metachromatic leukodystrophy, juvenile form
Findings
No curated finding names metachromatic leukodystrophy, juvenile form yet. Everything below is reference data from Mondo, HPO and GenCC, not evidence about what affects it.
Definition
Metachromatic leukodystrophy is an inherited condition characterized by the accumulation of fats called sulfatides in cells, especially cells of the nervous system. This accumulation results in progressive destruction of white matter of the brain, which consists of nerve fibers covered by myelin.Affected individuals experience progressive deterioration of intellectual functions and motor skills, such as the ability to walk. They also develop loss of sensation in the extremities, incontinence, seizures, paralysis, inability to speak, blindness, and hearing loss. Eventually they lose awareness of their surroundings and become unresponsive. This condition is inherited in an autosomal recessive pattern and is caused by mutations in the ARSA and PSAP genes.
Definition from the Mondo Disease Ontology (MONDO:0009591), read 2026-09-29. CC BY 4.0.
Features
38 features
What the disease is reported to present with, and how often among people who have it — never how often a feature means the disease. HPO, annotations 2026-09-02.
- Abnormal glycosphingolipid metabolismHPOHP:0004343
- Frequent (30% to 79% of cases)
- Abnormal social behaviorHPOHP:0012433
- Frequent (30% to 79% of cases)
- ClumsinessHPOHP:0002312
- Frequent (30% to 79% of cases)
- Decreased nerve conduction velocityHPOHP:0000762
- Frequent (30% to 79% of cases)
- Developmental regressionHPOHP:0002376
- Frequent (30% to 79% of cases)
- DysarthriaHPOHP:0001260
- Frequent (30% to 79% of cases)
- Dystonia
Show the remaining 26
- Muscle weaknessHPOHP:0001324
- Frequent (30% to 79% of cases)
- Optic atrophyHPOHP:0000648
- Frequent (30% to 79% of cases)
- Punctate periventricular T2 hyperintense fociHPOHP:0030081
- Frequent (30% to 79% of cases)
- Short attention spanHPOHP:0000736
- Frequent (30% to 79% of cases)
- Urinary incontinenceHPOHP:0000020
- Frequent (30% to 79% of cases)
- Abdominal distentionHPOHP:0003270
- Occasional (5% to 29% of cases)
Genes
1 gene
Germline variants in the gene encoding each protein, as classified by GenCC submitters, each in their own words. Limited, disputed and refuted submissions are listed too.
- ARSAHGNC:713
- Definitive · Ambry Genetics · Autosomal recessive · 2018
- Definitive · G2P · Autosomal recessive · 2015
- Strong · Genomics England PanelApp · Autosomal recessive · 2021
- Strong · Labcorp Genetics (formerly Invitae) · Autosomal recessive · 2022
- Strong · PanelApp Australia · Autosomal recessive · 2025
Where it sits
- A kind of
Other names
2 names
Resolves to: metachromatic leukodystrophy, juvenile form
- Also called
- arylsulfatase A deficiency, juvenile formMLD, juvenile form