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Mitochondrial DNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria

Disease definition

A rare mitochondrial DNA depletion syndrome characterized by neonatal or infantile onset of global developmental delay, hypotonia, failure to thrive, progressive neurologic decline, sensorineural deafness, and movement disorder. Seizures, external ophthalmoplegia, polyneuropathy, cardiomyopathy, and renal tubular dysfunction have also been reported. Brain imaging may show T2-weighted hyperintensities in the basal ganglia, and laboratory examination may reveal lactic acidosis and mild methylmalonic aciduria.


Classification level: Disorder
  • Synonym(s):
    • Booth-Haworth-Dilling syndrome
    • Mitochondrial encephalomyopathy-aminoacidopathy syndrome
    • mtDNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria
  • Prevalence: <1 / 1 000 000
  • Inheritance: Mitochondrial inheritance 
  • Age of onset: Infancy
  • ICD-10: G71.3
  • ICD-11: 5C53.20
  • OMIM: 612073
  • UMLS: C2749864
  • MeSH: -
  • GARD: 3681
  • MedDRA: -

Detailed information

Disease review articles

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