinöropati tip IV

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM105120Evalidated
ICD-10E85.1NTBTattributedvalidated
ICD-115D00.2YNTBTindexvalidated
MONDO0007097Evalidated
UMLSC0936273Evalidated
GARD2339Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GSNDisease-causing germline mutation(s) inAssessedHGNC:4620ENSG000001481801373509q33.2gelsolin16258946[PMID]_22068858[PMID]_22622774[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families475 casesWorldwideCase(s)Validated9547007[PMID]_17097682[PMID]_14639586[PMID]_20229579[PMID]_22068858[PMID]_2262277[PMID]_10729296[PMID]_[EXPERT]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

45 annotations · validated 2024-04-09
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0000478Abnormality of the eye
HP:0001488Bilateral ptosis
HP:0001005Dermatological manifestations of systemic disorders
HP:0000958Dry skin
HP:0001097Keratoconjunctivitis sicca
HP:0001149Lattice corneal dystrophy
Frequent (79-30%)
HP:0000707Abnormality of the nervous system
HP:0011675Arrhythmia
HP:0001251Ataxia
HP:0000978Bruising susceptibility
HP:0000518Cataract
HP:0012185Constrictive median neuropathy
HP:0012804Corneal ulceration
HP:0000973Cutis laxa
HP:0007067Distal peripheral sensory neuropathy
HP:0002015Dysphagia
HP:0000969Edema
HP:0010628Facial palsy
HP:0000365Hearing impairment
HP:0002411Myokymia
HP:0001271Polyneuropathy
HP:0007663Reduced visual acuity
HP:0011356Regional abnormality of skin
HP:0000505Visual impairment
HP:0000217Xerostomia
Occasional (29-5%)
HP:0025408Abnormal spleen morphology
HP:0010749Blepharochalasis
HP:0001638Cardiomyopathy
HP:0007488Diffuse skin atrophy
HP:0001260Dysarthria
HP:0000501Glaucoma
HP:0000597Ophthalmoparesis
HP:0004926Orthostatic hypotension due to autonomic dysfunction
HP:0000093Proteinuria
HP:0000989Pruritus
HP:0000763Sensory neuropathy
HP:0010535Sleep apnea
HP:0008070Sparse hair
HP:0012473Tongue atrophy
Very rare (<4-1%)
HP:0002483Bulbar signs
HP:0002549Deficit in phonologic short-term memory
HP:0000716Depression
HP:0008404Nail dystrophy
HP:0011947Respiratory tract infection
HP:0003774Stage 5 chronic kidney disease

Run the differential on the 6 obligate / very frequent terms

Annotation source: 26339870[PMID]_23356404[PMID]_25097823[PMID]_25342098[PMID]_27879149[PMID]_7836945[PMID]_1333716[PMID]_33908214[PMID]

7

Sources for this card