Skip to content
knowrare
HealthSignal
Your condition community

Living with Azorean disease

An inherited condition with slowly worsening balance, coordination, and speech problems, usually starting in mid-adulthood.

Understanding Azorean disease

Azorean disease, also called spinocerebellar ataxia type 3 (SCA3), is a condition with slowly worsening problems with movement.

People first have trouble with coordination and balance (ataxia), plus speech problems, muscle tightness, stiffness, tremor, bulging eyes, and double vision. Sleep disorders such as restless legs and acting out dreams can cause daytime tiredness. Over time, nerve damage in the limbs, cramps, swallowing trouble, and memory and planning problems can occur. Signs usually begin in mid-adulthood but can appear from childhood to late adulthood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Trouble with balance and coordination (ataxia)
  • Unclear speech (dysarthria)
  • Double vision
  • Muscle contractions that twist the body (dystonia)
  • Shaky eye movements (nystagmus)
  • Bulging eyes (proptosis)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in ATXN3 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    National Ataxia Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: National Ataxia Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Ataxia Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing for the ATXN3 gene confirm the diagnosis?
Which therapies can help with balance, speech, and swallowing?
Could my sleep problems be part of this condition?

Quick facts

Symptoms usually startChild and as an Adult
InheritanceAutosomal Dominant
GenesATXN3

It is caused by changes in the ATXN3 gene. It is autosomal dominant, so a change in one copy of the gene can cause it.

GeneticNeurological

Also known as: autosomal dominant striatonigral degeneration; azorean disease of the nervous system; azorean neurologic disease; machado disease; machado joseph disease; machado-joseph disease

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Azorean diseaseGARD ID 6801 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Azorean disease.

Explore the Azorean disease blog

Explore research for Azorean disease

Explore actively recruiting Azorean disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Azorean disease with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

Powered by HealthSpark, our AI chat helper

I can help you find recruiting Azorean disease studies. Enter a ZIP code, address or city below and I'll look within 50 miles.

Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

Get Signals for Azorean disease

Stay in the loop with community stories and updates from medical researchers.

HealthStoryfor Azorean disease

Create a living journal that talks back

HealthStory evolves private journaling with a living AI journal that talks back and asks thoughtful questions, helping you capture your Azorean disease experiences more deeply and prepare for better conversations with your doctors and care team.

Start your journal

Your journal is private. Sharing your story publicly is a separate choice, made with Share your story above.