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Start free with EleplanMultiple mitochondrial dysfunctions syndrome type 3
ORPHA:363424Disease
Also called IBA57 deficiency · MMDS3
What it is
A rare neurometabolic disease, due to a lipoic acid biosynthesis defect, with a highly variable phenotype, typically characterized by early-onset acute or subacute developmental delay or regression frequently associated with feeding difficulties. Clinical severity is variable and may range from mild cases which present a later onset with slow neurological deterioration and general improvement over time to severe cases with clinical signs since birth and leading to early death. Associated manifestations include hypotonia, vision loss, respiratory failure, seizures, and intellectual disability. Brain magnetic resonance imaging frequently shows cavitating leukoencephalopathy with lesions in the periventricular/central white matter and parieto-occiîtal lobes.
Key facts
- Prevalence
- <1 / 1 000 000
- Age of onset
- Infancy, Neonatal
- Inheritance
- Autosomal recessive
- 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
Common30–79%
20- Cavitating leukodystrophy
- Decreased activity of mitochondrial complex I
- Decreased activity of mitochondrial complex II
- Feeding difficulties in infancy
- Global developmental delay
- Hyperglycinemia
- Increased circulating lactate concentration
- Increased CSF glycine concentration
- Increased CSF lactate
- Intellectual disability
- Joint contracture
- Leukodystrophy
- Muscle weakness
- Periventricular white matter hyperintensities
- Polyhydramnios
- Respiratory failure
- Seizure
- Spasticity
- Thin corpus callosum
- 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.
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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