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Fiskerstrand type peripheral neuropathy is a slowly-progressive Refsum-like disorder associating signs of peripheral neuropathy with late-onset hearing loss, cataract and pigmentary retinopathy that become evident during the third decade of life.
Features include always present findings: Inner ear hearing loss (sensorineural hearing impairment); and very common findings: Demyelinating peripheral neuropathy. 22 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Ataxia, Intention tremor, Nerve damage affecting sensation and movement (sensorimotor neuropathy) |
ABHD12 encodes abhydrolase domain containing 12, lysophospholipase (398 aa). Lysophosphatidylserine (LPS) lipase that mediates the hydrolysis of lysophosphatidylserine, a class of signaling lipids that regulates immunological and neurological processes. Highest expression in Thyroid (109.9 TPM) and Brain Spinal cord cervical c-1 (105.9 TPM).
PHARC syndrome is caused by mutations in the ABHD12 gene on chromosome 20.
The ABHD12 protein participates in ABHD6,12 hydrolyse 3AG pathway.
ABHD12 is classified as a druggable target (Druggable Genome, Enzyme, and Phospholipase categories) with score 0.0.
30 pathogenic variants reported in ABHD12 in ClinVar.
Genetic testing for ABHD12 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 always present feature, 1 very common feature, 5 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for PHARC syndrome.
11 publications have been identified in PubMed for PHARC syndrome. Research spans Review / Meta-Analysis (36%), Case Report / Case Series (36%), and Other (18%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 4 | 36% |
Data assembled from 8 of 12 sources · Last updated Sep 19, 2026, 6:42 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about PHARC syndrome
Eyes |
4 |
Nystagmus, Cataract, Damage to the optic nerve (optic atrophy) |
Muscles | 3 | Achilles tendon contracture, Shrinkage of the cerebellum (cerebellar atrophy), Damage to the optic nerve (optic atrophy) |
Ears | 1 | Inner ear hearing loss (sensorineural hearing impairment) |
4 |
36% |
Other research | 2 | 18% |
Disease patterns and progression | 1 | 9% |
Romero-Vázquez S (2025). [PMID: 39826350](https://pubmed.ncbi.nlm.nih.gov/39826350/). *Stem Cell Res*. [Case Report / Case Series]
Karuntu JS (2025). [PMID: 39733931](https://pubmed.ncbi.nlm.nih.gov/39733931/). *Prog Retin Eye Res*. [Review / Meta-Analysis]
Mendes Ferreira V (2025). [PMID: 40064796](https://pubmed.ncbi.nlm.nih.gov/40064796/). *Acta Neurol Belg*. [Review / Meta-Analysis]
Mehta S (2025). [PMID: 40532518](https://pubmed.ncbi.nlm.nih.gov/40532518/). *Parkinsonism Relat Disord*. [Other]
Harutyunyan L (2025). [PMID: 39780186](https://pubmed.ncbi.nlm.nih.gov/39780186/). *Orphanet J Rare Dis*. [Other]
Ma M (2025). [PMID: 39910854](https://pubmed.ncbi.nlm.nih.gov/39910854/). *Mol Genet Genomic Med*. [Case Report / Case Series]
Pereira da Silva SR Jr (2025). [PMID: 40533696](https://pubmed.ncbi.nlm.nih.gov/40533696/). *Cerebellum*. [Review / Meta-Analysis]
Wawrocka A (2024). [PMID: 38891946](https://pubmed.ncbi.nlm.nih.gov/38891946/). *Int J Mol Sci*. [Case Report / Case Series]
Silva MC (2024). [PMID: 39584717](https://pubmed.ncbi.nlm.nih.gov/39584717/). *A A Pract*. [Case Report / Case Series]
Harutyunyan L (2024). [PMID: 39501272](https://pubmed.ncbi.nlm.nih.gov/39501272/). *Orphanet J Rare Dis*. [Review / Meta-Analysis]