Neonatal encephalomyopathy-cardiomyopathy-…

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Neonatal encephalomyopathy-cardiomyopathy-respiratory distress syndrome

ORPHA:457185Disease

Also called COQ4-related neonatal encephalomyopathy

What it is

A rare mitochondrial disease characterized by neonatal onset of severe cardiac and/or neurologic signs and symptoms mostly associated with a fatal outcome in the neonatal period or in infancy, although a milder phenotype with later onset and slowly progressive neurologic deterioration has also been reported. Clinical manifestations are variable and include respiratory insufficiency, hypotonia, cardiomyopathy, and seizures. Serum lactate is elevated in most cases. Brain imaging may show cerebellar atrophy or hypoplasia.

Key facts

Prevalence
<1 / 1 000 000
Age of onset
Antenatal, 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.

Gene

COQ4Disease-causing germline mutation(s) (loss of function)

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

MONDO 0014562OMIM 616276UMLS C5568562

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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