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Living with Neuropathy, hereditary sensory and autonomic, type 1A

A genetic nervous system condition that causes loss of feeling in the hands and feet and muscle weakness, usually in adulthood.

Understanding Neuropathy, hereditary sensory and autonomic, type 1A

Neuropathy, hereditary sensory and autonomic, type 1A (HSAN1A) is a genetic condition of the nervous system.

It can cause problems with feeling sensations and controlling automatic body functions. Most people develop symptoms in adulthood, with muscle weakness and gradual loss of feeling in the hands and feet. This can lead to complications such as foot sores (ulcers) and bone infections. In some cases symptoms are more severe and start in childhood.

Signs & symptoms

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

  • Loss of touch sensation in the hands and feet
  • Weakness in the hands and feet
  • Sores on the feet (ulcers)
  • Bone infection (osteomyelitis)
  • Frequent falls
  • Reduced or absent reflexes

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

  4. Connect with expert centers

    The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Expert lists: 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 The Foundation for Peripheral Neuropathy
  • 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
Should we have genetic testing for the SPTLC1 gene?
How can I check and protect my feet from sores?
Which specialists should be on my care team?

Quick facts

InheritanceAutosomal Dominant

HSAN1A is caused by changes in the SPTLC1 gene. It is autosomal dominant, which means one changed copy of the gene is enough to cause it.

Also known as: hereditary sensory and autonomic neuropathy type 1 caused by mutation in sptlc1; hereditary sensory and autonomic neuropathy type ia; hereditary sensory autonomic neuropathy type ia; hereditary sensory neuropathy type ia; hsan ia; hsan1a

Patient organizations

Source: NIH GARD · Neuropathy, hereditary sensory and autonomic, type 1AGARD ID 15095 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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