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Living with Spinal muscular atrophy with respiratory distress type 2

A rare genetic condition of nerve cells that control muscles, with early breathing problems, muscle weakness and tight joints.

Understanding Spinal muscular atrophy with respiratory distress type 2

Spinal muscular atrophy with respiratory distress type 2 is a rare genetic motor neuron disease with early breathing problems.

People have breathing trouble from early on because the diaphragm is paralyzed. They also have weakness in the hands and feet, tight joints (contractures), and low muscle tone in the trunk. It looks much like SMARD type 1 but involves a different gene. Signs start in the newborn period.

Signs & symptoms

GARD doesn't list a separate symptom list for this condition. Based on its summary, features include:

  • Early breathing problems
  • Paralysis of the diaphragm
  • Weakness in the hands and feet
  • Joint tightness (contractures)
  • Low muscle tone in the trunk

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 LAS1L 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

    Muscular Dystrophy Association 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: Muscular Dystrophy Association, 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 Cure SMA 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
Can genetic testing of the LAS1L gene confirm this diagnosis?
What breathing support is available?
Which neuromuscular specialists should we see?

Quick facts

Symptoms usually startNewborn
GenesLAS1L

GARD lists changes in the LAS1L gene. It doesn't describe the inheritance pattern in this record.

GeneticNeurological

Also known as: diaphragmatic spinal muscular atrophy type 2; severe infantile axonal neuropathy with respiratory failure type 2; smard2; smard2 - spinal muscular atrophy with respiratory distress type 2; x-linked spinal muscular atrophy with respiratory distress

Patient organizations

Source: NIH GARD · Spinal muscular atrophy with respiratory distress type 2GARD ID 21723 · 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

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