raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:99734

Myotonia fluctuans

Synonyms: Exercise-induced delayed-onset myotonia · Fluctuating myotonia

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

A form of potassium-aggravated myotonia (PAM) which is cold insensitive, dramatically fluctuating and profoundly worsened by potassium ingestion.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enMyotonia fluctuansExercise-induced delayed-onset myotonia · Fluctuating myotonia
frMyotonie fluctuante
deMyotonia fluctuans
esMiotonía fluctuanteMiotonía de inicio tardío inducida por el ejercicio
itMiotonia fluctuansMiotonia fluttuante · Miotonia indotta dall'esercizio a esordio ritardato
nlMyotonia fluctuansFluctuerende myotonie · Vertraagd optredende inspanningsgeïnduceerde myotonie
ptMiotonia fluctuans
plMiotonia z objawami zmiennymiMiotonia indukowana wysiłkiem o opóźnionym początku
csMyotonia fluctuansFluktuující myotonie · Cvičením vyvolaná myotonie s opožděným nástupem
ukМіотонія флюктуючаМіотонія сповільненого типу, спричинена фізичним навантаженням · Флуктуаційна міотонія
zh肌强直波动状态运动型迟发性肌强直
trMiyotoni fluktuanlarıDeğişken miyotoni · Egzersiz kaynaklı gecikmiş başlangıçlı miyotoni

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM608390NTBTvalidated
ICD-10G71.1NTBTattributedvalidated
ICD-118C71.2NTBTindexvalidated
MONDO0020481Evalidated
UMLSC0752355Evalidated

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

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
SCN4ADisease-causing germline mutation(s) inAssessedHGNC:10591ENSG0000000731460396717q23.3sodium voltage-gated channel alpha subunit 47980103[PMID]_8308722[PMID]
5

Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
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

22 annotations · validated 2021-02-12
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0100284EMG: myotonic discharges
HP:0003552Muscle stiffness
Frequent (79-30%)
HP:0008967Exercise-induced muscle stiffness
HP:0012902Myotonia of the lower limb
HP:0012903Myotonia of the upper limb
HP:0002491Spasticity of facial muscles
Occasional (29-5%)
HP:0000622Blurred vision
HP:0000651Diplopia
HP:0012378Fatigue
HP:0012899Handgrip myotonia
HP:0003326Myalgia
HP:0012900Myotonia of the face
Very rare (<4-1%)
HP:0002104Apnea
HP:0030842Choking episodes
HP:0001288Gait disturbance
HP:0025425Laryngospasm
HP:0003740Myotonia with warm-up phenomenon
HP:0001319Neonatal hypotonia
HP:0003701Proximal muscle weakness
HP:0000486Strabismus
HP:0010307Stridor
Excluded (0%)
HP:0012904Cold-sensitive myotonia

Run the differential on the 2 obligate / very frequent terms

Annotation source: 30341599[PMID]_32270509[PMID]

7

Sources for this card