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Start free with EleplanAdult-onset distal myopathy due to VCP mutation
ORPHA:329478Disease
What it is
A rare, genetic distal myopathy disorder characterized by middle age-onset of distal leg muscle weakness, atrophy in the anterior compartment resulting in foot drop, without proximal or scapular skeletal muscle weakness. Rapidly progressive dementia, Paget disease of bone and hand weakness have been reported. Muscle biopsy shows pronounced myopathic changes with rimmed vacuoles.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Adult
- Inheritance
- Autosomal dominant
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Common30–79%
17- Abnormality of the musculature of the lower limbs
- Dementia
- EMG: myopathic abnormalities
- Fasciculations
- Fatty replacement of skeletal muscle
- Foot dorsiflexor weakness
- Frequent falls
- Gait disturbance
- Intrinsic hand muscle atrophy
- Mildly elevated creatine kinase
- Muscle spasm
- Myalgia
- Necrotizing myopathy
- Progressive neurologic deterioration
- Rimmed vacuolesDiagnostic criterion
- Scapular winging
- Weakness of the intrinsic hand muscles
Sometimes5–29%
9- Anxiety
- Back pain
- Bowel incontinence
- Decreased nerve conduction velocity
- Depression
- Facial diplegia
- Parkinsonism
- Tremor
and 1 more in this range
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.
Related health topics
Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.
Benefit programs to look at
Programs whose eligibility touches the same ICD-10 categories. Eligibility is decided by the administering agency, never by this page.
Cross-references
Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.
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