Types of HSAN | OMIM | Inheri. | Onset | Clinical characteristics | Somatosensory modalities | Sweating | Genes/ locus |
---|---|---|---|---|---|---|---|
162400 | AD | Mostly adolescence to adulthood | Hearing loss, loss of distal reflexes/distal muscle weakness, (no autonomic dysfunction) | Loss of pain and temperature sensation, lancinating pain | Normal | SPTLC1/9q22.31 | |
608088 | AD | Adulthood | Chronic cough, gastropharyngeal reflux, hearing loss, alacrima, impotence | Sensory loss, lancinating pain | Normal to mild distal hypohidrosis | SPTLC1/3p24-p22 | |
613640 | AD | Mostly adulthood | Ulcerative mutilations, variable distal motor involvement, distal muscle weakness, osteomyelitis | Loss of pain, lancinating pain, loss of temperature sensation in parts of the body, sensory loss in the upper and lower limbs | Normal | SPTLC2/14q24.3 | |
613708 | AD | Adulthood | Ulcerative mutilations, trophic skin and nail changes, distal amyotrophy in the lower limbs | Distal sensory loss of the lower limbs | Normal | ATL1/14q22.1 | |
614116 | AD | Adulthood | Ulcerative mutilations, hearing loss, dementia | Loss of all somatosensory modalities, lancinating pain | Normal | DNMT1/19p13.2 | |
615632 | AD | Adulthood | No autonomic involvement, diminished tendon reflexes, painless ulceration of the feet | Distal sensory loss of the lower limbs | Normal | ATL3/11q13.1 | |
201300 | AR | Childhood | Self-mutilation behavior resulting in extensive orofacial injuries, weakness, acropathy | Loss of pain, temperature and touch sensation, no autonomic dysfunction | Normal | WNK1/12p13.33 | |
613114 | AR | Childhood | Ulcerative mutilation of hands, feet, and orofacial structures, osteomyelitis, urge incontinence | Impaired nociception | Hyperhidrosis | FAM134B/5p15.1 | |
614213 | AR | Childhood to adolescence | Ulcerative mutilation and orofacial injuries, absent deep tendon reflexes, minor distal weakness, distal numbness of the hands and feet | Impaired position vibration senses | N/A | KIF1A/2937.3 | |
243000 | AR | Congenital or adolescence | Autonomic nervous dysfunction, hearing loss, hyposmia, bone dysplasia, orofacial self-mutilation injuries | Loss of pain and temperature sensation, hypogeusia | Hypohidrosis | SCN9A/2q24.3 | |
HSAN-III [2, 26, 29, 33, 34, 44, 58 63–66] | 223900 | AR | Congenital | Profound autonomic dysfunction, vasomotor instability, absence of deep tendon reflexes, alacrima, impaired blood pressure regulation, failure to thrive, orofacial self-mutilation, absent fungiform papillae on the tongue, increased salivation, low caries index | Loss of pain and temperature sensation | Hyperhidrosis | IKBKAP/9q31.3 |
HSAN-IV [2,45,46,47,48,49,50,, 8, 9, 11, 13, 14, 26, 28, 29, 34, 35, 44–51] | 256800 | AR | Congenital | Self-mutilation with orofacial injuries, deep tendon reflexes usually intact, recurrent fever, corneal lesions, mental retardation, recurrent infections, skin hyperkeratosis and fissuring, generalized tonic-clonic seizures | Loss of pain and temperature sensation | Hypohidrosis to anhidrosis | NTRK1/1q23.1 |
608654 | AR | Congenital | Similar to HSAN IV | Loss of pain and reduced thermal sensation, loss of deep pain perception | Normal to hypohidrosis | NGFB/1p13.2 | |
614653 | AR | Congenital | Lack of psychomotor development, autonomic abnormalities, absence of deep tendon reflexes, feeding and respiratory difficulties, neonatal hypotonia, alacrima, blotching | Loss of pain and temperature sensation | N/A | DST/6p12.1 | |
615548 | AD | Congenital | Self-mutilation, painless fractures, delayed motor development, gastrointestinal dysfunction | Loss of pain sensation | Hyperhidrosis | SCN11A/3p22.2 | |
616488 | AR | Onset in infancy | Self-mutilation behavior with orofacial injuries, painless fractures, skin and bone infections, corneal injuries, no mental retardation | Reduced pain and temperature sensation | Hypohidrosis | PRDM12/9q34.12 | |
256840 | AR | Early childhood | Mutilation acropathy, septic paraplegia | Loss of all somatosensory modalities | Normal | CCT5/5p15.2 |