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Living with Muscular atrophy, ataxia, retinitis pigmentosa, and diabetes mellitus

A very rare inherited condition with muscle wasting, poor coordination, eye changes, and diabetes, starting in the teen years.

Understanding Muscular atrophy, ataxia, retinitis pigmentosa, and diabetes mellitus

Muscular atrophy, ataxia, retinitis pigmentosa, and diabetes mellitus is a very rare inherited condition that affects nerves, muscles, eyes, and blood sugar.

It is a hereditary ataxia (a condition with poor coordination). It involves muscle wasting from nerve problems, reduced feeling, damage to the retina, and diabetes. It starts in adolescence and changes slowly over time. There have been no further descriptions in the medical literature since 1983.

Signs & symptoms

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

  • Poor coordination (ataxia)
  • Muscle disease (myopathy)
  • Changes in the eye's retina
  • Type 2 diabetes
  • Reduced feeling (hypesthesia)
  • Muscle wasting

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, eye disease 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

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); 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
Which specialists should follow my nerves, eyes, and blood sugar?
How often should my eyes be checked?
Is genetic testing available for our family?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant

GARD says changes in genes cause this condition. It is autosomal dominant, which means one changed copy of a gene can be enough to cause it.

GeneticNeurological

Also known as: furukawa takagi nakao syndrome; furukawa-takagi-nakao syndrome; muscular atrophy-ataxia-retinitis pigmentosa-diabetes mellitus syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Muscular atrophy, ataxia, retinitis pigmentosa, and diabetes mellitusGARD ID 2417 · 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 Muscular atrophy, ataxia, retinitis pigmentosa, and diabetes mellitus.

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