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Start free with EleplanMetachromatic leukodystrophy, juvenile form
ORPHA:309263Clinical subtype
Also called Arylsulfatase A deficiency, juvenile form · MLD, juvenile form
What it is
A subtype of Metachromatic leukodystrophy characterized by progressive psychomotor regression with an onset between 30 months and 16 years of age, often beginning with behavioral abnormalities or deterioration of school performance. Further manifestations are ataxia, gait disturbances, reduced deep tendon reflexes, spasticity, seizures, paralysis, dementia, and loss of speech, vision, and hearing, eventually resulting in complete loss of motor and cognitive skills, and decerebration. The rate of deterioration is variable with possible survival up to the third decade of life.
Key facts
- Prevalence
- 1-9 / 1 000 000 (at birth)
- Age of onset
- Adolescent, Childhood
- 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%
17- Abnormal glycosphingolipid metabolism
- Abnormal social behavior
- Clumsiness
- Decreased nerve conduction velocity
- Developmental regression
- Dysarthria
- Dystonia
- Frequent falls
- Generalized hypotonia
- Hyporeflexia
- Increased CSF protein concentration
- Leukodystrophy
- Muscle weakness
- Optic atrophy
- Punctate periventricular T2 hyperintense foci
- Short attention span
- Urinary incontinence
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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