Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
Moyamoya disease with early-onset achalasia is an exceedingly rare autosomal recessive neurological disorder reported only in a few families so far. It is characterized by the association of early onset achalasia (manifesting in infancy) with severe intracranial angiopathy that is consistent with moyamoya angiopathy in most cases (moyamoya disease). Other variable associated manifestations include hypertension, Raynaud phenomenon, and livedo reticularis.
Features include always present findings: Achalasia and Hypertension; and common findings: Ischemic stroke, Raynaud phenomenon, Moyamoya phenomenon, and Hemiparesis. 12 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 3 | Difficulty swallowing (dysphagia), Generalized-onset seizure, Ischemic stroke |
GUCY1A1 encodes guanylate cyclase 1 soluble subunit alpha 1 (690 aa). Highest expression in Colon Sigmoid (39.7 TPM) and Artery Coronary (29.0 TPM).
Moyamoya disease with early-onset achalasia is associated with mutations in the GUCY1A1 gene on chromosome 4.
GUCY1A1 is classified as a druggable target (Druggable Genome and Enzyme categories) with score 3.5.
Genetic testing for GUCY1A1 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 2 always present features, 4 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 3:36 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Moyamoya disease with early-onset achalasia
Digestive system
2 |
Difficulty swallowing (dysphagia), Achalasia |
Heart and blood vessels | 2 | Ischemic stroke, Hypertension |
Blood and immune system | 1 | Low platelet count (thrombocytopenia) |