" /> Neuropathy, hereditary sensory and autonomic, adult-onset, with anosmia - CISMeF





Preferred Label : Neuropathy, hereditary sensory and autonomic, adult-onset, with anosmia;

Type : Other, mainly phenotypes with suspected mendelian basis;

Description : For a phenotypic description and a discussion of genetic heterogeneity of hereditary sensory and autonomic neuropathy, see HSAN1 (162400). Sakae et al. (2001) reported 3 Japanese sibs, 1 male and 2 females, who were affected with an adult-onset form of sensory and autonomic neuropathy. The proband, the most severely affected of the sibs, noticed difficulty in smelling and tasting around the age of 24 years and loss of sweating at age 40 years. Also in her forties, she developed loss of sensation in the hands and feet. Physical examination showed severe anosmia, ageusia, anhidrosis, and orthostatic hypotension. Both superficial and deep sensation were severely impaired in the fingers and toes, and a sural nerve biopsy showed marked loss of myelinated fibers and axonal degeneration. Her 2 sibs developed anosmia and subsequent anhidrosis around age 50 years. Both also showed orthostatic hypotension, but only 1 sib had decreased distal sensation. Both had normal taste sensation. Sakae et al. (2001) characterized the disorder as a distinct form of hereditary sensory and autonomic neuropathy, and suggested that there may be a causative gene involved in the survival of sensory and sympathetic ganglion cells. *FIELD* RF 1. Sakae, N.; Yamada, T.; Arakawa, K.; Taniwaki, T.; Ohyagi, Y.; Furuya, H.; Ohnishi, A.; Kira, J.: Adult-onset hereditary sensory and autonomic neuropathy accompanied by anosmia but without skin ulceration. Acta Neurol. Scand. 104: 316-319, 2001. *FIELD* CS Autosomal recessive;

Inheritance : Autosomal recessive;

Prefixed ID : 608720;

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07/05/2025


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