Disorder | Inheritance | Gene | Clinical features |
Friedreich ataxia | AR | FXN | Usual onset before age 25 years, progressive ataxia of all limbs, optic atrophy, pyramidal signs, early loss of position and vibration sense, bladder dysfunction, distal muscle atrophy, kyphoscoliosis, cardiomyopathy, diabetes mellitus |
Infantile neuroaxonal dystrophy (PLA2G6-associated neurodegeneration) | AR | PLA2G6 | Usual onset at age 1 to 3 years, motor and cognitive regression, spasticity, muscle atrophy, hypotonia, cerebellar ataxia, dystonia, optic atrophy, distal sensory loss |
Tangier disease | AC | ABCA1 | Orange tonsils, hepatosplenomegaly, premature coronary disease, neuropathy, absent (homozygotes) or 50 percent normal (heterozygotes) HDL cholesterol |
Abetalipoproteinemia | AR | MTP | Acanthocytes, fat malabsorption, retinitis pigmentosa, peripheral neuropathy, ataxia, sensory motor neuropathy, absent tendon reflexes, low serum cholesterol and VLDL, absent serum beta lipoprotein |
Classic Refsum disease | AR | PHYH | Retinitis pigmentosa, peripheral polyneuropathy, cerebellar ataxia, elevated CSF protein, sensorineural deafness, ichthyosis, anosmia, abnormal accumulation of phytanic acid |
Infantile Refsum disease | AR | PEX1 PEX6 | Abnormal accumulation of phytanic acid |
Chediak-Higashi syndrome | AR | LYST | Recurrent infections, partial albinism, hepatosplenomegaly, increased risk of lymphoreticular malignancy, nystagmus, seizures, intellectual disability, generalized weakness, spinocerebellar degeneration, and parkinsonism |
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