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Neuromuscular diseases

Aromatic L-amino acid decarboxylase (AADC) deficiency

A rare disease of the nervous system present from birth. Too little dopamine and serotonin are made in the brain. Floppy muscles, developmental delay and episodes in which the eyes roll upward are seen.

Not part of the panel of Türkiye's National Newborn Screening Programme (heel-prick test). Source

This page is translated from the Turkish original.

This disease is followed through the “Neuromuscular diseases” group.

Understanding the disease

This section has not yet been reviewed by a physician. It summarises patient information from sources such as MedlinePlus, Orphanet and the NHS in plain language. The disease can differ from person to person; talk to your doctor about diagnosis and treatment.

What happens in this disease?

A change in the DDC gene reduces the activity of the AADC enzyme. This enzyme makes dopamine and serotonin in nerve cells. When there is too little of these messenger substances, movement and development are impaired. Automatic functions such as blood pressure, body temperature and sweating are also affected.

Which symptoms can occur?

Symptoms usually begin in the first six months.

  • Floppy muscles and feeding difficulties (common first symptoms)
  • Episodes in which the eyes roll upward involuntarily (in most)
  • Developmental delay
  • Involuntary muscle contractions and unusual postures (common)
  • Sleep problems (in most)
  • Excessive sweating, blocked nose, drooping eyelids
  • Unstable body temperature and low blood sugar (sometimes)
  • Irritability and anxiety

How is it diagnosed?

The levels of messenger substances in the cerebrospinal fluid are checked. The activity of the AADC enzyme is measured in the blood. A genetic test shows the change in the DDC gene. A brain MRI is often normal.

Treatment and care

Medicines and vitamin supplements that ease symptoms are used. There is also an approved gene therapy specific to the disease. This treatment is given through brain surgery. It is approved in Europe and in the USA. Nutritional support, physiotherapy and sleep care are also important. Regular follow-up is needed. The doctor who follows the disease decides which treatment is suitable.

For the family: inheritance and genetic counselling

The disease is passed on through recessive inheritance. The mother and father are carriers who show no symptoms. For a couple who are both carriers, the chance of having an affected child is 1 in 4 in each pregnancy. Recessive diseases can be more common when relatives marry each other. Testing brothers and sisters as well helps early diagnosis. Genetic counselling is recommended.

Source: MedlinePlus Genetics: Aromatic l-amino acid decarboxylase deficiency · GeneReviews: Aromatic L-Amino Acid Decarboxylase Deficiency

Key facts

How common is it?
Prevalence: <1 per 1 000 000 (Worldwide)
How is it inherited?
Autosomal recessive
When does it usually start?
Infancy, Newborn period
Gene(s) involved
DDC

These facts are taken from Orphanet and MedlinePlus records (last checked: October 7, 2026). Frequency values are approximate ranges.

You are not alone: patient associations in Türkiye

Non-profit patient and family organizations in Türkiye working on this disease or disease group. Links are for information; Doktorclub is not affiliated with these organizations and does not endorse them.

We could not find a patient association specific to this disease.

For all rare diseases: Nadir Hastalıklar Federasyonu

Guides related to this disease

  • Rare disease at school · Telling the school, medicines and emergency plan, inclusion and BEP, support education room, absences, LGS/YKS arrangements, peer bullying.

Support and help

Doktorclub does not diagnose, recommend treatments or refer you to hospitals or doctors. These pages are meant to help you talk with your doctor.

News about AADC deficiency

Clinical trials (ClinicalTrials.gov)

A clinical trial is a regulated study that tests whether a new treatment is safe and whether it works, in patients who volunteer. Most trials look for a certain age, genetic change and health condition. Taking part is voluntary.

This list is not a treatment recommendation. Treatments tested in phase 1–3 trials are investigational (experimental): their efficacy and safety have not yet been proven and they are not approved treatments. Taking part depends on each trial’s criteria and a physician’s assessment; the first step is to talk to the doctor who manages your care.

Questions you can ask your doctor

  • Could this trial be suitable for us?
  • If we take part, how would current treatment and check-ups be affected?
  • Where does the trial take place, and how are travel and accommodation handled?
  • What happens if we want to leave the trial?

ClinicalTrials.gov lists 4 active interventional studies for this disease. 2 are recruiting now; none has a site in Türkiye. Last checked: October 7, 2026.

Selected records (studies with a site in Türkiye first):

See all studies on ClinicalTrials.gov · Joining clinical trials

Neuromuscular diseases: other news

Medical codes (for talking with your doctor and finding sources)

These codes identify the disease in international classifications and databases. They can help when you talk with your doctor or look for reliable sources.

Orphanet code: ORPHA:35708

No separate ICD-11 code; WHO classifies this disease under: 5C59.00

Codes checked against WHO ICD-11 and Orphanet on October 7, 2026.

This page provides general information and does not replace diagnosis or treatment. Talk to your doctor about symptoms, diagnosis and treatment.

The information on these pages is for general information only and does not replace medical advice. Talk to your doctor about diagnosis and treatment decisions. In an emergency in Türkiye, call 112.

Every update is based on an open source and labeled with its level of evidence. No advertising and no drug brand names. Our scientific principles

This page was translated from Turkish by the Doktorclub editorial team.