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Features include always present findings: Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) and Difficulty breathing (respiratory insufficiency); and very common findings: Hypertonia. 8 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Lungs and breathing | 3 | Difficulty breathing (respiratory insufficiency), Respiratory failure, Apnea |
CRYAB encodes crystallin alpha B (175 aa). May contribute to the transparency and refractive index of the lens. Has chaperone-like activity, preventing aggregation of various proteins under a wide range of stress conditions. Highest expression in Heart Left Ventricle (1,863 TPM) and Brain Spinal cord cervical c-1 (1,663 TPM).
Fatal infantile hypertonic myofibrillar myopathy is associated with mutations in the CRYAB gene on chromosome 11.
CRYAB is classified as a druggable target (Cell Surface category) with score 0.0.
Genetic testing for CRYAB is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 2 always present features, 1 very common feature.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for fatal infantile hypertonic myofibrillar myopathy.
5 publications have been identified in PubMed for fatal infantile hypertonic myofibrillar myopathy. Research spans Review / Meta-Analysis (40%), Basic Science / Preclinical (40%), and Epidemiology / Natural History (20%).
Rashed HR (2025). [PMID: 40243504](https://pubmed.ncbi.nlm.nih.gov/40243504/). *Int J Mol Sci*. [Review / Meta-Analysis]
Durmuş H (2025). [PMID: 41223033](https://pubmed.ncbi.nlm.nih.gov/41223033/). *J Neuromuscul Dis*. [Basic Science / Preclinical]
Wang Q (2024). [PMID: 39973468](https://pubmed.ncbi.nlm.nih.gov/39973468/). *J Neuromuscul Dis*. [Epidemiology / Natural History]
Li Q (2024). [PMID: 39239540](https://pubmed.ncbi.nlm.nih.gov/39239540/). *Int J Med Sci*. [Review / Meta-Analysis]
Baralić K (2024). [PMID: 38963141](https://pubmed.ncbi.nlm.nih.gov/38963141/). *Arh Hig Rada Toksikol*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 19, 2026, 3:33 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Lab test results |
1 |
Elevated creatine kinase (muscle enzyme) (elevated circulating creatine kinase concentration) |
Brain and nerves | 1 | Muscle stiffness (rigidity) |
Muscles | 1 | Progressive muscle deterioration (muscular dystrophy) |