X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency

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ORPHA:423479E79.8
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Overview

X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency is a very rare genetic condition that affects multiple systems in the body. It is sometimes referred to by its Orphanet code ORPHA:423479. This condition is caused by a change (mutation) in a gene located on the X chromosome, which means it primarily affects males, while females may carry the gene change without showing full symptoms. The condition causes a combination of problems that include intellectual disability (difficulty with learning and thinking), spasticity (stiff or tight muscles, especially in the arms and legs), retinal dystrophy (damage to the light-sensitive tissue at the back of the eye, leading to vision problems), and arginine vasopressin deficiency (a shortage of a hormone that helps the kidneys control water balance, which can cause excessive thirst and urination — a condition known as central diabetes insipidus). Because this disease affects the brain, eyes, muscles, and hormonal system all at once, it is considered a multi-system disorder. There is currently no cure. Treatment focuses on managing each symptom separately, such as hormone replacement for the vasopressin deficiency, physical therapy for spasticity, educational support for intellectual disability, and regular eye monitoring for retinal changes.

Also known as:

Key symptoms:

Intellectual disability — difficulty with learning, memory, and daily thinking tasksStiff or tight muscles in the arms and legs (spasticity)Vision problems due to damage to the retina at the back of the eye (retinal dystrophy)Excessive thirst and very frequent urination (central diabetes insipidus)Delayed development in infancy and early childhoodDifficulty walking or moving due to muscle stiffnessPossible night blindness or loss of side vision from retinal damagePoor coordination or balance

Clinical phenotype terms (35)— hover any for plain English
Aplasia/Hypoplasia of the optic nerveHP:0008058Gastrostomy tube feeding in infancyHP:0011471Profound global developmental delayHP:0012736Slow pupillary light responseHP:0030211Central sleep apneaHP:00105365-minute APGAR score of 1HP:00309211-minute APGAR score of 0HP:0030927HbH hemoglobinHP:0011903
Inheritance

X-linked recessive

Carried on the X chromosome; typically affects males more than females

Age of Onset

Infantile

Begins in infancy, roughly 1 month to 2 years old

Orphanet ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency.

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No actively recruiting trials found for X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency at this time.

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No specialists are currently listed for X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency.

Search all travel grants →NORD Financial Assistance ↗

Community

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Caregiver Resources

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Questions for your doctor

Bring these to your next appointment

  • Q1.Which specific gene is causing this condition in my family, and what does that mean for other family members?,How quickly might the retinal dystrophy progress, and what can we do to protect vision?,What is the best way to manage the diabetes insipidus, and what are the warning signs of a crisis?,What therapies — physical, occupational, or speech — would be most helpful, and how often should we do them?,Are there any clinical trials or research studies we should know about for this condition?,What educational and social support services are available for someone with this level of intellectual disability?,Should other family members be tested, and what are the chances of passing this condition to future children?

Common questions about X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency

What is X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency?

X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency is a very rare genetic condition that affects multiple systems in the body. It is sometimes referred to by its Orphanet code ORPHA:423479. This condition is caused by a change (mutation) in a gene located on the X chromosome, which means it primarily affects males, while females may carry the gene change without showing full symptoms. The condition causes a combination of problems that include intellectual disability (difficulty with learning and thinking), spasticity (stiff or tight muscles, es

How is X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency inherited?

X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency follows a x-linked recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency typically begin?

Typical onset of X-linked intellectual disability-limb spasticity-retinal dystrophy-arginine vasopressin deficiency is infantile. Age of onset can vary across affected individuals.