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ORPHA:157954Disease
Also called Alopecia-progressive neurological defect-endocrinopathy syndrome
What it is
A rare, genetic, neuro-endocrino-cutaneous disorder characterized by highly variable degrees of alopecia, moderate to severe intellectual disability, progressive, late-onset motor deterioration and combined anterior pituitary hormone deficiency, manifesting with central hypogonadotropic hypogonadism, delayed or absent puberty, growth hormone deficiency (resulting in short stature), progressive central adrenal insufficiency and a hypoplastic anterior pituitary gland. Additional features include hypodontia, flexural reticulate hyperpigmentation, gynecomastia, microcephaly and kyphoscoliosis.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Adult
- Inheritance
- Autosomal recessive
- 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%
25- Abnormal response to ACTH stimulation test
- Adrenocorticotropin deficient adrenal insufficiency
- Alopecia
- Anterior pituitary hypoplasia
- Carious teeth
- Decreased response to growth hormone stimulation test
- Decreased serum insulin-like growth factor 1
- Decreased serum testosterone concentration
- Delayed puberty
- Delayed skeletal maturation
- Gynecomastia
- Hyperpigmentation of the skin
- Hyperpigmented nevi
- Hypodontia
- Hypogonadotropic hypogonadism
- Intellectual disability
- Kyphoscoliosis
- Lipoatrophy
- Microcephaly
- Motor deterioration
- Motor neuron atrophy
- Multiple joint contractures
- Premature loss of teeth
- Short stature
- Ulnar deviation of the hand
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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