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Start free with EleplanMetachromatic leukodystrophy, adult form
ORPHA:309271Clinical subtype
Also called Arylsulfatase A deficiency, adult form · MLD, adult form
What it is
A subtype of Metachromatic leukodystrophy characterized by progressive psychomotor regression with an insidious onset after the age of 16 years, most often beginning with intellectual and behavioral changes, such as memory deficits or emotional instability. The clinical picture is dominated by gradual cognitive, later also motor, decline, taking a protracted course with periods of waxing and waning. Decerebration and death occur within decades after disease onset.
Key facts
- Prevalence
- 1-9 / 1 000 000 (at birth)
- Age of onset
- Adult
- Inheritance
- Autosomal recessive
- Classified as
- Clinical subtype
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%
22- Abnormal glycosphingolipid metabolism
- Abnormal social behavior
- Clumsiness
- Decreased nerve conduction velocity
- Delusion
- Dementia
- Developmental regression
- Dysarthria
- Dystonia
- Emotional lability
- Frequent falls
- Gait disturbance
- Generalized hypotonia
- Hallucinations
- Hyporeflexia
- Increased CSF protein concentration
- Leukodystrophy
- Memory impairment
- Muscle weakness
- Optic atrophy
- Punctate periventricular T2 hyperintense foci
- Short attention span
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.
Genes
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.
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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