Monarch Disease Ontology id MONDO_0013947 (neuronopathy, distal hereditary motor, autosomal recessive 5) can be described as follows. Young adult-onset distal hereditary motor neuropathy is a rare autosomal recessive distal hereditary motor neuropathy characterized by slowly progressive muscular weakness, hypotonia and atrophy of the lower limbs, more pronounced distally, leading to paralysis, and loss of tendon reflexes. Additional features may include pes cavus and mild dysphonia. The upper limbs are relatively spared. Also known as: DSMA5, Young adult-onset dHMN, autosomal recessive distal spinal muscular atrophy type 5, dSMA5, spinal muscular atrophy, distal, autosomal recessive, type 5, young adult-onset distal hereditary motor neuropathy.