Skip to main content

Table 1 Classification of recent types and subtypes of hereditary sensory (and autonomic) neuropathy

From: Oral manifestations, dental management, and a rare homozygous mutation of the PRDM12 gene in a boy with hereditary sensory and autonomic neuropathy type VIII: a case report and review of the literature

Types of HSAN

OMIM

Inheri.

Onset

Clinical characteristics

Somatosensory modalities

Sweating

Genes/ locus

HSAN-IA [2, 25, 28, 33, 34]

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

HSAN-IB [2,34,, 25, 28, 33–35]

608088

AD

Adulthood

Chronic cough, gastropharyngeal reflux, hearing loss, alacrima, impotence

Sensory loss, lancinating pain

Normal to mild distal hypohidrosis

SPTLC1/3p24-p22

HSAN-IC [2, 25, 28, 33, 34, 36]

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

HSN-ID [2, 25, 28, 33, 34, 37]

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

HSN-IE [2, 25, 28, 33, 34, 38]

614116

AD

Adulthood

Ulcerative mutilations, hearing loss, dementia

Loss of all somatosensory modalities, lancinating pain

Normal

DNMT1/19p13.2

HSN-IF [2, 25, 28, 33, 34, 39]

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

HSAN-IIA [2, 25, 28, 33, 34, 40]

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

HSAN-IIB [2, 25, 28, 33, 34, 41]

613114

AR

Childhood

Ulcerative mutilation of hands, feet, and orofacial structures, osteomyelitis, urge incontinence

Impaired nociception

Hyperhidrosis

FAM134B/5p15.1

HSN-IIC [2, 25, 28, 33, 34, 42]

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

HSAN-IID [2, 4, 25, 28, 33, 34, 43]

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

HSAN-V [2, 26, 29, 34, 35, 52]

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

HSAN-VI [33, 53]

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

HSAN-VII [33, 54, 55]

615548

AD

Congenital

Self-mutilation, painless fractures, delayed motor development, gastrointestinal dysfunction

Loss of pain sensation

Hyperhidrosis

SCN11A/3p22.2

HSAN-VIII [6, 30]

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

HSN with spastic paraplegia [33, 34]

256840

AR

Early childhood

Mutilation acropathy, septic paraplegia

Loss of all somatosensory modalities

Normal

CCT5/5p15.2

  1. AD autosomal dominant, AR autosomal recessive, ATL1 atlastin GTPase 1, ATL3 atlastin GTPase 3, CCT5 chaperonin TCP1 subunit 5, DNMT1 DNA (cytosine-5-)-methyltransferase 1, DST dystonin, FAM134B family with sequence similarity 134 member B, HSAN hereditary sensory and autonomic neuropathy, HSN hereditary sensory neuropathy, IKBKAP inhibitor of kappa light polypeptide gene enhancer in B-cells kinase complex-associated protein, Inheri. mode of inheritance, KIF1A kinesin family member 1A, N/A not available, NGFB nerve growth factor (beta polypeptide), NTRK1 neurotrophic tyrosine kinase-1 receptor, OMIM Online Mendelian Inheritance in Man, PRDM12 PR domain-containing protein 12, SCN9A sodium channel, voltage gated type IX alpha subunit, SCN11A sodium channel, voltage gated, type XI alpha subunit, SPTLC1, serine palmitoyltransferase long chain base subunit 1, SPTLC2, serine palmitoyltransferase long chain base subunit 2, WNK1 WNK lysine deficient protein kinase 1