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Start free with EleplanMitochondrial DNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria
ORPHA:1933Disease
Also called Booth-Haworth-Dilling syndrome · Mitochondrial encephalomyopathy-aminoacidopathy syndrome · mtDNA depletion syndrome, encephalomyopathic form with methylmalonic aciduria
What it is
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.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy
- Inheritance
- Mitochondrial inheritance
- Classified as
- Disease
Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.
Signs and symptoms
Very common80–99%
23- Abnormal electroretinogram
- Abnormality of visual evoked potentials
- Aminoaciduria
- Ataxia
- Atypical behavior
- Cachexia
- Cerebral calcification
- Decreased nerve conduction velocity
- Delayed gross motor development
- Elevated circulating creatine kinase concentration
- Generalized hirsutism
- Global developmental delay
- Hyporeflexia
- Intellectual disability, progressive
- Methylmalonic aciduria
- Microcephaly
- Ptosis
- Seizure
- Sensorineural hearing impairment
- Short stature
- Skeletal muscle atrophy
- Ventriculomegaly
- Visual impairment
These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.
Gene
ICD-10 codes
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.
Benefit programs to look at
Programs whose eligibility touches the same ICD-10 categories. Eligibility is decided by the administering agency, never by this page.
Cross-references
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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