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Lysosomal storage diseases

Metachromatic leukodystrophy (MLD)

An inherited disease of the nervous system. The protective sheath around the nerves breaks down. Walking, speaking and learning skills gradually decline.

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 “Lysosomal storage 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 ARSA gene reduces the enzyme arylsulfatase A. This enzyme breaks down fats called sulfatides. Sulfatides build up in the cells that make the sheath around the nerves. This sheath is called myelin. Over time, myelin in the brain, spinal cord and nerves breaks down.

Which symptoms can occur?

The disease has three forms. The most common form usually begins in the second year of life.

  • Difficulty walking, walking on tiptoe
  • Loss of speech that had been learned
  • Muscle weakness, followed by muscle stiffness
  • Loss of feeling in the hands and feet
  • Seizures (fits)
  • In older children, falling school performance
  • In teenagers and adults, changes in behavior and mental health

How is it diagnosed?

A brain MRI can show the loss of myelin. The enzyme is measured in the blood and sulfatides in the urine. A genetic test examines the ARSA and PSAP genes. In very young children, the first MRI may be normal.

Treatment and care

For some children diagnosed before symptoms begin or very early, there is an approved gene therapy. A stem cell transplant may also be considered for some children at this stage. In other situations, supportive treatment that eases the symptoms is given. This is why early diagnosis is so important. 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 usually healthy carriers. For a couple who are both carriers, the chance of having an affected child is 1 in 4 in each pregnancy. Diseases of this kind may be more common in marriages between relatives. Genetic counselling guides the family.

Source: MedlinePlus Genetics: Metachromatic leukodystrophy · NORD: Metachromatic Leukodystrophy

Key facts

How common is it?
Prevalence: 1-9 per 1 000 000 (Europe)
How is it inherited?
Autosomal recessive
When does it usually start?
Adolescence, Adulthood, Childhood, Infancy

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.

For all rare diseases: Nadir Hastalıklar Federasyonu

Links checked on October 8, 2026.

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 MLD

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. None is recruiting right 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

Lysosomal storage 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:512 · ICD-11 5C56.02

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.