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Living with Hereditary sensory and autonomic neuropathy type 1

An inherited nerve condition affecting the feet and legs, with tingling, weakness, and reduced feeling of pain and temperature.

Understanding Hereditary sensory and autonomic neuropathy type 1

Hereditary sensory and autonomic neuropathy type 1 (HSN1) is a nerve condition with problems in the legs and feet.

Many people have tingling, weakness, and a reduced ability to feel pain and sense hot and cold. Some feel shooting pains instead. As it progresses, the hands, arms, shoulders, and belly can be affected. Rarely, hearing loss occurs. It can start at any time in life.

Signs & symptoms

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

  • Reduced feeling in the feet and hands
  • Reduced sense of pain and temperature
  • Weakness in the feet (foot drop)
  • Pain in the arms and legs
  • Skin sores on the feet
  • Little or too much sweating

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. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Hereditary Neuropathy Foundation Inc. and The Foundation for Peripheral Neuropathy 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: Hereditary Neuropathy Foundation Inc., The Foundation for Peripheral Neuropathy
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 Hereditary Neuropathy Foundation Inc. and other patient organizations
  • 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
Which form of HSN1 do I have, and which gene is involved?
How can I check my feet daily and prevent sores?
Should my hearing be tested?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant

It is caused by changes in any of several genes, such as SPTLC1, SPTLC2, ATL1, or DNMT1, depending on the form. All forms are autosomal dominant, so one changed copy of the gene is enough.

GeneticNeurologicalInherited Metabolic

Also known as: acrodystrophic neuropathy; autosomal dominant sensory neuropathy; dominant hereditary sensory neuropathy, type i; hereditary sensory and autonomic neuropathy type i; hereditary sensory and autonomic neuropathy, type i; hereditary sensory neuropathy type i

Patient organizations

Source: NIH GARD · Hereditary sensory and autonomic neuropathy type 1GARD ID 6635 · 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 Hereditary sensory and autonomic neuropathy type 1.

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