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IEMbase 0761: DDHD1-related phosphatidic acid-preferring phospholipase 1 deficiency

Scope

Field Value
IEMbase ID 761
Nosology 14.5.01.10
Nosology code IEM0670
Gene DDHD1
External IDs OMIM:609340; ORPHA:101008
Generated mapping UNMAPPED; weak candidate CALFAN_Syndrome.yaml
Candidate DisMech targets None exact
Review date 2026-07-08

IEMbase phenotype signal

IEMbase labels this autosomal recessive record as DDHD1-related phosphatidic acid-preferring phospholipase 1 deficiency, with alternate name autosomal recessive spastic paraplegia type 28. The phenotype rows emphasize adolescent and adult spastic paraparesis, nonprogressive cerebellar ataxia, chronic axonal sensorimotor polyneuropathy, basal ganglia abnormalities, intellectual disability, optic atrophy, cone-rod dystrophy, retinal dystrophy, and a brain iron row that is present in adolescence and adulthood and possible earlier.

DisMech phenotype coverage

No exact DDHD1 / SPG28 entry is present locally. The generated CALFAN_Syndrome.yaml candidate is a false positive. CALFAN is an SCYL1-related neurohepatic disorder with low-GGT cholestasis, recurrent liver failure, cerebellar ataxia, and neuropathy; it does not cover DDHD1-related phospholipase disease or SPG28 identity.

Other local spastic-ataxia or neuropathy entries provide phenotype context only and should not be treated as disease coverage.

Concordance and completeness

Judgement: true local gap.

The IEMbase record is specific for a DDHD1-associated hereditary spastic paraplegia. Shared ataxia, neuropathy, or imaging phenotypes are insufficient to map it to CALFAN or another different-gene disorder.

Curation actions

  • Add a distinct DDHD1 / autosomal recessive spastic paraplegia type 28 target before treating this record as covered.
  • Reject CALFAN_Syndrome.yaml as exact coverage.
  • Preserve the retinal dystrophy, optic atrophy, basal-ganglia/brain-iron, polyneuropathy, cerebellar ataxia, and spastic paraparesis prompts.