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Living with Spinocerebellar ataxia type 34

An inherited condition with scaly skin patches after birth and later worsening balance and speech problems.

Understanding Spinocerebellar ataxia type 34

Spinocerebellar ataxia type 34 (SCA34) is a dominantly inherited cerebellar ataxia with a skin condition that starts soon after birth.

Scaly, raised patches of skin appear on the limbs shortly after birth. Later, people develop slowly worsening poor coordination, slurred speech, jerky eye movements and decreased reflexes. Onset of the nervous system symptoms happens at a variety of ages.

Signs & symptoms

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

  • Scaly skin patches and dry skin
  • Slowly worsening poor coordination
  • Slurred speech (dysarthria)
  • Jerky eye movements (nystagmus)
  • Decreased reflexes
  • Decreased ability to sweat

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, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in ELOVL4 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); Skin, hair, and nail specialists (dermatologists)
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 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 ELOVL4 gene confirm this diagnosis?
Which skin care could help the patches?
What therapies can help with balance and speech?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant
GenesELOVL4

GARD lists changes in the ELOVL4 gene. It is inherited in an autosomal dominant pattern, meaning one changed copy of the gene is enough.

GeneticNeurologicalSkin

Also known as: erythrokeratodermia with ataxia; sca34; spinocerebellar ataxia and erythrokeratodermia

Patient organizations

Source: NIH GARD · Spinocerebellar ataxia type 34GARD ID 59 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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