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Finnish upper limb-onset distal myopathy is a rare, genetic distal myopathy characterized by slowly progressive distal to proximal limb muscle weakness and atrophy, with characteristic early involvement of thenar and hypothenar muscles. Patients present with clumsiness of the hands and stumbling in the fourth to fifth decade of life, and later develop steppage gait and contractures of the hands. Progressive fatty degeneration affects intrinsic muscles of the hands, gluteus medium and both anterior and posterior compartment muscles of the distal lower extremities, with later involvement of forearm muscles, triceps, infraspinatus and the proximal lower limb muscles. Asymmetry of muscle involvement is common.
Features include common findings: Clumsiness, Steppage gait, Mildly elevated creatine kinase, and Joint contracture of the hand and others; and sometimes findings: Split hand and Progressive proximal muscle weakness. 20 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Muscles | 10 | Late-onset proximal muscle weakness, Distal muscle weakness, Progressive muscle deterioration (muscular dystrophy) |
HNRNPA1 encodes heterogeneous nuclear ribonucleoprotein A1 (372 aa). Involved in the packaging of pre-mRNA into hnRNP particles, transport of poly(A) mRNA from the nucleus to the cytoplasm and modulation of splice site selection. Highest expression in Ovary (1,093 TPM) and Cells EBV-transformed lymphocytes (728.9 TPM).
Finnish upper limb-onset distal myopathy is associated with mutations in the HNRNPA1 gene on chromosome 12.
The HNRNPA1 protein participates in FGFR2c-specific alternative splicing produces FGFR2c transcript and FGFR2 alternative splicing pathways.
HNRNPA1 is classified as a druggable target (Druggable Genome category) with score 3.0.
Genetic testing for HNRNPA1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for Finnish upper limb-onset distal myopathy has been reported in the published literature.
Phenotype severity distribution: 13 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for Finnish upper limb-onset distal myopathy.
53 publications have been identified in PubMed for Finnish upper limb-onset distal myopathy. Research spans Case Report / Case Series (30%), Epidemiology / Natural History (30%), and Clinical Trial Publication (11%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 16 | 30% |
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 6:58 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Finnish upper limb-onset distal myopathy
Arms and legs | 5 | Abnormal foot morphology, Split hand, Joint contracture of the hand |
Brain and nerves | 3 | Clumsiness, Steppage gait, Difficulty walking (gait disturbance) |
Bones and joints | 2 | Joint contracture of the hand, Fatty replacement of skeletal muscle |
Lab test results | 1 | Mildly elevated creatine kinase |
Disease patterns and progression
16 |
30% |
Clinical study results | 6 | 11% |
Research summaries | 5 | 9% |
Laboratory research | 5 | 9% |
Testing and diagnosis research | 3 | 6% |
Other research | 1 | 2% |
New treatment approaches | 1 | 2% |
Mathy CS (2026). [PMID: 41854206](https://pubmed.ncbi.nlm.nih.gov/41854206/). *J Cachexia Sarcopenia Muscle*. [Clinical Trial Publication]
Smaili F (2026). [PMID: 41677014](https://pubmed.ncbi.nlm.nih.gov/41677014/). *Biomolecules & biomedicine*. [Epidemiology / Natural History]
Boonsri P (2026). [PMID: 41575995](https://pubmed.ncbi.nlm.nih.gov/41575995/). *PloS one*. [Diagnostic / Biomarker]
Kim SH (2026). [PMID: 41973717](https://pubmed.ncbi.nlm.nih.gov/41973717/). *PLoS One*. [Epidemiology / Natural History]
Pillai P (2026). [PMID: 41877413](https://pubmed.ncbi.nlm.nih.gov/41877413/). *Singapore Med J*. [Diagnostic / Biomarker]
Aragon-Gawinska K (2026). [PMID: 41981189](https://pubmed.ncbi.nlm.nih.gov/41981189/). *J Neurol*. [Epidemiology / Natural History]
Subbotin D (2026). [PMID: 42244138](https://pubmed.ncbi.nlm.nih.gov/42244138/). *Am J Med Genet A*. [Case Report / Case Series]
Jones FJS (2026). [PMID: 41787240](https://pubmed.ncbi.nlm.nih.gov/41787240/). *European journal of neurology*. [Case Report / Case Series]
D'Souza L (2026). [PMID: 42153450](https://pubmed.ncbi.nlm.nih.gov/42153450/). *Int J Surg Pathol*. [Case Report / Case Series]
Henning F (2026). [PMID: 41886871](https://pubmed.ncbi.nlm.nih.gov/41886871/). *Neuromuscul Disord*. [Basic Science / Preclinical]