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Start free with EleplanPelizaeus-Merzbacher disease
ORPHA:702Disease
Also called Diffuse familial brain sclerosis · PMD · Pelizaeus-Merzbacher brain sclerosis · Sudanophilic leukodystrophy, Paelizeus-Merzbacher type
What it is
Pelizaeus-Merzbacher disease (PMD) is an X-linked leukodystrophy characterized by developmental delay, nystagmus, hypotonia, spasticity, and variable intellectual deficit. It is classified into three sub-forms based on the age of onset and severity: connatal, transitional, and classic PMD.
Key facts
- Prevalence
- 1-9 / 1 000 000 (Europe)
- Age of onset
- All ages
- Inheritance
- X-linked dominant, X-linked 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
Very common80–99%
17Common30–79%
14- Abnormality of speech or vocalization
- Abnormality of the urinary system
- Abnormality of visual evoked potentials
- Arteriovenous malformation
- Bowel incontinence
- Choreoathetosis
- Dystonia
- Hearing impairment
- Intellectual disability
- Microcephaly
- Recurrent respiratory infections
- Respiratory insufficiency
- Seizure
- Short stature
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 reported in subtypes
Orphanet records this gene on 5 more specific entries under this disorder, not on this entry itself:
A well-studied disease is usually split into subtypes, and the gene is curated on whichever one the evidence belongs to. Open a subtype to see which gene goes with it.
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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