Isolated cytochrome C oxidase deficiency

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Isolated cytochrome C oxidase deficiency

ORPHA:254905Disease

Also called Isolated COX deficiency · Isolated mitochondrial respiratory chain complex IV deficiency

What it is

A rare mitochondrial oxidative phosphorylation disorder characterized by a highly variable clinical phenotype, including a benign infantile mitochondrial type affecting mainly the skeletal muscle, a lethal infantile mitochondrial myopathy linked to severe metabolic acidosis and mitochondrial dysfunction in skeletal muscle and often also in heart, Leigh syndrome, which causes severe, early-onset, progressive, and fatal encephalopathy, and French-Canadian type Leigh syndrome, which affects mostly the skeletal muscle, but also brain and liver.

Key facts

Inheritance
Autosomal recessive, Mitochondrial inheritance
Classified as
Disease

Genes

COA3Disease-causing germline mutation(s)
COX10Disease-causing germline mutation(s)
COX14Disease-causing germline mutation(s)
COX16Disease-causing germline mutation(s)
COX20Disease-causing germline mutation(s)
COX4I1Disease-causing germline mutation(s)
COX5ADisease-causing germline mutation(s) (loss of function)
COX6A2Disease-causing germline mutation(s)
COX6B1Disease-causing germline mutation(s)
COX8ADisease-causing germline mutation(s) (loss of function)
MT-CO1Disease-causing germline mutation(s)
MT-CO2Disease-causing germline mutation(s) (loss of function)
MT-CO3Disease-causing germline mutation(s)
PET117Disease-causing germline mutation(s)

ICD-10 codes

E88.8filed under a broader ICD-10 category — shared with 91 other rare diseases

ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.

Related health topics

Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.

Cross-references

GARD 48MESH D030401MONDO 0009068OMIM 220110OMIM 619046OMIM 619048OMIM 619051OMIM 619052OMIM 619053OMIM 619054OMIM 619055OMIM 619058OMIM 619059OMIM 619060OMIM 619061OMIM 619062OMIM 619063OMIM 619064OMIM 619355UMLS C5779825

Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.

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